Suggest Treatment For Lump Below Ankles While Suffering From Cough

Posted on Tue, 25 Aug 2015

Question: my child has got a lump below her ankle and a very weasy cough she has also needed the toilet a lot today should I be worried

Answered by Dr. Dr. Pradeep Kumar Jain (57 minutes later)

Brief Answer:
Please provide details

Detailed Answer:
Hello

Thanks for the query

I have some queries.Please answer them so that I better able to help you out.
Please mention the age of your child.
Regarding lump-
1) For how long lump is there?
2)Is there any change in color over the skin?
3)Is this very hard or fluctuations?
4) Any pain or other significant symptoms?

Regarding cough-
1)For how long cough is there?
2)Any fever or breathing problem?

Regarding frequent toilet-

1)Please specify what do you mean by toilet (urination or stool).
2)Any vomiting,pain abdomen,burning urination or other significant problem?

If there is frequent loose stool associated with cough,this may be due to some viral infection.
Here symptomatic cough management with some antiallergic and bronchodilator syrup along with fluid should be given to avoid dehydration.

Sorry for inconvenience but please answer my queries,so that I can guide you further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (7 minutes later)

feels quite sick when eating so isnt eating alot of hot food

Her cough is quite bad and has had it for 3 to 4 days the lump below her ankle is quite squishy and when pushed down returns back up loose stooles and rsther sleepy but can stay awake
The past couple of hours she has felt quite thirsty she is diabetic but all her blood sugars are ok

The lump doesnt really hurt but must have appeared quite recently as havent seen this before

Answered by Dr. Dr. Pradeep Kumar Jain (11 minutes later)

Brief Answer:
Give plenty of fluid,get her evaluated by a physician

Detailed Answer:
Thanks for follow up

Frequent loose stool can cause lethargy and also due to the same child is thirsty.
I would suggest you to give plenty of fluid (ORS) to prevent dehydration and any electrolyte imbalance.
Give some cough syrup (with antiallergic like chlorpheniramine,decongestant like phenylephrine) along with bronchodilator like salbutamol or terbutaline to relieve cough.
You can also give steam inhalation.
The swelling below ankle can be due to early cellulitis (infection). If possible attach an image so that I can help you out.
I won't get overly worried if child is passing urine adequately,accepting orally well,there is no breathing problem and her blood sugar is normal.
I would suggest you to get her clinically examined by a physician so that he can assess the severity of condition and accordingly investigation and management.

I shall be glad to answer if you have any more query.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (10 hours later)

Im not really sure if you can see the lump very well but their is a clear lump on her forr
Thanks for the idea
She has had asthma in the past but she got cleared years ago

Answered by Dr. Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Get her clinically examined by your physician

Detailed Answer:
Thanks for the feedback

Although to me it is difficult to diagnose; after going through the image and reviewing the character of lump which you have decribed I think it may be early cellulitis.
Please get it evaluated by a physician for proper diagnosis and management accordingly.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar