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Family Medicine (Expert Forum)
worried
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
worried
by jfem4, Mar 26, 2007 12:00AM
I am a 40 yo female, in good health. Had a complete physical in Dec and everything was normal except HCT 34.6.
For the past week, I have felt like I am on a boat, or just "foggy". This week, it became ear pain, and rt.face pressure/pain. On and off chills, with temp between 98.6-99.3.
I am exhausted...so tired, like I have never felt this way before. I am able to function/take care of my kids, clean, cook, food shop etc...but just feel like I could lay down and rest at any moment.It isn't getting any worse, but not much better either.
MD( this am) says I have a virus, gave me sudafed for what he saw was post nasal drip...no ear infection, no sinus infection.
I have a friend who just died of leukemia and now I am freaked out that I have it,too...she was VERY tired as well.
I have no other symptoms: no brusing, no bleeding,no swollen glands, not pale, no weight loss, no loss of appetite.
Can you tell me what you think and most importantly if you think it is Leukemia?
Should I have a blood test?
Thanks J
For the past week, I have felt like I am on a boat, or just "foggy". This week, it became ear pain, and rt.face pressure/pain. On and off chills, with temp between 98.6-99.3.
I am exhausted...so tired, like I have never felt this way before. I am able to function/take care of my kids, clean, cook, food shop etc...but just feel like I could lay down and rest at any moment.It isn't getting any worse, but not much better either.
MD( this am) says I have a virus, gave me sudafed for what he saw was post nasal drip...no ear infection, no sinus infection.
I have a friend who just died of leukemia and now I am freaked out that I have it,too...she was VERY tired as well.
I have no other symptoms: no brusing, no bleeding,no swollen glands, not pale, no weight loss, no loss of appetite.
Can you tell me what you think and most importantly if you think it is Leukemia?
Should I have a blood test?
Thanks J
Doctor's Answer
by Kevin Pho, MD, Mar 26, 2007 12:00AM
, Mar 26, 2007 12:00AM
I cannot make a diagnosis over the internet.
If leukemia is a concern, a CBC can be done. If there are suspicious findings, a peripheral smear or bone marrow biopsy can be considered for a more definitive evaluation.
Regarding the fatigue, in addition to the CBC, I would also obtain a metabolic panel, thyroid test, liver function tests, urinalysis, mononucleosis test and B-12 level - disease here can all cause fatigue and tiredness.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
If leukemia is a concern, a CBC can be done. If there are suspicious findings, a peripheral smear or bone marrow biopsy can be considered for a more definitive evaluation.
Regarding the fatigue, in addition to the CBC, I would also obtain a metabolic panel, thyroid test, liver function tests, urinalysis, mononucleosis test and B-12 level - disease here can all cause fatigue and tiredness.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
