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What causes frequent headaches, nasal congestion and loss of appetite in children?

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Posted on Tue, 26 May 2015
Question: MY seven year old grandson has been having frequent headaches, nasal congestion, loss of appetite, and does not seem to stay focused. We thought it may be allergies. We were told by a emergency room doctor that it may be viral and will have to run its course. This has been ongoing for several months. It is not strep throat. He has some stomach pain as well. Should we test for mono?
Forgot to mention that ten days ago he woke up with swollen gland on side of neck that subsided throughout the day. The swelling was substantial. At the time we thought it was his tonsils. Mentioned it to Doctor and was dismissed as " it is just a viral infection that needs to run its course". Does it take months?
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Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Adenoid hypertrophy and Chronic Tonsillitis.

Detailed Answer:
Hi,

Thank you for your query.

1. The most common reasons for such symptoms are adenoid hypertrophy and chronic tonsillitis.

2. Get an X-ray Skull lateral view for adenoid hypertrophy done. A throat examination by an ENT specialist will help check for chronic tonsillitis. the neck swelling is usually the JD (Jugulo-Digastric) lymph node that drains the tonsil.

3. Sinusitis may co-exist. Other infections such as strep throat and infectious mononucleosis can be checked by throat swabs and blood tests. These will not last for so long.

4. Upload these test results for further discussion.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Sumit Bhatti (1 hour later)
Thank you. We will proceed with blood tests and Skull view.
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Answered by Dr. Sumit Bhatti (5 hours later)
Brief Answer:
Thank you, let me know the progress.

Detailed Answer:
Hi,

Thank you for writing back

You can follow up with the reports here or directly at bit.ly/Dr-Sumit-Bhatti

Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2662 Questions

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What causes frequent headaches, nasal congestion and loss of appetite in children?

Brief Answer: Adenoid hypertrophy and Chronic Tonsillitis. Detailed Answer: Hi, Thank you for your query. 1. The most common reasons for such symptoms are adenoid hypertrophy and chronic tonsillitis. 2. Get an X-ray Skull lateral view for adenoid hypertrophy done. A throat examination by an ENT specialist will help check for chronic tonsillitis. the neck swelling is usually the JD (Jugulo-Digastric) lymph node that drains the tonsil. 3. Sinusitis may co-exist. Other infections such as strep throat and infectious mononucleosis can be checked by throat swabs and blood tests. These will not last for so long. 4. Upload these test results for further discussion. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.