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Dr Basu
Dr Basu, Experienced Specialist
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I am 54 yo female, healthy weird, exercise, happy etc. 2

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I am 54 yo female, healthy weird, exercise, happy etc. 2 years ago lost and kept off 30 pounds. Over past many years( ? 8), my WBC has been dropping to about 2.7-3 range. Saw hematologist and had cytoflow test which was negative. Also been having a sore throat and swollen lymph nodes in throat for about 2 years, very frequent and progressing to constant. Had increased pain in throat last week, put on Prilosec and Zantac. Since then, stuck to GERD diet and keeping head of bed elevated etc. Sore throat continues. What should be my next course of action? See gastroenterologist? Return to my hematologist? PA diagnosed me with reflux but not sure, since my only symptoms are sore throat and swollen lymph. No indigestion, no pain in stomach or chest. Thx
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

Indeed genuine concerns.

Swollen lymph nodes are not usually seen with GERD.

Hence, sore throat and swollen lymph nodes raise the questions:

1. Infection --viral like Epstein barr virus, or bacterial.

A throat culture is needed.

2. Autoimmune condition --Sarcoidosis or Wegener's granulomatous disease can affect the lymph nodes

3. Malignancy--given the history of low wbc count, and swollen lymph nodes, possibility of slow growing lymphoma is still there.

A CT scan of head and neck and a lymph node biopsy should be contemplated.

Please discuss with your hematologist.

Best wishes,

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