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My 16 year old son was sent home from school 2 weeks ago…

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My 16 year old...

My 16 year old son was sent home from school 2 weeks ago with a low grade fever. His on going symptoms are severe headeache, joint pain and very tired. No fever. He lives with his mother in an upper elevation and my fear was Lyme Disease. His doctor has no idea. What are your thoughts?

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Yes, all day and very dizzy.

Submitted: 7 months ago.Category: Medical
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Answered in 5 minutes by:
12/11/2017
Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago
Dr. Huynh
Dr. Huynh, Board Certified Physician
Category: Medical
Satisfied Customers: 125
Experience: Assistant Director / Medical Officer at Howard University
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Good morning, I'm Dr. Huynh, a board certified physician. Welcome to JustAnswer! Please allow me a moment to review your responses and I will reply shortly.

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Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

I'm sorry to hear about your son. Has his doctor done any blood work? Did your son play outside approximately 2-3 weeks ago? Was there a rash at one point? Do you own any pets?

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Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

Did he have or does he have a sore throat?

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Customer reply replied 7 months ago
My son and his mother lives with many dogs and they had ticks at one time
Customer reply replied 7 months ago
He did have very bad nose bleeds in July
Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

You mentioned the on going symptoms. Can you describe what symptoms he had at the beginning of the illness that are no longer present?

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Customer reply replied 7 months ago
Low grade fever is nonexistent.
Customer reply replied 7 months ago
The blood test his doctor ran were negative for infection
Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

Do you know which tests he did?

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Customer reply replied 7 months ago
No
Customer reply replied 7 months ago
His mother just text me, no rash no sore throat
Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

If you can get a copy of the test results, I would be happy to take a look for you.

There are several tests that can be done based on his symptoms in order to look for lyme, mononucleosis, chronic fatigue syndrome, etc. He should be tested with a complete blood count with differential, Lyme by ELISA, mono, EBV, RPR, ANA, ESR, and CRP to start.

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Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

also, strep antibodies

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Customer reply replied 7 months ago
I will have to ask his mother for the report.
Doctor: Dr. Huynh, Board Certified Physician replied 7 months ago

Aside from the items I mentioned above, there are some viral illnesses that can last up to a month. Sometimes, the flu can also present like you mentioned. But, considering he lives in the north, ruling out Lyme is definitely important. Diagnoses aside, be sure your son stays hydrated with twice as much fluids as he normally drinks on a daily basis. Dehydration can make all symptoms feel worse and can cause headaches, nausea, and dizziness.

I will keep the question open in case you can get a copy of the test results for me to see what's been done and what else could be done. If you have other questions about your son's concern, let me know. Otherwise, please take a moment to rate me a 5, or let me know how I can improve.

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