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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2418
Experience:  GP with over 27 years experience including emergency medicine
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My friend has severe back pain, stomach cramps, fatigue, and

Customer Question

Hi my friend has severe back pain, stomach cramps, fatigue, and swollen lymph node in groin area.
JA: The Doctor can help. Just a couple quick questions before I transfer you. How long has your friend had the swelling? Have they used any medication for it?
Customer: no medictation pain and swelling has been going on for a few weeks at least
JA: Have they seen a doctor about the swelling?
Customer: yes but as he had so many other issues going on it was over looked
JA: Anything else in his medical history you think the Doctor should know?
Customer: skin problems, viral infections, low immune system etc...
Submitted: 14 days ago.
Category: Medical
Expert:  Dr.Sumanth replied 14 days ago.
Hi...Welcome to Just Answer. I am Dr. Sumanth Amperayani and I am here to help you today. I have 14 years of experience in the field of Medicine at a tertiary care referral hospital. I will do my level best to alleviate your health concern. I am currently reviewing your question. I will be back in a moment to guide you further.
If you see a premium phone call request I suggest you ignore it - as the premium request of phone call was a system generated prompt and was not initiated by me. I would be glad to continue here please.
Kind regards - Dr. Sumanth Amperayani
Expert:  Dr.Sumanth replied 14 days ago.
Please elaborate his symptoms chronologically.
Expert:  Dr.Sumanth replied 14 days ago.
Hello... I understand your concern.
I need some more information please.
1. Has anybody considered the possibility of infectious mononucleosis in him?
2. Has he ever been tested for Epstein Barr Virus (EBV) at any point of time?
3. Did he have any fever before all this started, I mean prolonged un-diagnosed intermittent and recurrent fever?
4. When was his thyroid status last checked?
5. Is he pale or anemic?
6. Does he have any lymph node swelling in the neck region or in the armpits or in the groins?
7. Does he have any easy fatiguability?
8. Is he experiencing any small joint pains and swellings?
9. Is he having early morning stiffness?
10. Is there any rash anywhere else in the body?
11.Are his tonsils swollen and are there any whitish streaks on them?
12.May I request you to upload an image of the throat please?


Please get back to me with the above information so that I can guide you better.
Kind regards - Dr Sumanth Amperayani
Customer: replied 14 days ago.
are you online for the next few hours? I will be at home and can fill in the other information with him.Please let me know if that's possible. thank you.
Expert:  Dr.Sumanth replied 14 days ago.
Sure...!
Expert:  Dr.Sumanth replied 11 days ago.

Hi, just checking in to see how things are going. Do you need further assistance?

I will be glad to be of assistance to you if you have any further questions in this health regard please.

Kind regards – Dr. Sumanth Amperayani

Customer: replied 10 days ago.
I will respond later when i have time with him. I've not seen my friend yet.
I found out that the hospital said it wasn't a hernia and he was possibly exposed 10 years ago to EBV when his girlfriend had it. He now has a swollen neck also and is still in lots of pain.
Expert:  Dr.Sumanth replied 10 days ago.

Ok!