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Child has swelling on his glands left side, cough, mild fever. What does it indicate? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1562 Questions
Doctor:How can I help?
User:my child has swelling on his glands left side
User:what does this indicate
User:he is not eating properly for 2 days except for soup
User:is this any bad symptom for anything ?
Doctor:Is he having any fever, nasal congestion ?
User:he as cough and had mild fever
User:i gave him calpol (liquid) and fever subsided
User:he is 6 years old
Doctor:You mentioned, that your son/daughter is not eating properly except for soup, do you mean he complains of pain while swallowing?
User:for cough he is provided piriton as prescribed by his physician
User:no since he is child he doesnt complainof pain
User:but his apetite has gone
User:and he takes only soup
Doctor:Is he having nausea, vomiting, loose motions too?
User:no vomitting motion is ok
User:his doctor told him not to eat grapes which he takes a lot
User:and avoid fruits
Doctor:The symptoms that your child has is suggestive of upper respiratory infection, most probably a viral one.
User:but he likes only fruits
Doctor:It is usually a self limiting condition which heals in 3-5 days duration.
Doctor:The calpol syrup and priton syp suggested by your doctor are good,
Doctor:You need to continue them as prescribed.
Doctor:It is common to have reduced appetite with viral infection.
User:it is one week that this swelling has not subsided yet so i am worried
User:his exams are near so i cannot give him antibiotics
Doctor:Again do not worry, this will also improve as the infection subsides.
User:do i need to provide antibiotics?
Doctor:I believe you noticed some swelling in the neck.
User:swelling in left neck in 2 places
Doctor:If this is in the neck, the most common swelling that is nodular and pea like in shape is a lymphnode.
User:yes it is so
Doctor:It occurs secondary to infection that he has now.
Doctor:It might disappear once the infection reduces
Doctor:and sometimes it might persist for a long time too.
Doctor:So do not worry.
User:so will it heal naturally ?
Doctor:Yes, it will heal.
Doctor:Even if the swelling doesn't go away, do not worry.
User:so there is no need to start antibiotics right ?
Doctor:It will not cause any harm.
Doctor:I do not see any immediate need to start antibiotics now,
User:if there is mild fever should i continue with calpol ?
Doctor:continue with the 2 syrups given to your child.
Doctor:The most important thing at this point of time
Doctor:1. Check with your child if he is not able to eat because of any pain in the throat.
Doctor:If there is pain, then his throat needs to be examined for any tonsillitis.
User:if there is pain in throat he will not even drink soup
Doctor:If there is no pain, then it is good.
User:but he only likes soup and drinks pleanty of water
User:he is avoiding solid food that is the concern
User:saying it is causing stomach pain
Doctor:2. As I mentioned, it is normal to have reduced appetite with fever, but it is important that you feed him well with what ever he likes.
User:i dont know why
Doctor:If its soup give him that in plenty.
Doctor:Viral infection presents with wide range of symptoms.
User:k what about fruits ?
Doctor:Again all these disappear as the infection settles.
Doctor:There are no restrictions in diet.
User:dont told not to provide grapes which is fine
User:but other fruits should i give or not ?
Doctor:feed him well with what ever he likes, but avoid any products that is cold and refrigerated.
User:my child cannot live without fresh fruits
Doctor:There are no specific diet restrictions. If he likes fresh fruits, that is very good.
Doctor:Give him with as much fruits.
Doctor:It helps in faster recovery.
User:i keep fruits outside not in fridge
User:no refrigereted fruit is provide to him
Doctor:That is good, wash the fruits well before feeding him.
Doctor:Lastly keep a watch on his fever.
Doctor:If the temperature is very high
Doctor:of if the fever persists for more than 5 days, then he might need antibiotics.
Doctor:Have you followed what I have suggested?
Doctor:Do you have any other query?
User:yes sure
User:i beileve this is no indication for TB or momo right ?
Doctor:The symptoms are too short to term it as tuberculosis
Doctor:I mean to consider it as tuberculosis
Doctor:So do not worry.
User:also are u a child speciality sir ?
User:i mean child specialist ?
Doctor:I am a general physician. I have worked in association with pediatric department too.
User:thanks a lot sir for all your help and guidance no more queries
Doctor:You are welcome.
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