Lumps on a Child's Neck: When to Seek Medical Advice - Pediatrics

Share to:

Lumps on both sides of a child's neck?


Hello Dr.
Lin: My son is now over nine months old.
A month ago, he had a cold, and since then, he has developed small movable lumps on both sides of his neck, above the collarbone, extending to behind his ears.
His activity level is normal, and he has grown taller, but his weight is the same as it was a month ago.
Should I take my son to see a doctor or give him medication?

A-Hong, 0~9 year old female. Ask Date: 2005/05/20

Dr. Lin Huizhen reply Pediatrics


Dear Ah Hong,
This is Dr.
Lin Huizhen, the Director of Pediatrics at Tainan Hospital, Department of Health.
Regarding your description of the palpable nodules in your child's neck, they are likely lymph nodes.
Lymphatic tissue is part of our body's defense system, and it is common for lymph nodes on both sides to become enlarged following infections in the upper respiratory tract or oral cavity in children.
After the infection resolves, the lymph nodes typically decrease in size or may disappear altogether.
Normal lymph node size should be less than 1 centimeter.
However, if the lymph nodes are gradually enlarging or becoming firm, or if you can feel lymph nodes in the supraclavicular area, I recommend consulting a physician for an examination to rule out the possibility of malignant masses or specific infections.
Wishing you and your child good health and all the best!
Sincerely,
Dr.
Lin Huizhen
Tainan Hospital, Department of Health

Reply Date: 2005/05/20

More Info


When it comes to lumps on a child's neck, especially in infants, it is essential to approach the situation with care and attention. In your case, your nine-month-old son has developed small, movable lumps on both sides of his neck, just above the collarbone and behind the ears, after recovering from a cold. While it is reassuring that he is active and has grown in height, maintaining the same weight could be a point of concern, depending on his overall growth pattern and feeding habits.

Lumps in the neck area of children can be caused by various factors, including swollen lymph nodes, which are common after infections. Lymph nodes can enlarge in response to viral or bacterial infections, and they often return to their normal size once the infection resolves. Given that your son had a cold recently, it is possible that the lumps are reactive lymph nodes responding to that illness.

However, there are several factors to consider before deciding whether to seek medical advice:
1. Duration and Changes: If the lumps have been present for more than a couple of weeks without any signs of improvement, or if they are increasing in size, it would be wise to consult a pediatrician. Persistent lumps can sometimes indicate other underlying issues that may require further investigation.

2. Associated Symptoms: Pay attention to any additional symptoms your child may exhibit. If he develops a fever, experiences difficulty swallowing, shows signs of pain or discomfort, or if the lumps become hard or fixed in place, these could be signs of a more serious condition that warrants immediate medical attention.

3. Growth and Development: While height growth is a positive sign, consistent weight gain is also crucial in infants and young children. If you notice that your son is not gaining weight or is losing weight, it is essential to discuss this with a healthcare provider. They can assess his feeding habits and overall nutritional intake.

4. Physical Examination: A pediatrician will perform a thorough physical examination to assess the lumps and determine their nature. They may check for tenderness, warmth, or any other signs that could indicate infection or other issues.

5. Further Testing: Depending on the findings during the examination, the doctor may recommend further tests, such as blood tests or imaging studies, to rule out any serious conditions.

In summary, while it is possible that the lumps are benign and related to your child's recent illness, it is always better to err on the side of caution. If you have any concerns about your child's health, especially regarding persistent lumps, weight issues, or any accompanying symptoms, it is advisable to schedule an appointment with a pediatrician. They can provide a comprehensive evaluation and peace of mind, ensuring that your child receives the appropriate care and attention.

Similar Q&A

Concerns About Tumors in Children: When to See a Doctor

Hello Dr. Chen: My son will turn three at the end of this year. A few months ago, I found a small movable lump on his neck. I'm not sure if it is related to anything. Should I take him to see a doctor, and if so, which department should I consult? A very worried mother.


Dr. Chen Sirong reply Oncology
Hello: Regarding neck tumors, it is recommended that you first consult an otolaryngologist to seek the opinion of a specialist. Sincerely, Dr. Hu Ke-Hsin, Otolaryngology.

[Read More] Concerns About Tumors in Children: When to See a Doctor


Understanding Suspected Tumors in a Child's Neck: What to Do Next

Hello, Doctor: I would like to ask about my niece, who is 6 years old. When I was giving her a bath the day before yesterday, I noticed a suspicious lump on both sides of her neck near the base of the skull while washing her hair. When I pressed on it, she said it didn't hur...


Dr. Fan Sheng reply Oncology
Annie: Based on your description, it is difficult to determine whether it is cancer. I recommend consulting a pediatric surgeon or a pediatric hematologist-oncologist. Wishing you all the best.

[Read More] Understanding Suspected Tumors in a Child's Neck: What to Do Next


Should You Worry About Lumps in Your Child's Neck? Expert Advice

Hello, this morning while playing with my child, I felt two distinct lumps inside the right back of the neck. One is larger than the other, and they move when touched. My child does not seem to be in pain. Should I take my child to the hospital for further examination?


Dr. Chen Sirong reply Oncology
Nala / 1 year old / Male 1. There are two lumps that move when touched. The likelihood of them being benign is higher, but a physician's examination is necessary for an accurate diagnosis. 2. Should we go to the hospital for further examination? A visit to a general pedi...

[Read More] Should You Worry About Lumps in Your Child's Neck? Expert Advice


Understanding Neck Lumps: When to Seek Medical Advice

I noticed a lump in my neck today during the New Year celebrations. It's located on the side and back of my neck, and I measured it to be about 1.5 centimeters in size. It moves around when I touch it. There is also another smaller lump, about the size of a grain of rice, lo...


Dr. Lai Yicheng reply Oncology
Hello, Neck masses can be broadly categorized into three main types: congenital, inflammatory, and neoplastic. 1. Congenital masses: These are more common in children but can also appear in adults. They include branchial cleft cysts (which account for approximately 20% of...

[Read More] Understanding Neck Lumps: When to Seek Medical Advice


Related FAQ

Hemangioma

(Pediatrics)

Chest

(Pediatrics)

Stroke

(Pediatrics)

Pediatric Ganglion Cyst

(Orthopedics)

Jaundice

(Pediatrics)

Rash

(Pediatrics)

Medical Report

(Pediatrics)

Kawasaki Disease

(Pediatrics)

Fever

(Pediatrics)

Tongue

(Pediatrics)