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atyp lymp? mono?
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atyp lymp? mono?

Originally I had posted my message in the Heart rhythm forum, I thought initially my problem was heart related, because I had a very low blood pressure, after all the reading/searching I have done, and from one answer from a DR, I don’t think what I am experiencing is heart rhythm related.

Please keep in mind that when I do see a DR, I don’t get the opportunity to see the same DR for each visit, I go to a community health facility.

Over the past 3-4 months I have been seen for a repeated swollen gland in my throat on the left side. I don’t have a sore throat, but it gives me an ear ache because of the swelling.  They say I don’t have an ear infection. The first visit they prescribed an antibiotic (augmentin). The swollen gland keeps returning.

On July 9 while I was at work, I was sitting at one of the computers helping a customer, at one of the work stations. I started feeling tightness in my chest and feeling a little dizzy.  I walked over to another work station and started to have pain the front of my chest, then began to feel dizzy, light headed, and began to sweat.  I felt like I couldn’t catch my breath and felt overwhelmingly thirsty, and was nauseated. My co-workers called the EMS, because they thought I was having a heart attack, and while the EMS was in route I had passed out.

When the EMS arrived they took my blood sugar it was 139, and my blood pressure was 60/30's while in the ambulance. They started an IV and did an EKG. I heard the EMS tech give my vitals and believe I heard them say that I had a slight DFib?

On the way to the hospital, the pain I felt was in the front of my chest (under my left breast).  It was going to my back, just between my shoulder blade and my spine area. I’ve had the pain in my back for a very long time; just not as intense and severe as this occurrence. I visited a DR previously at the same clinic and was told, it was due to poor posture (probably 3-4 years ago), and so I have always just dealt with the pain.

When I got to the ER they redrew my blood sugar and it was 90. They did a chest x-ray, and wanted to do a cat scan of my head; since I had hit my head, I questioned them about this, because I told them my chest hurt, not my head… They did another EKG and monitored my heart rate which stayed in range between 66-54, BP between 120/93 - 99/59, my BP all my life normally ranges 90's/ 50-60's. They checked my heart enzymes and all of that came back normal.

All said and done, the ER DR gave me a diagnosis of “Vertigo”. (Honestly I feel the dizziness was caused from the low BP, I found a blood pressure chart at http://www.vaughns-1-pagers.com/medicine/blood-pressure.htm and that showed a low BP could cause the dizziness similar to what I had experienced).

I was told from the ER to follow-up with family DR within 1-2 days, I called to make an appointment right away and it was going to be 3 weeks before I could even get into see the nurse practitioner, and even longer to see the DR. So of course I made the appointment to see the nurse practitioner.

I got my records from the hospital, and a cd of the chest x-ray/cat scan that I had from that day. The chest X-Ray showed a probable small infiltrate in the right lower lobe (which the ER DR did not mention).

From the blood work that was drawn from when I had my IV in the ambulance
The only thing(s) that shows up on the blood work as highs and lows are:
WBC 11.3 (High)  (4.0-10.5) normal range
MCHC 32.9 (Low) (33-37)
RDW 15.8 (High) (11.5-14.5)
SEG 39 (Low)
RBC Morphology +1 Anisocytosis +1 Ovalocytes
Everything else was all within normal range.

In Comp Metabolic Panel
Glucose 126 (High) (70-110)
Blood Urea Nitrogen 3 (Low) (5-25)
ALK Phosphate 130 (High) (31-107)
Everything else was all within normal range

I called and asked the nurse at the health clinic about my swollen gland again, and to see what the probable small infiltrate in the right lower lobe was, from the ER report. She said it could possibly be pneumonia.

I got in to see a DR at the clinic for the swollen gland.  I took my results I got from the hospital and showed it to the DR, and she told me that everything looked ok, except that I had ATYP LYMPH 3. My lungs sound clear. She said that having the ATYP LYMPH “indicated” that I had mono. At that time too, I told her about a new symptom that had developed on my left side under my rib. It doesn’t hurt, it just gives an odd sensation when I walk and bend, and it is slightly swollen. I also was asked if I was ever diagnosed with high blood pressure from the nurse at the check in, because my BP at that time was 140/80, which was the highest I’ve ever seen it. It’s always been 90's/ 50-60's. This DR said I should come back when I don't have any swelling in my gland and get blood work re-done to rule out lymphomas?

I then go home and search about mono, yes I’ve heard about it throughout the years as the kissing disease. I’m 39 years old, married, mother of 4 daughters…

I searched online to see if there would be any type of symptoms that I experienced that would explain what happened to me, if I had mono, and any heart related symptoms.

I found that, there are rare severe complications with mono that include destruction of red blood cells (hemolytic anemia) and inflammation of the sac surrounding the heart (pericarditis).  It says, if there is enough fluid in the pericardia sac, there may be enough pressure on the outside of the heart to prevent it from beating adequately to push blood to the body and lungs. The pressure within the sac itself needs to be higher than the pressure within the heart chambers, but symptoms gradually progress as the heart function is compromised. http://www.medicinenet.com/pericarditis/article.htm.

All of this went away as quickly as it arrived. A day or two later my ER visit I had black stools that lasted a day. Could I have had some type of internal bleeding from this? It is all gone now…

The information I’ve read about pericarditis, and I what experienced on July 9th sounds exactly what I experienced. Shortness of breath, low blood pressure, even how I felt the pain in the front part of my chest going to my back between shoulder blade and spine. Possibly even the chest x-ray that showed a probable small infiltrate in the right lower lobe is connected to this too, because it said it is possible to have fluid back up in the lung from pericarditis. I read other stories at http://www.medicinenet.com/pericarditis/discussion-203.htm, all of this sounds as similar, as to what I experienced.

A few days later I go in for the follow up for the ER visit, with the nurse practitioner. I was hoping to get answers and share what I had found, that would help to explain what had happened to me. The Nurse practitioner that seen me said, she looked things over all was ok, examined me and said I had ear wax in my right ear, and said “that earwax could cause my dizziness I had felt!”

I said, what does that have to do with my heart? Because my BP was 60/30. She said she looked the report over and it said there was no problem with my heart.

I told her about the new symptom I had, my stomach swelling on my left side just below my rib, and said they could only see someone for one complaint per visit.

I didn’t tell her about the information I had found about pericarditis, just because the vibe I was getting from her, Since she wouldn’t even hear me about my stomach swelling and their rule about one issue at a time! She did press on my stomach, and it doesn’t hurt to the touch and that was as far as she went with it. She asked if the other DR had prescribed an antibiotic, which she didn’t because it would be a viral infection.  

I wanted to see if anyone had any suggestions for me, because honestly I am not buying the "earwax" caused your problems, answer I recieved...
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4 Comments Post a Comment
Avatar f tn
I couldn't even imagine if I had to tell the doctor one symptom at a time I would be there everyday for 30 days straight.  It sound weird what you experienced.  Has anyone said anything about a panick attack.  I'm only saying that some of the symptoms you experience before you passed out sounded like it.  I'm not saying you don't have something else.  I'm just saying maybe some of the symptoms were that.  As far as everything else I have alot of weird symptoms and also the ebv that was active the last time I went to the doctors.  I know ear wax build up can cause hearing loss till it's taken out but unless there was fluid I don't know why it would cause dizziness.  I also had the pain in my chest in Feburary when all my symptoms started and the pain was so bad I thought I would vomit.  It finnaly went away after about 2 weeks.  I also have a low vitamin D.  Did they check that?  It sounds like your blood sugar is high and your blood pressure is up and down.  That would cause dizziness.  I'm obviously not a doctor but just wanted you not to feel alone.  I find not many people post here.  Not too much the doctors know about this stupid ebv virus.  I'm hoping all my symptoms are caused by it and are going to go away soon.  Good luck
970279 tn?1247806970

No, nobody has mentioned a panic attack, I will have to do some reading on it... thanks for the suggestion.

How do DR's tell if you have an active ebv? Is that the monospot test? The only way that I know that I may have mono is from the atypical lymph.

I've read online that a build up of earwax can cause dizziness. About 5 years ago I had my right eardrum to rupture, same one that has the build up, and never expereinced these types of symptoms, it was just very painful and my ear bled.

They have not done any further testing for any deficiencies, I've been searching online about that too because having Anisocytosis +1 Ovalocytes +1 can indicate some type of an anemia.

I am going to see a different DR on Friday, so hopefully I will get some answers then.
Avatar f tn
Just a heads up that anemia can cause heart palps.  

I was just told by my rhemy that the blood test numbers indicated that I was having or just getting over an active ebv.  I had mono as a teen.  

You can go under the anxiety forum to look up pannic or anxiety attacks.  You wouldn't belive what symptoms you can get with it.  

Good luck with the new doctor.  I feel I have been doing alot of doctoring with this since February.  I have been feeling better but not 100%  
Avatar m tn
That kind of generalized prognosis is something I confront a lot, and that nurse clearly wasn't seeing the whole picture. She ruled out that you were dying, and went for the easiest explanation to move things along..ear wax. That is clearly not the problem. I doubt it was an anxiety attack, unless it was the very first one for you and you were under a ton of stress when it happened..but that doesn't seem likely from the information you provide. You really do need a new doctor, one who will listen and is thorough. I am researching as well because I went to the ER last week..my heart has been "clicking" and I've been short of breath, dizzy, winded yada yada. The nurse there keep trying to tell me I had "pleursy" even though he hadn't examined me and I repeatedly told him I hadn't been sick. We already knew what it was before I went..regurgitation from a mitral valve prolapse. But I think some people like to dish out answers before they truly know--it may be ego, it may be just trying to move things along quickly, or that we're women and often we're doubted for some reason. The point is, follow your wise intuition and don't go along with what doctors (or their nurses) say so easily, especially when you know your body best and they don't seem to be getting what the problem is. I appreciate you posting this..they didn't tell me at the ER that anything came back abnormal even though now that I look at the bloodwork I see THREE abnormalities, including ATYP LYMPH..but all I got was everything is normal, follow up with a cardiologist. Anyway, I'm doing a lot of research of my own before I see him, since it's taking 8 weeks anyway. But he was recommended by a close friend and is known to be thorough. I cancelled the appt that the hospital made and am going with this other guy who I have faith in. Good luck with finding answers and please let us know if you finally find what you know to be true. -All the best. Mary.  
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