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Suggest Treatment For Swollen Lymph Nodes On Neck

Posted on Mon, 23 Feb 2015

Question: My 17 year old son has swollen lymph nodes on right neck for six months with one now greater than 3cm. His doctor ran labs cbc and cmp were normal. ALT was 86 AST 176. What could be causing both?

Answered by Dr. Chobufo Ditah (46 minutes later)

Brief Answer:
Please, like him talk to an oncologist!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about these swollen lymph nodes that your son has. The duration and size of these lymph nodes warrant that they should be investigated. I will like you to talk with an oncologist to examine and find out if this could be suggestive of a tumoral process. Beside this, is he having night fevers, weight loss, loss of appetite, etc? If he does, then these becoming more concerning.

If the examination is not very settled on what is going wrong, I will suggest that you request for a biopsy. This would provide a definitive answer and there would be no room for speculations anymore. Increased ALT and AST for a 17years old is not very good as well. This indicates that something may be going on with the liver.

In all, will like him to be evaluated fully and all possible causes ruled out or confirmed and addressed accordingly. Start with an Oncologist and move on from there so as to address the most concerning possibilities first.

I hope this helps. I wish you well. Feel free to ask for more information and clarifications. Thanks for trusting using with your health questions today!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chobufo Ditah (21 minutes later)

He is having transient night sweats. No other signs of illness that he has identified either independently or upon my questioning. He seems fatigued, but that is such a global symptom, and with a pubescent boy, common even when all is well. Should I wait for the CT scan of his neck and the US of his liver and the results before consulting oncology? I was a bit heartened that his White blood count was WNL. Although I do understand that this does not necessarily rule out Lymphoma or Leukemia.

Answered by Dr. Chobufo Ditah (36 minutes later)

Brief Answer:
Wait for the ongoing investigations!

Detailed Answer:
Hi,

I will recommend that we wait on the results before making further advances. Keep me updated when they role in. I will look at them and make more suggestions as well.

Be calm and relaxed. What matters most now is that we are on this and we would not stop until we get an answer. And know that you will never work alone. Each time you come to us, we make it a personal cause.

I hope to hear from you when the results become available.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chobufo Ditah (13 hours later)

Thank you so much for your kind words and concern for my son. I will keep you updated as to our progress in finding an answer.
Many Blessings To You,
XXXXXXX XXXXXXX
YYYY@YYYY

Answered by Dr. Chobufo Ditah (12 minutes later)

Brief Answer:
Thanks and do promise to stand by you!

Detailed Answer:
Hi and thanks for this follow up information.

I am right here, always here and always ready to respond to your health related questions.

Keep me posted and wish you well as you continue this process. Am here for you if you need me.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar