Hi, and welcome to Just Answer! Which nodes are swollen, and how big would you say they are? Are they tender to the touch?
There is one on the right side of her neck, below her ear that is the largest, maybe 1.5-2cm. The others are not large like that one though
Not tender to the touch
I see. And is she having other signs of illness now? Fever? Sore throat? Stuffy or runny nose? Fatigue?
No, no others signs of illness. it has been there for about 7 weeks
That's something I would urge you to have a doctor check out, then. Children often get swollen neck nodes from various illnesses, but whenever we see a node over about 1 cm in size we start thinking of odd infections and even scary things like lymphoma. Most of the time a simple exam and some lab work is enough to rule out the frightening stuff, but a persistent large node like that deserves at least an examination.
She was examined by an ENT and he was not really concerned about it after he felt it. She had a CBC and the lymphocytes were elevated 3.9 absolute lymphocytes 59%. he said that her adenoids were enlarged after he did a test that stuck a camera in her nose, and I was wondering if enlarged adenoids could cause swollen lymph nodes.
Do you think her lymphocytes numbers are concerning?
That, then, is very reassuring! While conditions like allergic rhinitis, sinusitis, and colds may lead both the adenoids and the lymph nodes to be swollen, it's more a matter of both resulting from a common cause and not the one causing the other. The lymphocyte count you've given me is, in isolation, not at all concerning.
One causes adenoids to be swollen
I meant to say what caused adenoids to be swollen
Conditions like allergic rhinitis, sinusitis, and colds may contribute to swelling of the adenoids.
Well I know I have been told she has allergic rhinitis in the past, and she has a nasally voice and mouth breathes.
In cases like that we often find a trial of inhaled corticosteroids like fluticasone (Flonase) or mometasone (Nasonex) to be very helpful.
Okay, thanks. I am just hoping they are right about the lymph node swelling. The stuff I read on the internet is scary
Indeed it is! But the fact that a qualified ENT has already examined her and gotten some appropriate lab work should be immensely reassuring. I have to say, seeing these every week, I have yet in my career to identify a single case of malignancy this way.
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