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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child With Swollen Lymph Node, Headache, Low Immunity. Had Influenza. Any Medicine To Take?

Hi. My 6 year old daughter is about 3 weeks post ingluenza, from which dhe recovered nicely. Shes been very crabby and tired this week. Downright belligerent and unlike her normal self. We moved 3 months ago and have a new Kindergarten teacher so it could be multiple things.Shes been complaining of R neck pain x 2 days but I couldnt really palpate anything. Tonight, however, she has a swollen lymph node (i think) on the right side which is getting larger for the last 6 hours. Its approx the size of a quarter in the middle but the swelling extends forward to her jaw. She complains of ear and jaw pain and appears to be cutting a molar on the opposite side that I dont think is related. She is afebrile or very low fever. I just gave her 160mg tylenol (shes 45#) bc she woke screaming it hurt and was laying on that side. I propped her up an turned her. She says cold feels better than heat. I mention the flu et al just in case it is a post-viral issue. She does have allergies and has recently had a bloody nose, which seems benign and happens 3-4x a year. She has also complained of a headache . Most noticeable is the moodiness and rudeness, which would make sense if she hadnt been feeling well. She has fallen back asleep for now. I am a single parent and of course my car happens to be in the shop. This seems to be how these things go. I m hesitant to wake her (and a friend for a ride) at 2:30 am for a trip to the ER but she was really in legitimate pain earlier and I dont like that the node is still swelling, though I guess I should be grateful her immune system is working well. She has a day off tomorrow for Presidents day and was going to the YMCA with a friend. I dont know if I should send her now even with no fever. I also do NOT have an understanding boss at all and I missed 2 days in January with her influenza . They make no bones about making you feel you may lose your job at anytime even with the ER documentation I brought in then. I wss written up for leaving 2 hours early to take her to her ped for follow up. Unfortunately my mom passed away before her birth, I do notvhave siblings and my ex-husband refuses to participate in her care though he really wanted a child until her birth. My support system is limited so its not that her health isnt priority, but I do have to try to make the best decisions possible until I find different employment. After her ladt illness , I did decide that I cant stress too much about employment as Id NEVER forgive myself if I ignored a health issue that caused her great discomfort or further injury. Please advise. Im tired and not sure what to think except why can t our csr break down when we have a positive bank balance and no one is ill? Thanks in advance. Her nane is Lucy btw and she s the very best thing thats everbhappened to me;)
Wed, 27 Feb 2013
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Pediatrician 's  Response
Hi ,
Thank you for your query.
Madam Lucy seems to have acute lymphadenitis.
She will need an antibiotic for seven days.
All her problem are related to the lymph gland swelling.
It is better to have a blood test done for infection before starting the antibiotic.
Please consult your doctor before therapy.
If you have any further queries you are free to consult me.
Hope this answers your query.
Wishing your child a speedy recovery.
Have a nice day
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Child With Swollen Lymph Node, Headache, Low Immunity. Had Influenza. Any Medicine To Take?

Hi , Thank you for your query. Madam Lucy seems to have acute lymphadenitis. She will need an antibiotic for seven days. All her problem are related to the lymph gland swelling. It is better to have a blood test done for infection before starting the antibiotic. Please consult your doctor before therapy. If you have any further queries you are free to consult me. Hope this answers your query. Wishing your child a speedy recovery. Have a nice day