Dr. Sumeet Sharma
Pediatrics
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
My 3-year-old daughter has recently been in hospital with a large lump on her jaw where her neck meets her ear. She had some blood works done and was treated with IV antibiotics for 24 hours, then given oral antibiotics for seven days. She went for the follow-up to the general physician, who repeated the blood works after seven days and said she had microcytic anemia, iron deficiency anemia.
Hello,
Welcome to icliniq.com.
Neck swelling can be due to parotitis, or it can be lymph node swelling. Iron deficiency anemia is a very common problem in growing infants. The reason is usually nutritional, either decreased oral intake or deceased absorption of iron from the gut. From your query, it was not clear what you want to ask. Kindly specify your question. And please share the detailed investigation reports.
Patient's Query
Hi doctor,
I completely understand what you are saying, and decreased absorption is a definite possibility. However, she also has an ALP level of 2500. This is baffling. My doctor thinks this is very suspicious with the large lump, the microcytic anemia, and very high ALP. He just sent me to a specialist, which is some time away. I cannot sleep. They did say she will need a transfusion for iron but. What are the possibilities? Other LFTs are normal and ALP so high, with the microcytic anemia.
Hello,
Welcome back to icliniq.com.
I can understand how you must be feeling. Large lump along with anemia and raised ALP (alkaline phosphatase level) needs a thorough evaluation. Although ALP levels in children are slightly higher than adults, the level of 2500 is quite alarming. With normal liver enzymes, ALP levels can be raised in bone disease or in lymphomas. I would advise you to get that specialist appointment as soon as possible.
I wish her a speedy recovery.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Pediatrics
Related Questions
Are fatty hump on back, red cheeks, purple stretch marks signs of Cushing's syndrome?
Is it safe for my 4-month-old baby to be around my mom, who was diagnosed with sialadenitis?
Can you see the attached CBC report, and let me know if there is anything serious ?
Please advise on the exceeded values of the blood report.
How can I manage the parotid gland swelling?
My hemoglobin is 4 and iron is 7 with 1% saturation. Do I need blood transfusion?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
