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Ask Dr. Chip Your Own Question
Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 32725
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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My 4 year old son has had an enlarged painless lymphnode in

Customer Question

My 4 year old son has had an enlarged painless lymphnode in his neck for about 2 years, it's about an inch in diameter. His recent ultrasound has shown that it looks ok but his recent blood tests have shown that he has abnormal lymphocytes, not the amount but the cells themselves. He seems to have a continual viral infections with maybe breaks of 2 or 3 days, He's lost a lot of weight, complains of tiredness and aching, he has bad night sweats and regulary cries with pains in his stomach, what could all this mean, his GP couldn't tell me anything, it's above her knowledge
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. Can you tell me the results of all the blood work he's had so far? This is the only lymph node he has anywhere that's enlarged?
Customer: replied 2 years ago.
hes had 1 blood test that's shown abnormal lymphocytes, not the amount but the cells themselves, only this lymphnode is swollen
Expert:  Dr. Chip replied 2 years ago.
OK Kayleigh but what about other tests--thyroid, cortisol levels, an autoimmune screening, tuberculosis screening, etc?
Customer: replied 2 years ago.
No other tests have been done
Expert:  Dr. Chip replied 2 years ago.
OK Kayleigh and we can continue after this but I can only give you my thoughts here. The lymph node needs to be biopsied to look for lymphoma but that may not be the case with him. Other possibilities like TB, viral infections like mononucleosis, an immune deficiency problem, low thyroid function, low cortisol levels, celiac disorder, pancreatitis, or an autoimmune problem like lupus are all in the mix here. He needs much more testing and a ct scan of his chest and abdomen to start with. At this point he needs to be seen by an infectious disease expert and a pediatric internist so hopefully his doctor will consider all this