Dr. Manu Chandarashekhara Bharadwaj
Pediatric Surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
A few days ago, my daughter compliants about an itching spot behind her ear. I checked it out and it was red and swollen with a quarter size knot in the center. Tonight she complains of pain behind her ear same spot still red and swollen now with three pearl size lumps. Is this an emergency or a wait for the office to open and is there anything I should be doing or maybe what is it?
Hello,
Welcome to icliniq.com.
Is she having a fever as well? Do you find such a swelling, although smaller, behind the other ear, or in her neck, or in her armpits? Does it pain when she is eating or chewing? Did she have a running nose, or blocked nose, cough in the last two weeks?
Patient's Query
Thank you doctor,
No cough, no fever, no runny nose, no pain while she is chewing. Lumps are not present on the other ear. I did not check her armpits or neck so far. Should I go check her armpits and neck now? No cough in the last two weeks.
Hello,
Welcome back to icliniq.com.
That is alright. Check her the next time when you are with her and let me know. The swelling is most likely because of an infection, it could be at the root of hair follicle, it could be a scalp infection, or it could be painful lymph nodes.
In any case, she will need medications for her pain. Now that she has no fever, I would not suggest an antibiotic right away. There are a few things that you can do at home.
Patient's Query
Thank you doctor,
So this is not an emergency situation. I will call her pediatrician the moment they open to obtain antibiotics.
Hello,
Welcome back to icliniq.com.
Give her warm compressions over the swelling (please ensure it is not too hot, just as much as she can tolerate. Generally, a cotton cloth soaked with warm water will suffice. If you have a hot fomentation bag at home, it is even better).
Giver her syrup Paracetamol (Acetaminophen more commonly Tylenol or Panadol) 250mg or 5ml. Give her 7.5 ml every eighth hourly, preferably after a meal/drink. If you do not get syrup, you can give her a tablet 325 mg every eighth hourly.
She should rinse her mouth thoroughly thrice daily, with mouthwashes that are available at home. Wash the area with warm water and soap/shampoo daily. If she develops a fever or any other symptoms, kindly let me know again or if the pain does not reduce in 48 hours. If possible, please send a photograph of the swelling including her ear preferably in natural light.
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Pediatric Surgery
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