Childhood Diseases

Posted by: tlee | 2011/02/08


Swollen Lymph nodes - occipital

Dear Doc

My lb is 23 months old and started playshcool two weeks ago. Within a few days he had his first cold, just a runny nose that we kept under control with Saline drops, when it got very stuffy and he started to cough before bed we used Illiadin mixed with something starting B (think it is a steroid?) and Betanoid syrup for a few days. We suspect his throat was also sore. He is now much better with just a little bit of a snotty nose that we are back to just using saline to clear up.

This morning I noticed that he has a hard lump (about the size of a marble) on each side of his neck, just out of the hairline, a few cm''s behind and below his ears.

My Google research tells me these lumps are most likely his occipital lymph nodes which are swollen due to processing the infection in his throat / sinuses.

I have decided to watch them for the rest of the week and if they grow larger, become painful or do not start getting smaller by Monday I will take him to the Paed.

Do you think this is the correct action to be taking or should I go to the paed immediately?

Thank you!

Expert's Reply



Good question and very well presented!You have already done all the research and these lumps are indeed swollen occipital lymph nodes which are very common after a throat or upper respiratory infection in this age group.You do not need to take your little son to a doctor. the wswollen lymph nodes will take a long time to disappear.
On another note, please do not allow your son to be given a very strong and long lasting cortisone such as Betanoid and also Betnesol nose drops [also a strong cortisone which is absorbed into his body] to clear his blocked nose when he has a cold. Only use saline nose drops.

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