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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes In A Child?

child 4 years old with swollen neck glands and swollen throat but not red. Dr. said no strep no mono from test but want have results back on blood work for few days running fever of 103.5 when spiked complaining of head and neck hurting when fever up.
Tue, 7 Apr 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...this could be viral illness as the doctor has ruled the other two closest differential diagnoses. Headache and neck pain during viral illness is quite common.

Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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What Causes Swollen Lymph Nodes In A Child?

Hi...this could be viral illness as the doctor has ruled the other two closest differential diagnoses. Headache and neck pain during viral illness is quite common. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth