Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
124 Doctors are Online

Child has fever, bad breath, white spots on tongue and swollen posterior lymph nodes. Took antibiotic

Sep 2012
User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2008
Answered : 1416 Questions
My 6 year old has been running fever for about 4 days of. 99-100.7...Wednesday night I noticed his posterior lymph nodes are very very swollen on both sides of his neck....he started having bad breath Thursday even after brushing his teeth....looks like white spots on his tongue...he has been on antibiotic or 3 days and there has been no change
Posted Fri, 29 Mar 2013 in Infections
Answered by Dr. Das Arindam 35 minutes later

Thank you for posting a query.

Look, your description sounds like an infection. The bad breath may occur due to an infection in the gingiva or adenoids or tonsil. Another possibility is presence of nasal polyps. typhoid. In any infective condition, the lymph node can be found.

To come to a definite diagnosis, he has to be examined thoroughly. It would be better to take him to an ENT specialist. Because, his mouth, throat, and nose are to be searched for possible source of infection. Widal test and other serological tests should be considered to rule out typhoid, if clinically suspected.

As you have told, he is on antibiotic, let him to complete the course of antibiotic. If the lymph nodes are palpable even after completion of antibiotics, consult with his treating doctor about a fine needle aspiration cytology (FNAC) form the lymph nodes. And most importantly, a detailed clinical examination for search of hepatosplenomegally should be considered.

For fever, give him paracetamol group of drug.

So, in brief, you have to consult with an ENT specialist first. Then wait for completion of course of antibiotic. Then consult with a pediatrician about the points i have mentioned previously.

Hope this information suffices. Let me know, if you have any more question.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor