AboutNeha Dahiya MD Expertise I can help patients understand their lab report results, help them with queries regarding what pretest preparation is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday English. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.
Experience I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory.
Organizations Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology
Question My daughter in 4 and half years old. She was born in the USA and we can back to India in Oct 2007. She was fine until Dec 2008 when she had the first episode of fever. We gave her Paracetomol and she was okay. Then the fever came back after 21 days. Since then she has been having fever every 15 to 20 days. This has been going on from Dec 2008. She was admitted in the hospital 3 times. After then every time she gets fever we give her Paracetomol(5ml of Crocin 125mg or P250) and the fever goes down after 3 to 4 days. She had fever 15 days ago also. She also complains of abdominal pain around her naval which lasts for about half to one hour. We did an ultrasound and CT scan of her abdomen and the doctors mentioned that she has multiple mesenteric lymph nodes. The first ultrasound mentioned Parailiac and mesenteric lymphnodes. The second ultrasound mentions that the parailiac nodes are not there and the mesenteric nodes are still present. The CT scan also mentions the same.
We did a third ultrasound and found that her lymph nodes are now 1.9 cm, 1.7 cm, 1.5 cm and 1.4 cm. I'm very concerned and please help me in what I should do next
Answer Hello:
Please have your daughter seen by a pediatrician who can do a complete physical examination and review the scan reports.
Based on that the doctor may advise a biopsy / FNA of the nodes or further tests to determine the cause of the fever.
