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Hi, My 2 Year Old Daughter Is Limping For The Past Three Days. Before Three Days, She Hit Her Toe Nails Against Blood Clot Near In Her Nail What Test Should I Do To Rule Out Blood And Bone Cancer?
Question: Hi,
My 2 year old daughter is limping for the past three days. Before three days, She hit her toe nails against a wooden surface and cried a little. When i inspected her toe-nails, I could see a little blood clot around the edges of two nails. Till yesterday, she was not resting her right toe while walking. But today, she is resting her foot but i can still notice a limp. I can still see blood clot near in her nail bed. Can the limp be due to other causes like leukemia and bone cancer. If it is a nail bed injury, how long will a child limp. I am taking her to a pediatrician tomorrow but I am just scared here by reading online stories of how a limp was diagnosed as cancer. I will attach a picture of how her nails look like... What test should i do to rule out blood and bone cancer. She doesn't have fever and doesn't have pain if i touch or press her toe nails. But why is she limping is what I don't understand. How can I make sure that the limp is due to a trauma and not due to cancer?
If the limp is due to the injury, what are the remedies I can do for a fast recovery?
My 2 year old daughter is limping for the past three days. Before three days, She hit her toe nails against a wooden surface and cried a little. When i inspected her toe-nails, I could see a little blood clot around the edges of two nails. Till yesterday, she was not resting her right toe while walking. But today, she is resting her foot but i can still notice a limp. I can still see blood clot near in her nail bed. Can the limp be due to other causes like leukemia and bone cancer. If it is a nail bed injury, how long will a child limp. I am taking her to a pediatrician tomorrow but I am just scared here by reading online stories of how a limp was diagnosed as cancer. I will attach a picture of how her nails look like... What test should i do to rule out blood and bone cancer. She doesn't have fever and doesn't have pain if i touch or press her toe nails. But why is she limping is what I don't understand. How can I make sure that the limp is due to a trauma and not due to cancer?
If the limp is due to the injury, what are the remedies I can do for a fast recovery?
Brief Answer:
Unlikely due to cancers....
Detailed Answer:
Hi,
I have reviewed the picture attached. Yes, I was able to appreciate minor subungual bleed, but there are hardly any swelling or inflammatory changes noted. This implies that the bleed is trivial and will not be concerning. This amount of collection will slowly resolve and go away on its own. No intervention is necessary unless the bleed increases.
Though there is a definite bleed, I don't think this is responsible for any obvious limp. If you are able to visit a doctor tomorrow, he/she can examine the limb to check for other areas of inflammation. If there are no local limb inflammation, the doctor will also check the spine and her hips to rule out possibilities. If necessary the doctor can order for relevant X-rays.
Now, as far as cancers are concerned, yes primary and secondary cancers of bones and hematological cancers can make bones weak leading to limping. However, this will not be my primary suspicion considering her symptoms has only been 3 days old. Moreover, if your daughter is fit and healthy and has no recurrent infection symptoms we need not be overly worried about cancers right away.
Hope my answer has been helpful. Let me know if you have any doubts.
Regards
Unlikely due to cancers....
Detailed Answer:
Hi,
I have reviewed the picture attached. Yes, I was able to appreciate minor subungual bleed, but there are hardly any swelling or inflammatory changes noted. This implies that the bleed is trivial and will not be concerning. This amount of collection will slowly resolve and go away on its own. No intervention is necessary unless the bleed increases.
Though there is a definite bleed, I don't think this is responsible for any obvious limp. If you are able to visit a doctor tomorrow, he/she can examine the limb to check for other areas of inflammation. If there are no local limb inflammation, the doctor will also check the spine and her hips to rule out possibilities. If necessary the doctor can order for relevant X-rays.
Now, as far as cancers are concerned, yes primary and secondary cancers of bones and hematological cancers can make bones weak leading to limping. However, this will not be my primary suspicion considering her symptoms has only been 3 days old. Moreover, if your daughter is fit and healthy and has no recurrent infection symptoms we need not be overly worried about cancers right away.
Hope my answer has been helpful. Let me know if you have any doubts.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
She got hepatitis A and thyroid conjugate booster vaccines on last monday.. I did not notice the limp before Friday. I noticed only after she injured herself on friday.. Could it be due to vaccines? Do you think a slight chance of cancer is still possible? Yesterday while walking I was able to notice her lifting her right toe fingers while walking. But today, I don't see her lifting her toes. But only a mild limp. She is active and playful as is being her normal self.
Brief Answer:
No direct relations to vaccines...
Detailed Answer:
Hi,
Both Hepatitis A and Typhoid conjugate vaccines don't induce severe inflammation and pain. Furthermore vaccine induced inflammation and pain are noted within the first two days. They hardly persist beyond 3-5 days. This limp started after 5 days and so is not directly linked to vaccines.
At this point, the limp seems to be from the injury sustained. She may have hurt the toe badly or there may have been other areas affected. Whatever it is, it is not evident from the picture you sent. I am happy her limp is improving. Your doctor, after examination will be able to tell if this condition needs medical attention or if it can be left alone to recover.
And as far as cancer per se is concerned, from your description cancer chances are very remote.
Hope this helps. Let me know if you need any more information.
Regards
No direct relations to vaccines...
Detailed Answer:
Hi,
Both Hepatitis A and Typhoid conjugate vaccines don't induce severe inflammation and pain. Furthermore vaccine induced inflammation and pain are noted within the first two days. They hardly persist beyond 3-5 days. This limp started after 5 days and so is not directly linked to vaccines.
At this point, the limp seems to be from the injury sustained. She may have hurt the toe badly or there may have been other areas affected. Whatever it is, it is not evident from the picture you sent. I am happy her limp is improving. Your doctor, after examination will be able to tell if this condition needs medical attention or if it can be left alone to recover.
And as far as cancer per se is concerned, from your description cancer chances are very remote.
Hope this helps. Let me know if you need any more information.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
I took my daughter to my pediatrician and she referred me to an ortho..: the ortho had me take pelvis and hip x ray and the image was not clear with diaper and asked us to undergo the x ray again.. she took pelvis and abdomen x ray twice.. the reports came back normal.. my pediatrician says to wait for a week.. I'm at a loss and now feeling guilty for exposing my daughter to radiation.. what is the risk of cancer from the exposure... and now what could be next step.. she is still limping.. doc says nothing is wrong with her toes n feet
I'm waiting for a reply
Brief Answer:
I would wait...
Detailed Answer:
I'm sorry for the late reply. I was unwell and away from internet.
I'm glad the doctor found nothing abnormal with your daughter. It meant there was no active information anywhere in the feet, limb or the hip. She should get better soon.
As far as cancer from X-ray exposure, exposure carries very very very low risks. Multiple studies have been done to recheck cancer risks from X-ray exposure and the results are the same. Unless there is multiple and repeated exposures to high doses ionising radiations you need not be worried about cancers.
Hope this helps. Let me know if you need any more information.
Thanks
I would wait...
Detailed Answer:
I'm sorry for the late reply. I was unwell and away from internet.
I'm glad the doctor found nothing abnormal with your daughter. It meant there was no active information anywhere in the feet, limb or the hip. She should get better soon.
As far as cancer from X-ray exposure, exposure carries very very very low risks. Multiple studies have been done to recheck cancer risks from X-ray exposure and the results are the same. Unless there is multiple and repeated exposures to high doses ionising radiations you need not be worried about cancers.
Hope this helps. Let me know if you need any more information.
Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
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