Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
There is a hard lump near the masseter muscle in the neck and lower jaw area? There are hard lumps near the neck and the lower jaw close to the masseter muscle. They are smooth and movable, and pressing on them is somewhat uncomfortable. Upon self-examination, the lump in the nec...
Dr. Zhong Ruixian Reply:
It is more likely to be lymph nodes. If there is any enlargement or hardening, it is recommended that you seek medical evaluation![Read More] Understanding Lumps Near the Jaw and Neck in Children: Causes and Concerns
Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Cervical lymphadenopathy? Hello, Doctor: My child is 7 years old and had swollen lymph nodes two years ago. We went to the hospital for an ultrasound and blood tests, and the doctor said they were benign lymph nodes. They are still present now, sometimes getting larger and someti...
Dr. Pei Rensheng Reply:
Hello: 1. In children, lymphadenopathy is most commonly caused by infections. There are rare cases where it may be due to malignant tumors, autoimmune diseases, Kawasaki disease, drug reactions, or post-vaccination responses. 2. If the lymph nodes are less than 2 cm, there is usu...[Read More] Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Blood report of a 5-year-old boy? Dear Doctor, a 5-year-old boy is suspected of having IgA nephropathy. After a blood test conducted by the physician, the nephrologist only mentioned that kidney function is normal. However, upon reviewing the report, there are several values that...
Dr. Xiao Kaiwen Reply:
This blood test should be a CBC/DC (Complete Blood Count/Differential Count). Based on this report, the results are generally normal. However, this blood test is only a very basic examination at the hospital. If there are any significant discomforting symptoms, please go to the h...[Read More] Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Understanding ITP and Lymphadenopathy in Pediatric Patients
ITP with lymphadenopathy Hello Doctor, thank you for your prompt response to the previous question <a href="https://adoctor.tw/article/199203">#199203</a>. I would like to provide some additional information. The child in the family has had elevated infectio...
Dr. Xiao Kaiwen Reply:
An elevated CRP (C-reactive protein) level indicates a wide range of possibilities. While the likelihood of infection is highest in children, there are still other potential causes. It is difficult to specify which additional tests should be arranged at this point; however, it is...[Read More] Understanding ITP and Lymphadenopathy in Pediatric Patients
Understanding Chronic ITP and Prolonged Lymphadenopathy in Children
ITP with lymphadenopathy Hello, doctor. My three-year-old family member has been diagnosed with chronic ITP. They used a medication called Eltrombopag at the end of last year, and have just stopped taking steroids. They are currently taking 12 mg of Eltrombopag daily. About two m...
Dr. Pei Rensheng Reply:
Hello: 1. Chronic ITP is defined as lasting more than one year, and a bone marrow biopsy may be considered. 2. The causes of lymphadenopathy include infections, tumors, and congenital developmental remnants, which may persist for several months and could still be due to an infect...[Read More] Understanding Chronic ITP and Prolonged Lymphadenopathy in Children
Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...
Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Understanding ITP and Leukopenia in Toddlers: Treatment Insights
Child with thrombocytopenia due to immune thrombocytopenic purpura (ITP) and leukopenia? A two-year-old child has been diagnosed with ITP and has been undergoing treatment with romiplostim for over a month. I would like to ask if it is common for platelet counts to fluctuate duri...
Dr. Xiao Kaiwen Reply:
The second-line targeted therapy for ITP, Eltrombopag, is effective in approximately 60% of patients initially, meaning that 40% of patients may not respond to treatment, which could result in fluctuating platelet counts. The hematological side effects of Eltrombopag include anem...[Read More] Understanding ITP and Leukopenia in Toddlers: Treatment Insights
Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Upon waking up in the morning, the upper left eyelid is swollen? Hello, my baby is currently 2 months old and exclusively breastfed. Recently, in the mornings, the left upper eyelid becomes swollen (the eye can only open about 1/3 to 1/2) and appears a bit purplish (similar to a ...
Dr. Xiao Kaiwen Reply:
Allergies typically do not cause swelling in only one eye or just the upper eyelid. In two-month-old infants, lymphatic circulation is not fully developed, so it is common for them to experience swelling due to skin compression after sleeping. Additionally, the eyelids are the th...[Read More] Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Understanding Lymphadenopathy in a One-Year-Old: Key Insights
Lymphadenopathy in a one-year-old male infant? Hello, doctor. We are feeling quite anxious because our child's blood test results show some abnormalities, and we would like to inquire about the interpretation of these results or any recommendations for the next steps in medi...
Dr. Xiao Kaiwen Reply:
The only abnormality in the blood test is an elevated white blood cell count, which may be a normal transient phenomenon (the white blood cell count can fluctuate within a normal range, but not excessively; it’s possible that the sample was taken during a time of elevated white b...[Read More] Understanding Lymphadenopathy in a One-Year-Old: Key Insights
Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know
Liver function tests in infants? Hello, my 3-year and 8-month-old daughter recently had a blood test and urine analysis during a growth clinic visit, and everything was normal except for her GOT/GPT levels, which were 49 (reference value is below 42), and her lymphocyte count was...
Dr. Pei Rensheng Reply:
Hello, A 3-year and 8-month-old girl underwent a growth clinic visit with blood and urine tests. It was found that her GOT/GPT levels were 49 (reference value: below 42) and there was a slight elevation in lymphocytes. The GOT/GPT level of 49 indicates mild hepatitis, which cou...[Read More] Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know
Understanding Eyelid Swelling in Newborns: Causes and Concerns
Neonatal eye edema Hello, I have seen similar questions while browsing, but I would like to ask the doctor for clarification. My baby just turned eight weeks old, and for the past week, whenever he sleeps on his stomach or puts pressure on one eye, he wakes up with swelling in th...
Dr. Xiao Kaiwen Reply:
An eight-week-old infant's blood and lymphatic circulation is not yet fully mature, particularly around the eyes where the skin is thinner. Therefore, some swelling after prolonged pressure is considered normal. As the infant grows older and circulation improves, this will g...[Read More] Understanding Eyelid Swelling in Newborns: Causes and Concerns
Understanding Pediatric Tonsillitis: Symptoms, Diagnosis, and Treatment
Tonsillar suppuration, lymphadenopathy, upper abdominal swelling, fever? A six-year-old girl developed fever symptoms on March 2, which resolved on its own. However, she experienced another fever on March 4 and was taken to the hospital, where she was diagnosed with tonsillitis. ...
Dr. Pei Rensheng Reply:
Hello: You have a fever, tonsillitis, swollen cervical lymph nodes, and hepatitis; these symptoms are most likely indicative of an EB virus infection. Antibiotics should be targeted towards the possible pneumonia and tonsillitis. Wishing you safety and health. Sincerely, Dr. Pei ...[Read More] Understanding Pediatric Tonsillitis: Symptoms, Diagnosis, and Treatment
Hard Lump Near 7-Year-Old Boy's Ear: Causes and Care
A 7-year-old boy has developed a hard lump near his left ear? Hello, doctor. The day before yesterday, my seven-year-old son told me that he has a hard lump on his face, located near his left ear. It is not visible to the eye, but when touched, it feels like a small hard bump, ap...
Dr. Xiao Kaiwen Reply:
The causes of subcutaneous masses in this area can be numerous, such as: sebaceous cysts, epidermoid cysts, sialadenitis, salivary gland stones, normal lymph nodes, lymphadenitis, or rare malignant lymph nodes, among others. It is recommended to consult a pediatric otolaryngologi...[Read More] Hard Lump Near 7-Year-Old Boy's Ear: Causes and Care
Understanding Pediatric Lymph Nodes: What Parents Should Know
Cervical lymphadenopathy issues? Hello Doctor, I noticed a protruding lymph node in the area above my son's left clavicle, near the sternocleidomastoid muscle, when he was around one month old. It's about 0.3-0.5 cm, movable, and soft. Now my son is over three years old...
Dr. Pei Rensheng Reply:
Hello: Regarding neck lumps, I previously published an article in the media, and the content is as follows for your reference! When bathing a baby, parents may notice one or several hard lumps on the neck or back of the head. What should parents do? Most of these hard lumps are l...[Read More] Understanding Pediatric Lymph Nodes: What Parents Should Know
Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Side effects of the BCG vaccine? Hello, I would like to ask about my baby who received the BCG vaccine on December 17, after turning five months old. On December 25, during a bath, I noticed swelling in the right armpit, which feels soft and does not have any hard lumps. I read o...
Dr. Pei Rensheng Reply:
Hello! The side effects of the BCG vaccine indeed include swelling of the lymph nodes in the neck or armpit, typically on the same side as the vaccination site. If the swelling occurs on the opposite side or exceeds 1.5 centimeters, it is recommended to follow up with a pediatric...[Read More] Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Understanding Pediatric Ear Swelling and Pain: When to Seek Medical Attention
Submandibular swelling and pain? Hello, doctor. My child (almost 4 years old) suddenly experienced swelling and pain under the ear in the early morning (with no prior warning, and it feels soft to the touch when gently pressed), causing him to cry. After waking up, I noticed that...
Dr. Xiao Kaiwen Reply:
Swelling and pain near the ear may be due to parotitis slightly anterior to the ear, acute lymphadenitis posterior and inferior to the ear, or the rare condition of mastoiditis. It is advisable to consult a pediatrician for evaluation.[Read More] Understanding Pediatric Ear Swelling and Pain: When to Seek Medical Attention
Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Could it be Kawasaki disease? Hello doctor, my daughter is currently one and a half years old. She started having a fever on May 29 and visited the clinic twice. On June 1, I noticed she was a bit wheezy, so we went to the emergency room where she had blood tests and an X-ray; th...
Dr. Xiao Kaiwen Reply:
Kawasaki disease has diagnostic criteria: (1) fever lasting more than five days; (2) bilateral conjunctival injection without discharge; (3) oral mucosal changes, including bright red, cracked lips and a strawberry tongue; (4) redness and swelling of the palms and soles; (5) non-...[Read More] Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Managing Persistent Blisters on a Toddler's Urethra: A Parent's Guide
A 2-year-old child has blisters on the glans and urethral opening that are not improving! How should this be managed? About two months ago, my son was taking a bath and was playing with a soap pouch, creating bubbles and rubbing them vigorously on his genital area. After rinsing ...
Dr. Pei Rensheng Reply:
Hello: This article explains clearly; please refer to the following: 1. What is balanitis? Balanitis, also known as glans inflammation, often occurs simultaneously with posthitis (inflammation of the foreskin) and is commonly associated with conditions such as phimosis (tight fo...[Read More] Managing Persistent Blisters on a Toddler's Urethra: A Parent's Guide
Fever and Red Mouth in Children: Is It Kawasaki Disease?
Fever and red mouth? Doctor, may I ask if a child can have a red mouth when they have a fever? My son, who is about one year old, had a fever once and his mouth was very red, but I don't remember if his eyes were also red. After the fever, he developed a rash on his body. Co...
Dr. Xiao Kaiwen Reply:
The diagnosis of Kawasaki disease requires the exclusion of other conditions and must meet several diagnostic criteria: 1. Fever lasting more than 5 days, 2. Bilateral non-purulent conjunctivitis, 3. Red, cracked lips or strawberry tongue, 4. Cervical lymphadenopathy, 5. Concurre...[Read More] Fever and Red Mouth in Children: Is It Kawasaki Disease?
Is It Lymphadenitis? Pediatric Ear Swelling Concerns Explained
Is this lymphadenitis? Hello, last night I noticed that my 3-year-old child had mild redness and swelling behind one ear, and I initially thought it was a mosquito bite. Today, I found that the area has developed into a lump larger than 1 centimeter, which is firm, non-mobile, an...
Dr. Pei Rensheng Reply:
Hello: It is likely lymphadenitis, which commonly occurs in the neck area (including near the ears). You can observe it first and avoid massaging the area; if it is larger than 1.5 cm or if fever develops, it is advisable to seek medical attention. Wishing you safety and health. ...[Read More] Is It Lymphadenitis? Pediatric Ear Swelling Concerns Explained