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I Just Discovered That My 6,1/2 Years Old Daughter Has

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Posted on Thu, 23 Jun 2022
Question: I just discovered that my 6,1/2 years old daughter has a bump on the mastoid bone. the bump is asymptomatic, skin colored, hard to touch and it is not moving with the skin. my daughter mentioned that is painful when I palpate it.
she said she did not know it was there and I am confident it could not be there more than 2-3 days. she does not have any cold symptoms and did not have an ear infection in over 3 years.
doctor
Answered by Dr. Taher Y Kagalwala (2 hours later)
Brief Answer:
Please share photos and basic bloods

Detailed Answer:
Dear Ms Radeluscu,

Usually, a painless lump is present for a longer duration than a few days, and it may well be that it came to your notice a few days ago. I am glad that you have clearly mentioned that she hasn't got any cold symptoms or a recent ear infection.

Purely based on the facts that you have shared with us, a cyst seems likely, or an evolving skin and subcutaneous infection. I think the latter is more likely as it is painful when pressed.

It might be useful to shine a pencil torch into the swelling in a dark room to see if the entire swelling "lights up". This may indicate that there is clear fluid in it - a sign of a possible non-infectious cyst. If, however, the light does nothing, then an infection is a possibility.

You might ask a doctor to do some blood tests like a full blood count and a C- reactive protein, which is a marker of inflammation and infection. An ultrasound might also be very diagnostic and should be considered. I would appreciate if you took a picture of the swelling and shared it with me.

Thank you. Please get back to me once you have these. Thank you for asking your question on our service.
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. Kampana
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Answered by
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Dr. Taher Y Kagalwala

Pediatrician

Practicing since :1982

Answered : 710 Questions

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I Just Discovered That My 6,1/2 Years Old Daughter Has

Brief Answer: Please share photos and basic bloods Detailed Answer: Dear Ms Radeluscu, Usually, a painless lump is present for a longer duration than a few days, and it may well be that it came to your notice a few days ago. I am glad that you have clearly mentioned that she hasn't got any cold symptoms or a recent ear infection. Purely based on the facts that you have shared with us, a cyst seems likely, or an evolving skin and subcutaneous infection. I think the latter is more likely as it is painful when pressed. It might be useful to shine a pencil torch into the swelling in a dark room to see if the entire swelling "lights up". This may indicate that there is clear fluid in it - a sign of a possible non-infectious cyst. If, however, the light does nothing, then an infection is a possibility. You might ask a doctor to do some blood tests like a full blood count and a C- reactive protein, which is a marker of inflammation and infection. An ultrasound might also be very diagnostic and should be considered. I would appreciate if you took a picture of the swelling and shared it with me. Thank you. Please get back to me once you have these. Thank you for asking your question on our service.