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Reactive Lymphnodes - Histocysis - Wisdom teeth

Discussion in 'Health Issues' started by Pallavi4me, Jan 9, 2012.

  1. Pallavi4me

    Pallavi4me Platinum IL'ite

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    This is going to be a lengthy post as I'm not clear with the problem i'm having.

    I will start with the history of throat problems.

    When I was about 10-11 Yrs of age first time i had the problem in my throat & swelling due to which swalloing used to be difficult. Then we have approached to ENT doctor.

    He said its Thyroid Problem (But it is not Hypo thyroid / Hyper thyroid due which weight problems used to come). He said its only Thyroid glans swelling and gave medicines. At an interval of 1.5-2 yrs this problem used to come up. Again he used to gave medicines. During that period of swelling, I used to have pain while swalloing food and even while speaking and used to reflect in ears also.

    It continued. At an age of about 16 yrs, this problems has come up again. Then it does not reduced even after medication, so after continuous use of medication the Doctor gave high dosage medicine and said, if the pain & swelling didnot reduced then we will go for surgery. At that time, we were not aware of many types of problems in throat.. so parents were kind of ready for surgery.. Luckily after that high dosage its reduced.

    And It rarely came back and does not created any big problem...

    And I was never on the wrong side of weight (either lesser / higher) though i was lean.. My BMI ratio was within limits.

    Now I'm 26. During Oct'11 i found some swelling on the right side of neck (that is not the place where i used to have this thyroid gland swelling.. But on the periphery of the neck. I googled it and found out its Lymph nodes. And wanted to wait. Within 20days one node became 3nodes on the right side neck.

    Since, Now 'm in chennai (my earlier doctor who treated for years was in my native) I have consulted new ENT doctor and told him my earlier thyroid issue also.

    From day 1 he said, we may have to go for FNAC (Fine needle Aspiration ___) i dnt remember what is that "c" stands for. Initiall he gave some medicines.. that swelling has not reduced at all. But I didnt have any other problem due that (NO Pain nothing, only if touch my neck i can feel)

    So after that he gave some different medicine and asked to use and wait for 20 more days before deciding the next course of action. So I have used that medicine, swelling reduced a bit but not completely and waited for next 20 days. During this period Though swelling reduced the portion in the neck under jaw (on right side) i have observed that it got tightened.. Though earlier nodes on the side were there they were soft.. but now under the Jaw it is hard,

    So the Doctor asked to go for FNAC in apollo. I had that. The test report said "Reactive Lymphnodes" "Hisctosys" or something.

    Then the ENT Doc said, the reports are not conclusive, we may have to go another biopsy and before that he referred me to General physician. Upon going thru reports he said it is not tuberculosis.. (Earlier this ENT doc asked me to undergo many tests.. Blood / urine / X-ray - Chest & neck/ Mando test for TB..then also the reports said No TB. I dnt ve anyother sympotoms of TB also)

    But this physicial came up with new angle.. He said since my wisdom teeth are not completely came (they ve come a little bit) and the wisdom teeth is trying to grow but there seems to be some problem and it might have been resulted in some infection and that s why right below the Jaw it has hardened.

    And he gave some more medicine and asked me to go to Dental doctor and asked me to take Dental X-ray and then if it s some infection under wisdom teeth, he said we may have to remove the both (For one of my friend they have removed wisdom teeth, later on another doc said her at any point of time wisdom teeth should not be removed and it creates lots of problmes and she is facing lot many problems now)

    I was totally confused. But with the physician medicines the hardened part is softened but still some node and hardened area i can feel. Now I have not been to Dental Doctor yet....

    If anybody could tell me what is the meaning of that report of apollo (Reactive Lymphnodes, Histocysis) and Can wisdom be removed (m against to remove the teeth- for the fear of pain and implications of removal also)

    Pl pour inyour views and suggestions.
    Thank you..

    Pallavi
     
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  2. Drpreethis

    Drpreethis Gold IL'ite

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    Pallavi,

    First of all, sorry for a late reply. Really. For the kind of trouble you are in, the reply should've been earlier.

    I am Dentist by proffession. So, what I write here, is to the best of my knowledge and keeping your health in concern.

    Lymph nodes are those parts of our body which fight infections / foreign attacks. Hope your thyroid levels are on the right track.
    The lymph node swelling you have now and mentioned on the side the jaw, is either related to teeth, throat infections or respiratory and viral infections.

    So, your treatment plan would be a visit to the ENT , Dentist and a Upper Thoracic expert.
    ENT to rule out any throat related infections. A visit to the Thyroid Specialist will be a best bet, if I have to advise.

    Next, the Dentist. YES. Whoever said to your friend that a wisdom tooth should ' never ' be removed, is on the wrong side of advising. If he / she said that it shouldn't have been removed for your friend, then maybe it could stand good. But, generally speaking that was the wrong thing to say. Really. Pallavi, the wisdom tooth sometimes can get closer to the nerves etc and when it is touched by a Doctor who has no much experience on removing complicated ones, it could end up in trouble or rather more trouble, I agree.
    Similarly, when the wisdom tooth causes trouble to such an extent that the other teeth or surrounding structures like bone and tissues get affected, it needs to be removed. Period. No second thoughts. Havent you hear where a Diabetic person's toe or foot is removed so that either the leg or even the life can be saved ?? Just like that. You shouldn't get paranoid about what happened to your friend to such an extent that you start to apply it in your life, Pallavi. That is wrong. What happens to our peers or family neednt happen to us. DOnt worry.

    Just make sure you visit a Oral Surgeon to have a the wisdom tooth removed. The rest will be handled perfect.

    I assume if the thyroid and Dentists find the root of the enlarged Lymph nodes, then a Chest infection could be ruled out. That is exactly why a TB was doubted here.

    So, you shouldnt be sitting there and wondering what your friends went though or what could go wrong, instead make an appointment with a good Oral SUrgeon and PLEASE visit them.

    Now, let me explain to you what all the terms mean.
    The Lymph Nodes have enlarged due to some unknown but specific reason. By, specific I mean, an infection per se. By, unknown, I mean, yet to be known to you or me. The LN ( Lymph nodes ) are supposed to release cells which fight infections. But, sometimes, due to unknown reasons, untreated infections that are left for long or because of taking different tablets for the problem and not treating the right infection causing bacteria.. the LN tends to hold back, drain the infection within and swell up.

    There is no specific treatment to reduce the swelling of the LN. Just like how we get a burn and there is blister that happens. Once the liquid within drains out, the blister subsides too, isnt ? Similarly, the swollen LN reduces its size, once the infection is treated.

    The FNAC is nothing but a kind of Biopsy. It is done when the contents of the swelling need to found.. Biopsy would be cutting a portion of the tissue. Both are investigative procedures.
    FNAC is Fine Needle Aspiration Cytology. Here a fine needle is used to aspirate ( draw, suck through a syringe ) the contents of the swelling for the study of the same ( Cytology means study of cells ). So, basically they put a syringe and draw / suck a few contents of the swelling through a syringe and study what the infection causing bacteria / organism would be.

    Next, it would be Histiocytosis. Histiocytes are type of cells that are produced in the bone marrow. Histiocytosis means increased number of those cells. Pallvi, all you need to know now is anything too much is not good. Period. So, this MUST be treated.

    So, PLEASE visit a Oral Surgeon immediately and get the tooth removed ofcourse after the Xrays and opinions of the Surgeon. They will be in the best position to advise you wether the tooth can be removed easily or with a little trouble. Bottomline, it needs to be removed if that is what is causing your LN to enlarge. So, please keep aside what your friend went through or the fears of getting a tooth removed. You have much more to worry than that.

    End of the day, all will be fine as soon as you land in the hands of the best and right Doctor. :) So, dont worry and get that worthless wisdom tooth knocked off ! Take care, Pallavi.
     
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  3. Pallavi4me

    Pallavi4me Platinum IL'ite

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    Dr. Preethis,

    Thank you so much for the response. It is of great help to me at this moment.

    First things first. Thank you for clarifying on the wsidom teeth issue. Frankly speaking after consulting the general physician, I have tried to meet Dentist few times, but everytime the appointment got postponed and later on since the LN swelling also seemed to be reduced, I have n't went for Dentist consultation. That is negligence on my part, I should have consulted atleast another Doc.

    I will fix an appointment very soon, possibly within this week. Now I understood the importance.

    So, now I think things have come to a connecting phase, I mean the Thyroid, LN & wisdom teeth.

    Why I'm saying all this is... From past few months / may be within one year I have gained about 7-8 kgs of weight. That is very abnormal to me. My lifestyle has not changed much and even my eating habits. But I had high stress levels from last 1yr (work pressure & other issues too) and especially stress levels have increased from last 6 months. So initially I thought due to the tensions and less physical activity I'm gaining weight.

    I have joined yoga and doing walking but that does n't seem to help. I have n't lost any weight so far. Then I thought may be my metabolism rate is decreased with age (but I could not get conveinence myself with this.)

    Recently, last week I had my BP levels went down to 90/60 and the Doc said, You have good stamina so you are able to manage @ work & home even with this low BP. And upon further discussion, I have explained my weight gain problem she said.. Your weight is not on the wrong side but for looks you seem like having more weight than what you are. Then she enquired about symptoms of Thyroid, which I did n't have any (irregular periods, tiredness etc... - I dont have these), but still i have asked her to go for Thyroid levels test.

    Thanks for explaining about LN & Histocystis also. I got clarified from your response. My Doc didn’t took time to tell me all this, when I was asking him.

    Reports will be coming today. I will discuss with her after knowing the thyroid levels and will make sure that I will visit a dentist first and get X-rays done.

    Once again Thank you so much for the response Dr.Preethis. Will update with the Thyroid test result once I got to know.

    -Pallavi.
     
  4. Drpreethis

    Drpreethis Gold IL'ite

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    Anytime, Pallavi. Don't have to thank me.. My knowledge shared with you, that's all .. :) Glad that you decided to visit a Dentist this week. Perfect decision and you will be fine in no time. Take care.
     
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  5. pavithra17

    pavithra17 New IL'ite

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    hope u are doing well now. I faced a similar situation and had my wisdom teeth removed.
     
  6. Pallavi4me

    Pallavi4me Platinum IL'ite

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    Hi Pavithra,
    As of now, I'm doing well, But dont know yet what is the real problem. Can you pl share me your experience some more (If you dont mind), It may be of help to me.
     
  7. pavithra17

    pavithra17 New IL'ite

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    I too had swollen lymphnodes for some time and they were painless. that was the most horrible time of mylife... They did an FNAC test and found it to be a non specific infection and then did a TB test which came out negative...then I had my wisdom teeth removed. Later it subsided on its own. No doctor was able to trace out the reason. so just hang in there and you will soon be okay. Just make sure u eat nutritious food rich in antioxidants n excercise well.
     
  8. Pallavi4me

    Pallavi4me Platinum IL'ite

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    Oh.. Thank you Pavithra17.

    here also same case. I will go to Dentist soon.
     

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