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This is Dr. David
ask your doctor for tests for lyme disease
that will tell for sure
usually lyme disease causes fevers over 100 degrees and joint aches and pains.
you could have mononucleosis viral infection which can cause enlarged tender swollen lymph nodes and fatigue.
there are blood tests for mono infections as well
you might need higher doses of ativan to help your anxiety symptoms.
anxiety can definitely cause high blood pressure, dizziness, shortness of breath, chest pressure, hot flash type symptoms.
you might need an SSRI agent like zoloft or paxil to help decrease these episodes
let me know if you have questions.