### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Visibly swollen lymph nodes all over. CBC count shows high wbc, mono absolute, Neo absolute, Eos absolute, MPV. Some have have tripled since last CBC. Was told it was a kidney infection and given Cipro, this helped the lymphs that were painful, the others remained. For instance the lymphs in  my arm by my elbow you can visually see them and they are about 1 inch long (2 of them) this is on both sides, the left is worst. I have strange pains in my left side of abdomnen, in the crease in my thigh, shoulders, legs and back. When I sit back in a chair it feels as if I am leaining on a ball and it is pusing into my lower back. I have tingly sensations where I think the lymphs are at. My joints are starting to hurt (think from the Cipro). Vision is getting worse, mild temp, occasional hot flashes. I also have had shortness of breath since this has started. My CBC count was abnormal from a stomach pain that woke me from my sleep months ago, since then most of the levels have tripled that were high before. I also get these weird hot tingle sensations on my breast. I cant keep being told it is nothing. I cant afford to go to the doctors over and over and not get anything healed. Any suggestions or thought of what this may be? I feel like my doctor and ER are blowing it off.

### output:

Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Infection can cause lymph nodes enlargement.2. Depending on type of infection, neutrophil or lymphocytes will increase, which will cause overall increased WBC count.3. Better to get lymph node FNAC for evaluation of course. Multiple lymph nodes, lymphoma needs to be excluded.4. Differential count of WBC and FNAC result necessary for further opinion Hope it helps. Any further queries, happy to help again