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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nausea, Fatigue, Weight Loss, Lumps On Left Side Of Neck, Lack Of Energy. Cause Of Worry?

Hi my 14 year old son has been unwell for 3 months but slowly getting worse he has constant nausea , fatigue and low weight, he has not lost a lot of weight but can not put any on, he is 5 foot 6 and 6 stone 2, he has painless lumps in the left side of his neck that are about the size of a large pea, he has 3 and has had them for about 6 weeks, doctor has sent him to hospital and he was seen by doctor in Gastro department and is being sent for stomach ultrasound but we were not told why, I am very worried about my son he can t go out, is constantly feeling unwell and no energy..
Mon, 11 Feb 2013
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Pediatrician,  's  Response
Hi

The lumps in his neck are likely to be lymph glands.

Lymph glands can get swollen in many conditions- most common being acute infection like a sore throat, others being chronic infection like Tuberculosis, connective tissue diseases, malignancies etc.

Since you say he has fatigue etc, he needs to be evaluated fully.

A complete look into his symptoms (like fever, cough, sore throat, any similar swellings in the body, rash, joint symptoms etc) and a detailed examination will be needed.
Based on the examination findings, basic blood tests will be needed- like a complete blood count, peripheral smear, ESR etc.

Your doctor would have ordered for Ultrasound to look for any other similar swellings inside his tummy or to look for his liver and spleen.
Please ask your doctor to provide you the needed information. They will surely tell you why they have ordered for specific investigations.

Its difficult to say what the exact problem is without the needed details and without examining him.
Hope my answer helps you.
Wish your son good health.
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Nausea, Fatigue, Weight Loss, Lumps On Left Side Of Neck, Lack Of Energy. Cause Of Worry?

Hi The lumps in his neck are likely to be lymph glands. Lymph glands can get swollen in many conditions- most common being acute infection like a sore throat, others being chronic infection like Tuberculosis, connective tissue diseases, malignancies etc. Since you say he has fatigue etc, he needs to be evaluated fully. A complete look into his symptoms (like fever, cough, sore throat, any similar swellings in the body, rash, joint symptoms etc) and a detailed examination will be needed. Based on the examination findings, basic blood tests will be needed- like a complete blood count, peripheral smear, ESR etc. Your doctor would have ordered for Ultrasound to look for any other similar swellings inside his tummy or to look for his liver and spleen. Please ask your doctor to provide you the needed information. They will surely tell you why they have ordered for specific investigations. Its difficult to say what the exact problem is without the needed details and without examining him. Hope my answer helps you. Wish your son good health.