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Suggest Remedy For Pain On Neck Behind The Ears

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Posted on Wed, 18 Feb 2015
Question: my son has been complaining about his neck hurting above where his glands are in the directions of his ears for over a week now.... he has a blister type cold sore below his lower lip. He came home a few days ago after throwing up at school. He also has a stuffy nose now!
doctor
Answered by Dr. Sumanth Amperayani (22 minutes later)
Brief Answer:
Trivial viral illness or EBV

Detailed Answer:
Hi...By what you quote I feel that it cold be trivial viral illness or an Epstein Barr Virus (EBV) viral illness going on.

I have a few question for you -
1. Was there any fever before it all started?
2. Was he exposed to ticks like a picnic to woods or something like that?
3. Is there pain in the tummy or distension?
4. How is his appetite?
5. Apart from the cold sore over the lips - does he have any more oral ulcer over the palate too?
6. Is there any skin rash and joint pains?

Kindly get back to me with answers to above questions and I will be glad to guide you.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (30 minutes later)
I do not think he ever had a fever... He has been exposed to ticks before...his tummy does seem slightly distended and his appetite is not so great...there are no other obvious wounds... I don't know now cause he is sleeping and I will have to ask him in the morning.
Thank-you!
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Viral or Rickettsial

Detailed Answer:
Hi....By what information you have provided I feel that he might behaving a viral illness. But without fever and abdominal distension EBV is unlikely.

I suggest -
1. You get and EBV VCA IgM done ( it is a blood test) to confirm or rule out EBV.
2. Warm saline gargling.
3. Topical emollients for his blistering sore over lower lip.
4. You can use saline nasal decongestant drops available over the counter in your country for nasal stuffiness if it is disturbing his sleep.

Kindly get back if he has joint pains to rash. These might be suggestive of Rickettsial infection but highly unlikely without fever.

Regards - Dr. Sumanth
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
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Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Remedy For Pain On Neck Behind The Ears

Brief Answer: Trivial viral illness or EBV Detailed Answer: Hi...By what you quote I feel that it cold be trivial viral illness or an Epstein Barr Virus (EBV) viral illness going on. I have a few question for you - 1. Was there any fever before it all started? 2. Was he exposed to ticks like a picnic to woods or something like that? 3. Is there pain in the tummy or distension? 4. How is his appetite? 5. Apart from the cold sore over the lips - does he have any more oral ulcer over the palate too? 6. Is there any skin rash and joint pains? Kindly get back to me with answers to above questions and I will be glad to guide you. Regards - Dr. Sumanth