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Suggest Treatment For Swollen Lymph Nodes In The Neck Of A Child

Posted on Mon, 12 Jun 2017

Question: Hi my son 4.5 years old is other wise very healthy 17kg in weight 40inch in height.the problem is when he turns his head I can see the lymph nodes popping.he has lymph nodes on both sides of neck but left side nodes are more in number.one or two are 1 cm and all others are much less than 1cm say .5cm .I can touch the series of lymph nodes on sides of neck starting from ear going to bottom of neck.he had cold and cough coming frequently but he is all right with clear chest.i m worried about series of lymph nodes.i can feel them in my younger son also but they are less in number

Answered by Dr. Sumanth Amperayani (51 minutes later)

Brief Answer:
Suggestion on cervical lymphadenopathy

Detailed Answer:
Hi.... I understand your concern. But you have given me excellent information that the size of the lymph nodes is around 1 centimetre to less than a centimetre. This clarifies everything, because what you are calling is called insignificant lymphadenopathy in medical terms.

I have calculated your son weight and height according to the age mentioned. His weight percentile is between 25th to 50th percentile and his height is at 10th percentile, both of which are excellent.

I will explain you what is the significance of the calculation. With the clinical symptoms which you are quoting the differential diagnoses or the possibilities are any blood related longstanding disorder like neoplasm or tuberculosis or other chronic granulomatous diseases. In these conditions the height and weight percentiles will be less than 5th percentile and moreover the child might have extreme pallor or anaemia and complete loss of appetite both of which you have not mentioned. I am happy about this.

In the neck region if the lymph nodes are above 1 centimetre, very hard, painful with associated loss of appetite and weight loss, then only these symptoms carry significance.

I just want to reassure you that nothing serious is happening in your kid. If you are still worried you can get a basic blood test like CBC done and if this is showing severe anaemia then I will suggest you how to proceed further. Please get back to me with CBC report if you are still in doubt.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sumanth Amperayani (24 hours later)

I have uploaded the CBC everything is fine but ESR is high and mean platelet volume by .1percent.please suggest

Answered by Dr. Sumanth Amperayani (3 minutes later)

Brief Answer:
This is a normal report - do not worry

Detailed Answer:
Hi... I have gone through the report and this is a perfectly normal report. Please do not worry and here after I suggest not to go ahead with any blood investigation when the child is doing well clinically.

Do not worry about the abnormalities noted as outside normal range in the report. It is very very negligible.

I wish your kid a bright future. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (45 minutes later)

Neutrophils count is 56.is it ok

Answered by Dr. Sumanth Amperayani (24 minutes later)

Brief Answer:
56% neutrophils need not be worried about

Detailed Answer:
Hi..... 56% neutrophils need not be worried about. This is normal.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (23 minutes later)

Esr is 12percent.written high over there.is it something to be worried of.plz don't feel bad I m asking questions just a anxious worried mom.

Esnophils count is also 3.please explain is it high

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Suggestions on ESR and eosinophil count

Detailed Answer:
Hi.... I understand your concern.

Regarding ESR we need to worry only if it is around hundred or above, that too with other constitutional symptoms like very low hemoglobin and complete loss of appetite, joint pains and prolonged fever of more than 2 to 3 weeks. None of these are present in your kid. So do not worry about the ESR.

Regarding the eosinophil count I have already calculated the absolute eosinophil count. It is only 171 for your kid. This is a medical calculation and we need to worry only if the absolute eosinophil count is more than 440. So do not worry about this too.

Hope this helps and I will be glad to answer if you have any more queries regarding your son or the lab report.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad