Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment Fro Swollen Lymph Nodes In The Neck Of A 4 Year Old
Question: In March this year my recently turned four year old son had a high platelet count of 523 and an ESR of 8. He has swollen lymph nodes in his neck and these have been this way for well over one year and have not diminished in size and may have grown. He was sick recently for a prolonged period. About two months ago he woke in the night with a saw leg and was crawling. When he woke he crawled in the morning. He has done this on two other occasions over the past two months and last night woke screaming in pain and was writhing all night saying he had a saw foot, while sleeping bed with us. He has a persistent cough that is worse when he eats. He was diagnosed with autism and a developmental delay earlier in the year. What do you advise we do?
Brief Answer:
Developmental therapies needed
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through your query and understand your concern. There are multiple issues involved. Children with autism, or rather autism spectrum disorder, need to be cared for in a particular way. They need specific developmental therapies appropriate for the developmental age. Group sessions and specific schooling techniques need to be used.
The reports of March indicate some sort of inflammatory condition which correlate with the lymph node swelling. Unless the lymph node swelling still persists you need not get concerned.
About the leg pain he needs to be clinically examined to rule out certain types of myopathies.
Let me know if I could help further.
Regards
Developmental therapies needed
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through your query and understand your concern. There are multiple issues involved. Children with autism, or rather autism spectrum disorder, need to be cared for in a particular way. They need specific developmental therapies appropriate for the developmental age. Group sessions and specific schooling techniques need to be used.
The reports of March indicate some sort of inflammatory condition which correlate with the lymph node swelling. Unless the lymph node swelling still persists you need not get concerned.
About the leg pain he needs to be clinically examined to rule out certain types of myopathies.
Let me know if I could help further.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
A methodical approach needs to be taken.
Detailed Answer:
Thanks for clarifying. Pardon me for not being infer the aspect that was more prior. I need to ask you whether the lymph nodes are diffusely present all over the body or whether they are present in a specific location only. I also need to ask if the lymph nodes have gradually enlarged over a period of time or whether there are signs of inflammation. If the lymph nodes are present in specific locations only and have not enlarged or have not been inflamed over a period of time, you need not worry and nothing needs to be done about it. But if there is a component of doubt, if the lymph nodes have gradually spread or enlarged, or if unexplained fever (possibly low grade) has been occurring from time to time, it is advisable to go for a lymph node biopsy (FNAC often misses the pathology and so would not be advisable).
Let me know if I could help further.
Regards
A methodical approach needs to be taken.
Detailed Answer:
Thanks for clarifying. Pardon me for not being infer the aspect that was more prior. I need to ask you whether the lymph nodes are diffusely present all over the body or whether they are present in a specific location only. I also need to ask if the lymph nodes have gradually enlarged over a period of time or whether there are signs of inflammation. If the lymph nodes are present in specific locations only and have not enlarged or have not been inflamed over a period of time, you need not worry and nothing needs to be done about it. But if there is a component of doubt, if the lymph nodes have gradually spread or enlarged, or if unexplained fever (possibly low grade) has been occurring from time to time, it is advisable to go for a lymph node biopsy (FNAC often misses the pathology and so would not be advisable).
Let me know if I could help further.
Regards
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. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
