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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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2 Month Old With Hard Occipital Nodes. No Infections. Increased Appetite. Anything To Be Worried?

Hello,
I noticed rock hard, large, palpable, seemingly non-tender occipital nodes on my 2 month old son. He has never been ill, has not had any infections, and has never had cradle cap. I'm an ICU nurse so I'm familiar with s/s of lymph nodes that should be further examined. His nodes have enlarged in the past weeks which has caused me concern. He also has a very large appetite: he is a twin and he eats twice as much as his sister- breast feeds and will take 5-8 oz in one feeding.... demanding to be fed. I brought it to our pediatrician's attention during the 2 month check up today however, he explained how the lymph system worked (which I already knew) and stated it is usually present with cradle cap.... and since your son doesn't have cc, its probably due to dry skin. I would estimate the size of the nodes as larger than a pea (probably about 1 and a half peas in size).
Is there cause for concern (Cancer) or does this sound normal?

Thank you in advance for any help or advice.
Sincerely,
Worried mom
Tue, 21 May 2013
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Pediatrician 's  Response
Hi,

I think you just need to relax and stop worrying .Cancer as a cause of lymph node swelling in a 2 mths old child is very rare.The common reason are local infection in ears,scalp ,neck and throat.

This Lymph node swelling will disappear as the child grows .If the size of the node is more than 2cm and painful then he would require medication to curb the infection.

Bye
Take care.
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2 Month Old With Hard Occipital Nodes. No Infections. Increased Appetite. Anything To Be Worried?

Hi, I think you just need to relax and stop worrying .Cancer as a cause of lymph node swelling in a 2 mths old child is very rare.The common reason are local infection in ears,scalp ,neck and throat. This Lymph node swelling will disappear as the child grows .If the size of the node is more than 2cm and painful then he would require medication to curb the infection. Bye Take care.