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Lymph node in the neck of a child: causes, symptoms and treatment. Why do the lymph nodes in the neck enlarge in a child? Posterior cervical lymph nodes in a child

There are seals on the human body that can be felt with your hand or even seen.

They are called lymph nodes.

Passing through such seals, the lymph is cleansed.

During illness and inflammation, the child's lymph node enlarges. This article will tell you why this happens and what to do.

What are lymph nodes needed for?

Lymph nodes play important role in the child’s health and immunity. The main task of the nodes is to cleanse the body of bacteria, viruses, and foreign cells. Lymphocytes produced in the body protect the child’s health. During illness, lymph nodes can become enlarged, as they urgently need to produce an army of additional cells to fight foreign bodies.

Nodules are located throughout the body. On the neck, behind the ears, in the groin, in the armpits, on the stomach. It is almost impossible to palpate the nodules in a newborn, but by one year healthy baby The doctor must palpate the lymph nodes.

Lymph nodes are only a few millimeters in size. They are located in groups in certain places. During an illness, the doctor will definitely check them for enlargement and make a conclusion about the child’s condition. An enlarged lymph node in the baby's neck indicates a sore throat, and an enlarged lymph node in the ear area indicates the presence of a viral infection. As a rule, changing nodes in itself is not dangerous. Sometimes children experience lymphadenitis - enlargement of lymph nodes throughout the body. The disease manifests itself when immunity is reduced or when malignant tumors in organism.

Symptoms of enlarged lymph nodes

Normally, the increase in nodes in the neck should not exceed 1 cm. A deviation upward indicates the presence of an infection in the body. When palpating, there should be no painful sensations; the lymph nodes have a dense structure and can be easily moved. These signs indicate in good condition person and do not require additional examinations.

The main symptoms of enlarged lymph nodes in a child are:

  • pain on palpation;
  • tuberosity;
  • looseness;
  • acquiring an irregular shape.

Sometimes the surrounding skin becomes inflamed and turns red. In some cases, the nodules enlarge so much that they become visually visible.

Video on the topic

Changing the size of lymph nodes

At an appointment with a pediatrician, if there are complaints, the doctor will definitely examine the lymph nodes. If the enlargement of the cervical lymph nodes in children occurs by more than 1 cm, and the inguinal lymph nodes by 1.5 cm, then it can be argued that there is inflammatory process.

Even in children under one year old, the size of the nodules changes during illness, but they are so small that it is not always possible to palpate them. During the fight against foreign cells, lymphocytes are activated and begin to fight. If there are a lot of pathogenic bacteria and the body cannot cope, then the lymph nodes increase in size.

In children under 3 years of age, a slight increase is permissible lymph nodes due to imperfect immune system. If there are no other manifestations of inflammation, then there is no need to treat the child.

Where are the lymph nodes located?

In children, lymph nodes are located in the same places as in adults. The largest group is called the cervical lymph nodes - they are located in the following places:

  • on the back of the head;
  • behind the ears;
  • above the collarbone;
  • under lower jaw;
  • on the chin;
  • in the upper triangle of the neck;
  • behind the neck.

In addition, nodules are located throughout the body:

  • under the collarbone;
  • armpits;
  • on the chest;
  • at the elbows;
  • in the groin;
  • under the knees.

Thus, the lymph nodes actively collect unnecessary substances and cleanse the entire body. Each cluster of lymphocyte producers is responsible for its own part of the body. Therefore, enlarged lymph nodes in a child help doctors determine what is happening in the body.

Reasons for the increase

The reasons for enlarged lymph nodes in children can be different, most often there is nothing dangerous about it. The body fights viruses and launches the immune system. But prolonged or excessive enlargement of the lymph nodes may indicate serious problems. The main reasons for changing nodes:

  1. The increase occurs due to hormonal changes, active growth, and the development of the immune system. The condition is typical for children under 3 years of age and adolescents.
  2. After scratching cats and introducing bacteria into the wound. The condition of lymphadenitis occurs.
  3. When immunity decreases due to past infections, in the autumn-winter period, for chronic diseases.
  4. During teething, with diseases of the oral cavity.
  5. Due to hypothermia.
  6. Mononucleosis occurs when the Epstein-Barr virus is present in the blood and is characterized by a severe increase in nodes in the neck.
  7. For oncological tumors.
  8. For diseases thyroid gland.
  9. During autoimmune diseases, in which the body perceives its own cells as foreign.
  10. If a bacterial, viral or fungal infection is detected.

Enlarged lymph nodes in the neck

The cause of enlarged lymph nodes in the neck in children may be infectious diseases of the upper respiratory tract or throat. Changes can occur with a cold or acute respiratory viral infection, but sometimes this is a sign of measles, rubella, or influenza. Therefore, if symptoms of the disease appear and lymph nodes are enlarged, a pediatrician’s consultation is required.

When the nodules on the neck enlarge, palpation can reveal a pea with a diameter of more than a centimeter. This causes pain when pressed. With severe inflammation, the diameter of the peas reaches the size of a chicken egg.

Usually lymph nodes do not enlarge without additional symptoms:

  • increased body temperature;
  • weakness;
  • headache;
  • joint pain;
  • drowsiness;
  • digestive disorders.

But if there are no signs of illness, you should still consult a doctor to find out the cause of the enlarged lymph node in the child.

The main diseases in which changes in the lymph nodes occur:

With enlarged nodes in the neck, in some cases pain occurs when swallowing, discomfort when turning the head, swelling of the neck. If large nodules appear on the neck, it is necessary to show the child to a pediatrician to find out the cause of enlarged lymph nodes in children. Self-treatment unacceptable, as the symptoms can be blurred, and it will be more difficult for doctors to make a diagnosis.

Changes in inguinal lymph nodes

Enlarged lymph nodes in a child’s groin indicate an inflammatory process. The reasons for changes in lymph in the groin are the following diseases:

With a decrease in immunity, the lymph nodes enlarge even with colds, ARVI. A slight change in size does not cause inconvenience, but the nodules can reach several centimeters in size, and the child will encounter the following inconveniences:

  • heaviness in the groin area;
  • pain when walking;
  • skin redness;
  • local increase in body temperature.

When a purulent process appears, the following symptoms may be added:

  • increase in general body temperature;
  • the appearance of fistulas in the skin, from which purulent contents come out;
  • headache;
  • signs of intoxication;
  • strong pain when pressed;
  • immobility of the lymph node.

With such signs, the child must be urgently shown to a doctor for diagnosis and treatment.

Abdominal lymph nodes

Increase abdominal lymph nodes in a child indicates that inflammation has begun in the abdominal cavity. When foreign substances enter the body, they cause the production of lymphocytes. For this reason, the nodes increase. Sometimes inflammation begins in one or more lymph nodes.

Inflammation is not an independent disease. This is an indicator that not everything is fine in the body. Enlarged mesenteric lymph nodes in children cannot be diagnosed without laboratory tests.

The reasons for enlarged nodules can be various:

Symptoms may long time absent. In acute cases, acute pain begins, the patient cannot always determine where exactly it hurts. When diagnosed, it can be confused with appendicitis if the pain is localized in the lower abdomen. Symptoms that are characteristic of many diseases occur:

  • temperature increase;
  • abdominal discomfort;
  • diarrhea;
  • tachycardia;
  • liver enlargement;
  • nausea.

If the lymph node begins to fester, this can lead to severe consequences. At chronic form the symptoms are invisible or absent, so the child’s parents do not immediately contact the doctor.

This pathology is typical for children aged 6 to 12 years; boys are affected more often than girls. If a child's lymph nodes become enlarged and pain occurs, it is necessary to show the child to a pediatrician. If left untreated, there is a risk of peritonitis due to suppuration of the nodules.

Inflammation of the lymph nodes

Sometimes lymph nodes become enlarged without other signs of disease and do not shrink further. In this case, the child will be diagnosed with an adenovirus or one of the herpes viruses, including cytomegalovirus, Epstein-Barr, which is the cause of a disease such as mononucleosis.

A frequent complaint from parents is enlarged lymph nodes behind the ears in children. In children, immunity is developing, and therefore an increased number of lymphocytes may be normal reaction. Most likely, with age, the nodules behind the ears will return to their original size without treatment. To control and eliminate inflammation, it is enough to carry out 2 times a year. general analysis blood with calculation leukocyte formula.

Treatment

When lymph nodes are enlarged in children, treatment is not always required. The main indicators of inflammation are increased levels of leukocytes and ESR in the blood. If the node has increased significantly and does not disappear within 5 days, then consultation with a pediatrician is required. Treatment is necessary in following cases:

  • the child has enlarged several groups of lymph nodes;
  • the bulge has become dense;
  • within 5 days the nodes do not decrease;
  • sharp pain when palpating;
  • skin redness;
  • elevated temperature;
  • rapid increase in nodules.

After the diagnosis and examination, the doctor prescribes medications aimed at relieving inflammation. Lymph nodes are often enlarged in children, but at home you should not independently determine the degree of danger. The child must be shown to a pediatrician. If pus is detected, a lymph node biopsy may be performed.

Treatment methods for inflamed lymph nodes are as follows:

Prevention and reviews

Enlargement of lymph nodes during illness cannot be avoided. But there are a number of actions that prevent lymphadenitis:

  • compliance with hygiene rules;
  • treatment of wounds and scratches, especially those received from animals;
  • strengthening immunity;
  • hardening;
  • proper nutrition;
  • taking vitamins;
  • keeping a sufficient amount of fruits and vegetables in the diet;
  • undergoing preventive medical examinations;
  • avoiding hypothermia;
  • Timely visit to the dentist to exclude oral diseases.

There is nothing worse when children get sick. I want to cure them as soon as possible, and therefore all the efforts of the parents are put into their recovery. Particularly susceptible various diseases very small children. For example, inflammation of the lymph nodes in the neck. An unpleasant situation that takes many moms and dads by surprise. But in this situation, having gathered, it is advisable to consult a doctor as quickly as possible to identify the causes of inflammation and quickly select treatment methods.

Lymphadenopathy - what is it?

Lymphadenopathy is painful condition, which is characterized by enlarged lymph nodes. The word is truly scary, and for many it causes panic and misunderstanding. In fact, this condition is not a rare one, since it occurs often in people.

The human body has about 600 lymph nodes. Under normal conditions, they are not increased in size, and therefore are completely invisible.
In medicine, there are several classifications of lymphadenopathy.

The first is by location

  1. Local. Only one node in one area increases (for example, on the neck).
  2. Regional. Several nodes become inflamed in one or nearby areas (neck and armpits).
  3. Generalized . Three or more areas are affected. This pathology is serious signal body about the emergence of serious problems.

The second is by the nature of the flow

  1. Spicy. Signs: high temperature, swelling.
  2. Chronic . The severity of the symptoms is weak, the manifestations intensify when the body weakens, and disappear when it is restored.

Experts identify a number of signs that indicate lymphadenopathy:

  1. enlarged lymph nodes that can be felt independently;
  2. weight loss;
  3. increased sweating during sleep;
  4. maintaining elevated body temperature for a long time;
  5. increase in size internal organs- liver and spleen;
  6. pathology in the lungs.

The causes of lymphadenopathy can lie in many diseases. However, for an accurate determination, an examination and consultation with a doctor is necessary.

Why does a child have enlarged lymph nodes in the neck: reasons

In children, inflammation of the lymph nodes is very difficult to determine, because they are very small and soft. But it often happens that when the lymph nodes in the neck become enlarged, they can be easily felt.
Why do they become inflamed? The answer is simple: inflammatory processes begin inside the body, caused by a high concentration of pathogenic bacteria. At this time, the node produces white blood cells, which trigger reactions to destroy bad elements. It is these processes that increase the knot and cause concern for parents.

There are many causes of inflammation of the lymph nodes

  • Cold.
  • Infections. Inflammation occurs due to the fact that somewhere nearby there is a source of infection. For example, sore throat, cough.
  • Skin damage from cats. Animal saliva contains a certain set of bacteria that enter the bloodstream when bitten or scratched. When getting pets, you need to be very careful.
  • Mononucleosis. The symptoms are similar to a regular sore throat: difficulty breathing, high fever, and the lymph nodes located under the jaw become large. The knots feel dense and elastic to the touch. The liver and spleen enlarge. A complete blood test for the presence of mononuclear cells helps detect mononucleosis.

In any case, if in doubt, you should consult a doctor as soon as possible to establish an accurate diagnosis.

Sizes of lymph nodes: norms and deviations

A logical question immediately arises: what size are the lymph nodes in normal condition? There is no consensus among doctors. Some adhere to the point of view that the normal size is 1 cm. Many textbooks give this exact figure.

Others say that less than a centimeter is the norm, and anything more is pathological. Exceptions are made for inguinal nodes, which are up to 1.5 cm in size. In children, some experts believe normal size nodes are 1.6 cm. And others allow the possibility of their increase in healthy child up to 1.5-2 cm.

Summarizing all that has been said, we can draw the following conclusions. So, the norm is nodes up to 1 cm. 1-2 cm can be considered both a deviation and a completely normal size. More than 2 cm is already a size indicating the presence of a disease.

Unfortunately, there are many such controversial issues in medicine, and each individual case cannot be sized up with the same brush. All children are individual; this or that condition depends on age, the location of the lymph nodes, and the history of their enlargement.

How to cure inflamed lymph nodes in a child’s neck?

Before treatment, you must consult your doctor , undergo certain tests, undergo proper examinations and establish the exact cause of inflammation of the lymph nodes. Only then does the doctor prescribe treatment, the main goal of which is to eliminate the source of the disease. But there should be no amateur activity, since the treatment is mainly carried out strong antibiotics and anti-inflammatory drugs. This is the first method of treatment.
Second ultra high frequency therapy . But this does not include warming compresses and heating pads, since under the influence high temperature the infection can spread to the blood vessels and brain. Bed rest is also required!

In general, treatment of lymph nodes in children is ineffective, since their enlargement is only a consequence of the disease. First you need to find the cause, and then get rid of it. After some time after treatment, the size of the node will return to normal, the inflammation will go away.

Timely detection of the problem makes it possible to cure the child’s body as quickly as possible using complex treatment methods

There are seals on the human body that can be felt with your hand or even seen. They are called Passing through such seals, the lymph is cleansed. During illness and inflammation, the child's lymph node enlarges. This article will tell you why this happens and what to do.

What are lymph nodes needed for?

Lymph nodes play an important role in the child’s health and immunity. The main task of the nodes is to cleanse the body of bacteria, viruses, and foreign cells. Lymphocytes produced in the body protect the child’s health. During illness, lymph nodes can become enlarged, as they urgently need to produce an army of additional cells to fight foreign bodies.

Nodules are located throughout the body. On the neck, behind the ears, in the groin, in the armpits, on the stomach. It is almost impossible to palpate the nodules in a newborn, but by the time a healthy baby is one year old, the doctor should palpate the lymph nodes.

They are only a few millimeters. They are located in groups in certain places. During an illness, the doctor will definitely check them for enlargement and make a conclusion about the child’s condition. An enlarged lymph node in the baby's neck indicates a sore throat, and an enlarged lymph node in the ear area indicates the presence of a viral infection. As a rule, changing nodes in itself is not dangerous. Sometimes children experience lymphadenitis - enlargement of lymph nodes throughout the body. The disease manifests itself when immunity is reduced or when malignant tumors appear in the body.

Symptoms of enlarged lymph nodes

Normally, the increase in nodes in the neck should not exceed 1 cm. A deviation upward indicates the presence of an infection in the body. When palpating, there should be no painful sensations; the lymph nodes have a dense structure and can be easily moved. These signs indicate a person’s normal condition and do not require additional examinations.

The main symptoms of enlarged lymph nodes in a child are:

  • pain on palpation;
  • tuberosity;
  • looseness;
  • acquiring an irregular shape.

Sometimes the surrounding skin becomes inflamed and turns red. In some cases, the nodules enlarge so much that they become visually visible.

Changing the size of lymph nodes

At an appointment with a pediatrician, if there are complaints, the doctor will definitely examine the lymph nodes. If the enlargement of the cervical lymph nodes in children occurs by more than 1 cm, and the inguinal lymph nodes by 1.5 cm, then it can be argued that there is an inflammatory process in the body.

Even in children under one year old, the size of the nodules changes during illness, but they are so small that it is not always possible to palpate them. During the fight against foreign cells, lymphocytes are activated and begin to fight. If there are a lot of pathogenic bacteria and the body cannot cope, then the lymph nodes increase in size.

In children under 3 years of age, a slight enlargement of the lymph nodes is acceptable due to an imperfect immune system. If there are no other manifestations of inflammation, then there is no need to treat the child.

Where are the lymph nodes located?

In children, lymph nodes are located in the same places as in adults. The largest group is called the cervical lymph nodes - they are located in the following places:

  • on the back of the head;
  • behind the ears;
  • above the collarbone;
  • under the lower jaw;
  • on the chin;
  • in the top;
  • behind the neck.

In addition, nodules are located throughout the body:

  • under the collarbone;
  • armpits;
  • on the chest;
  • at the elbows;
  • in the groin;
  • under the knees.

Thus, the lymph nodes actively collect unnecessary substances and cleanse the entire body. Each cluster of lymphocyte producers is responsible for its own part of the body. Therefore, enlarged lymph nodes in a child help doctors determine what is happening in the body.

Reasons for the increase

The reasons for enlarged lymph nodes in children can be different, most often there is nothing dangerous about it. The body fights viruses and launches the immune system. But prolonged or excessively swollen lymph nodes may indicate serious problems. The main reasons for changing nodes:

  1. The increase occurs due to hormonal changes, active growth, and the development of the immune system. The condition is typical for children under 3 years of age and adolescents.
  2. After scratching cats and introducing bacteria into the wound. The condition of lymphadenitis occurs.
  3. When immunity decreases due to past infections, in the autumn-winter period, with chronic diseases.
  4. During teething, with diseases of the oral cavity.
  5. Due to hypothermia.
  6. Mononucleosis occurs when the Epstein-Barr virus is present in the blood and is characterized by a severe increase in nodes in the neck.
  7. For oncological tumors.
  8. For diseases of the thyroid gland.
  9. During autoimmune diseases, in which the body treats its own cells as foreign.
  10. If a bacterial, viral or fungal infection is detected.

Enlarged lymph nodes in the neck

The cause of enlarged lymph nodes in the neck in children may be infectious diseases of the upper respiratory tract or throat. Changes can occur with a cold or acute respiratory viral infection, but sometimes this is a sign of measles, rubella, or influenza. Therefore, if symptoms of the disease appear and lymph nodes are enlarged, a pediatrician’s consultation is required.

When the nodules on the neck enlarge, palpation can reveal a pea with a diameter of more than a centimeter. This causes pain when pressed. With severe inflammation, the diameter of the peas reaches the size of a chicken egg.

Typically, lymph nodes do not enlarge without additional symptoms:

  • increased body temperature;
  • weakness;
  • headache;
  • joint pain;
  • drowsiness;
  • digestive disorders.

But if there are no signs of illness, you should still consult a doctor to find out the cause of the enlarged lymph node in the child.

The main diseases in which changes in the lymph nodes occur:

  • tonsillitis;
  • pharyngitis;
  • periodontitis;
  • gingivitis;
  • candidiasis;
  • tuberculosis;
  • rubella;
  • viral infections;
  • allergic reactions;
  • purulent wounds on the head.

With enlarged nodes in the neck, in some cases there is pain when swallowing, discomfort when turning the head, and swelling of the neck. If large nodules appear on the neck, it is necessary to show the child to a pediatrician to find out the cause of enlarged lymph nodes in children. Self-treatment is unacceptable, as it can blur the symptoms and make it more difficult for doctors to make a diagnosis.

Changes in inguinal lymph nodes

Enlarged lymph nodes in a child’s groin indicate an inflammatory process. The reasons for changes in lymph in the groin are the following diseases:

With a decrease in immunity, the lymph nodes enlarge even with colds and acute respiratory viral infections. A slight change in size does not cause inconvenience, but the nodules can reach several centimeters in size, and the child will encounter the following inconveniences:

  • heaviness in the groin area;
  • pain when walking;
  • skin redness;
  • local increase in body temperature.

When a purulent process appears, the following symptoms may be added:

  • increase in general body temperature;
  • the appearance of fistulas in the skin, from which purulent contents come out;
  • headache;
  • signs of intoxication;
  • severe pain when pressing;
  • immobility of the lymph node.

With such signs, the child must be urgently shown to a doctor for diagnosis and treatment.

Abdominal lymph nodes

Enlargement of the abdominal lymph nodes in a child indicates that inflammation has begun in the abdominal cavity. When foreign substances enter the body, they cause the production of lymphocytes. For this reason, the nodes increase. Sometimes inflammation begins in one or more lymph nodes.

Inflammation is not an independent disease. This is an indicator that not everything is fine in the body. Enlarged mesenteric lymph nodes in children cannot be diagnosed without laboratory tests.

The reasons for enlarged nodules can be various:

Symptoms may not appear for a long time. In acute cases, acute pain begins, the patient cannot always determine where exactly it hurts. When diagnosed, it can be confused with appendicitis if the pain is localized in the lower abdomen. Symptoms that are characteristic of many diseases occur:

  • temperature increase;
  • abdominal discomfort;
  • diarrhea;
  • tachycardia;
  • liver enlargement;
  • nausea.

If the lymph node begins to fester, this can lead to serious consequences. In the chronic form, the symptoms are invisible or absent, so the child’s parents do not immediately consult a doctor.

This pathology is typical for children aged 6 to 12 years; boys are affected more often than girls. If a child's lymph nodes become enlarged and pain occurs, it is necessary to show the child to a pediatrician. If left untreated, there is a risk of peritonitis due to suppuration of the nodules.

Inflammation of the lymph nodes

Sometimes lymph nodes become enlarged without other signs of disease and do not shrink further. In this case, the child will be diagnosed with an adenovirus or one of the herpes viruses, including cytomegalovirus, Epstein-Barr, which is the cause of a disease such as mononucleosis.

A frequent complaint from parents is that the immune system is developing more often, and therefore an increased number of lymphocytes may be a normal reaction. Most likely, with age, the nodules behind the ears will return to their original size without treatment. To control and exclude inflammation, it is enough to conduct a general blood test with the calculation of the leukocyte formula 2 times a year.

Treatment

When lymph nodes are enlarged in children, treatment is not always required. The main indicators of inflammation are increased levels of leukocytes and ESR in the blood. If the node has increased significantly and does not disappear within 5 days, then consultation with a pediatrician is required. Treatment is necessary in the following cases:

  • the child has enlarged several groups of lymph nodes;
  • the bulge has become dense;
  • within 5 days the nodes do not decrease;
  • acute pain when palpated;
  • skin redness;
  • elevated temperature;
  • rapid increase in nodules.

After the diagnosis and examination, the doctor prescribes medications aimed at relieving inflammation. Lymph nodes are often enlarged in children, but at home you should not independently determine the degree of danger. The child must be shown to a pediatrician. If pus is detected, a lymph node biopsy may be performed.

Treatment methods for inflamed lymph nodes are as follows:

  • antiviral drugs;
  • chemotherapy for malignant neoplasms;
  • antihistamines;
  • surgical intervention if other methods are ineffective.

Prevention and reviews

Enlargement of lymph nodes during illness cannot be avoided. But there are a number of actions that prevent lymphadenitis:

  • compliance with hygiene rules;
  • treatment of wounds and scratches, especially those received from animals;
  • strengthening immunity;
  • hardening;
  • proper nutrition;
  • taking vitamins;
  • keeping a sufficient amount of fruits and vegetables in the diet;
  • undergoing preventive medical examinations;
  • avoiding hypothermia;
  • Timely visit to the dentist to exclude oral diseases.

Inflamed lymph nodes in the neck may not always be a consequence of a child’s harmless blowing. In some cases, the phenomenon may be a sign of a serious abnormality that requires immediate consultation with a specialist.

The article below will teach parents how to independently diagnose enlarged lymph nodes in a child, and will tell about possible consequences and will tell you which doctor and how soon it is best to contact, in order to avoid a protracted course of the disease.

Lymph nodes in human body are responsible for cleansing the lymph continuously circulating through the vessels. The need for timely diagnosis, as well as finding out the reason for the increase in this kind of “filters” is due to the vital work they perform. important function

in the body, including children.

circulatory system

disruption of normal metabolic processes.

Diagnosis of inflamed lymph nodes in the neck in children

It is possible to determine enlarged lymph nodes in the neck at home by examining the child externally and checking the site of potential inflammation for pain. First of all for primary diagnosis the presence of “deviations” in the area under consideration must be assessed appearance

neck. If you detect “suspicious” redness or “bulging” areas, lightly press on the inflamed areas, paying attention to the degree of their hardness and the child’s reaction associated with possible painful sensations

upon palpation of enlarged lymph nodes.

In the vast majority of cases, with the development of lymphadenitis (inflammation of the lymph nodes) in the cervical region, the parent will be able to detect “balls” with a diameter of up to 5 centimeters or more on the examined area of ​​the body. Enlarged lymphatic “filters” become hard to the touch, and when you press on them, the baby will most likely complain of sharp pain

Sizes of lymph nodes: norms and deviations

Normally, in a healthy child, the diameter of the lymph nodes varies from 0.5 to 1 centimeter. After the postponed infectious disease in some cases, the weakened body of a small person “gives a reaction” in the form of their increase to 3 or more centimeters.

This process, which is considered natural and does not require further treatment, is known among qualified specialists as lymphadenopathy. This state of lymphatic “filters” can persist for a long time (up to a year), or can remain for life, without causing any discomfort to the child.

The following should be cause for concern and immediate consultation with a specialist:

  • “poor” general blood test against the background of an enlarged “filter node” in the neck;
  • dysfunction of the lymph nodes identified during ultrasound examination;
  • progressive increase in height inflamed lymph node or a sharp increase in pain upon palpation.

Symptoms of inflammation of the lymph nodes

Inflamed lymph nodes in a child’s neck can be identified not only by direct examination, but also by analyzing changes in the child’s behavior or well-being.

Significant changes are observed in the child’s usual behavior when an inflammatory process occurs in the lymph nodes, the following appears:

  • weakness, lethargy;
  • apathy, drowsiness;
  • loss of appetite due to painful sensations when swallowing food;
  • headaches or toothaches;
  • elevated body temperature.

If one of the listed symptoms is detected, indicating a progressive disease in the child’s body, parents should immediately check the condition of the lymph nodes on their child’s body.

How to treat lymph nodes in a child’s neck

Inflamed lymph nodes in a child’s neck can be treated only if the cause of their occurrence is correctly determined. In most cases, it will be sufficient to use folk remedies and follow the doctor’s recommendations for taking antibacterial or antiviral drugs within 7 - 10 days.

However, in more serious cases or in the absence positive dynamics in a state of swollen lymph node, Physical treatment and, in rare cases, even surgical intervention may be required.

Drug treatment of enlarged lymph nodes

Drug treatment of enlarged lymph nodes implies a primary determination of the nature of the disease that provoked their inflammation. In case of detected bacterial infection affecting the ENT organs, the child will be prescribed antibacterial drugs, in the form of suspensions, tablets or syrup.

If a viral disease is detected, it would be advisable to take antiviral drugs, for example, Anaferon, Ergoferon and others.

If the type of therapy under consideration is ineffective in relieving the inflammatory process of the lymphatic “filter,” the doctor may suggest other, more serious methods of eliminating system dysfunction.

UHF therapy

UHF therapy is a physiotherapeutic method of treating inflammatory processes in the cervical region of a child using ultra-high frequency electromagnetic fields.

The heat generated by the medical device penetrates deep into the subcutaneous layers of muscle tissue, providing anti-inflammatory, regenerating and anesthetic effects. The average duration of the procedure varies from 5 to 15 minutes

, depending on the build of the small patient and the “neglect” of the disease. This time, even at its maximum, is acceptable for the child to remain motionless with electrode plates attached to his neck.

Surgical intervention Surgical intervention to solve the child’s health problem under consideration is extremely rarely prescribed. This fact due to the need to perform the operation under general anesthesia

, a difficult child's body, weakened during a progressive inflammatory process.

If the doctor discovers that the affected area of ​​skin on the neck has become suppurated, special manipulations are carried out to open the purulent focus.

Having removed the non-functioning parts of the lymph nodes and the pus accumulated in this area, the surgeon treats the “working” surface and then carefully applies a suture.

If necessary, a medical tube may also be placed in the operated area to suck out any remaining pus from the inflamed area. Treatment of enlarged lymph nodes with folk remedies Despite practical evidence of the effectiveness of treating enlarged lymph nodes

folk remedies

  • , they must be used exclusively in combination with medications prescribed by qualified specialists.(pour 2 heads of garlic into 5 cups of boiling water and leave for 3 days, stirring the resulting mixture in the mornings and evenings - 2 times a day. The dosage of the resulting tincture for a child is 0.5 - 1 teaspoon 3 times a day, 2 hours after meals);

  • blueberries(pour fresh berries warm water in a ratio of 1:5, crush and leave for 3 hours. Due to the maximum naturalness and “gentle” properties of the main ingredient, you can take the resulting mixture in as much quantity as the child wants);
  • chamomile leaves(Add 1 tablespoon of chamomile flowers to 200 ml of water and bring to a boil. After “keeping” the tincture on the fire for 10 - 15 minutes, you need to cool it, thereby allowing it to “infuse”. The child will need to gargle with the resulting solution every 1 - 3 hours before visible improvements occur).

What not to do if you have swollen lymph nodes

To avoid complications and sharp deterioration condition of the child, parents with lymphadenitis are highly discouraged from:

  • warm the affected area;
  • rub or massage the inflamed node;
  • give the child medications or independently prescribe compresses, physiotherapy, and so on.

Otherwise, infectious “causative agents” of the inflammatory process will sharply become more active in their spread throughout children's body, affecting organs, circulatory and nervous system and even the brain.

When and which doctor should you contact?

If you find swelling in your child’s neck, you should contact him as soon as possible. pediatrician, phthisiatrician, infectious disease specialist, endocrinologist, surgeon, oncologist or hematologist for advice.

These specialists will be able to correctly identify the cause of the tumor, determine the degree of its danger to the life and health of the baby, and prescribe competent treatment, affordable modern methods diagnosis of this type of disease.

Possible complications of inflammation of the lymph nodes

If you fail to apply in a timely manner medical care or ill-prescribed treatment of lymphadenitis in children, the likelihood of complications increases several times, in particular:

  • weakened immunity;
  • febrile conditions;
  • purulent inflammation affecting nearby lymph nodes, muscles and skin;
  • spread of “swelling” to the face and other sides of the neck;
  • a sharp increase in body temperature that is not amenable to antipyretic drugs;
  • the emergence and development of neutrophilia.

Prevention of inflammation of the lymph nodes in a child

To ensure that the child never experiences inflammation of the lymph nodes, parents It is necessary to follow the basic rules for preventing the occurrence of lymphodenitis and accustom your child to this:

  • undergo preventive examinations not only by a pediatrician, but also by highly specialized specialists, in particular a dentist and otolaryngologist, who can, if necessary, prescribe additional examinations in order to confirm or refute the presence of inflammation of the “filtering” node;
  • clean and rinse regularly by special means the oral cavity, namely teeth, tongue, cheeks and gums;
  • avoid hypothermia and prolonged exposure of the child to drafts;
  • minimize the frequency of the child’s “collision” with potential allergens;
  • strengthen the body different ways, in particular, consume as many vitamins as possible, lead healthy image life, harden.

Inflamed lymph nodes in the neck may indicate both a natural “post-infectious” process suffered by the child’s body and not requiring treatment, or the presence malignant neoplasms. Timely diagnosis and clarification of the cause of inflammation, as well as the prescription of correct treatment are guarantors favorable outcome the situation.

Video about inflammation of the lymph nodes in children, causes and methods of treatment

Enlarged lymph nodes in children, opinion of Dr. Komarovsky:

How to treat inflammation of the lymph nodes:

Since the lymphatic system is an integral part of the general immune system, failures in its functioning system indicate the presence of an inflammatory process. The reasons vary, from harmless to serious pathologies. Next, we will consider what the lymph nodes in a child’s neck are, why they become inflamed in children and how this manifests itself, diagnosis and treatment of pathologically altered tissues.

Lymph nodes in the neck in children are located anatomically in the same way as in adults. There are many of them, they are arranged in six groups responsible for individual organs and fabrics. So, the following lymph nodes are identified in the neck on the left and right sides:

  • submandibular;
  • chin;
  • parotid;
  • retropharyngeal (located on the back of the neck);
  • supraclavicular and subclavian.

Their location indicates which organs they control: ears, throat, sinuses, tongue and mouth. thyroid gland etc.

Some groups of lymph nodes can be palpated in a baby even in healthy condition, because they are located close to the skin (submandibular). Where the supraclavicular and subclavian nodes are located in a child cannot be determined with the naked eye, since they are considered deep.

The lymph nodes in a child’s neck are designed to protect the body from penetration infectious agents(viruses, bacteria, fungi). Since the lymphatic system consists of immune cells– lymphocytes – at the slightest pathology in the body, they begin to multiply intensively, so the lymph node in the neck increases in size and a lump appears.


Reasons for changes in lymph nodes in a child

  1. Infections of a bacterial, viral or fungal nature. Getting through Airways, infections cause diseases of the ENT organs (tonsillitis, pharyngitis, tonsillitis, rhinitis, sinusitis, sinusitis, otitis, inflammation of the adenoids), acute respiratory viral infections and acute respiratory infections, influenza or common cold. With these diseases, the lymph nodes become inflamed.
  2. Autoimmune diseases in which the immune system perceives own cells as foreign. Such diseases include autoimmune thyroiditis (Hashimoto's disease), systemic lupus erythematosus, vitiligo, diabetes, allergic reactions. In these cases, an enlargement of the lymph nodes in the neck is observed.
  3. Pathologies of the thyroid gland ( toxic goiter, hyper- and hypothyroidism, thyrotoxicosis, iodine deficiency).
  4. Oncological diseases lymphatic system or other organs.
  5. Mononucleosis is an infectious disease caused by the Epstein-Bar virus. The first symptom of this disease is severe enlargement of the lymph nodes in the neck in children. They become so large that they are visible to the naked eye.
  6. Hypothermia and situations in which the units are blown through by a draft or air conditioning.
  7. Dental diseases (caries, periodontal disease, periodontitis, inflammation of the root system), teething in infants.
  8. Decreased immunity against the background chronic diseases, seasonal vitamin deficiency and for other reasons.
  9. Scratching from animals such as cats can spread bacteria such as Bartonella. It causes an inflammatory process in the wound in a child, and, as a result, lymphadenitis. In this case, any group of cervical lymph nodes can become inflamed.
  10. Disease of the lymph nodes in the neck of a child, which is not associated with diseases. This condition is observed in children under 3 years of age and in adolescents during puberty. Associated with changes in organs and systems, with the growth of bone tissue, as well as hormonal instability.

Symptoms of malfunction of children's cervical nodes

Symptoms boil down to inflammation of the lymph node; a lump forms on the child’s neck, which is almost always visible to the naked eye. The skin in this area may become red and even hot. Pain appears at the site of inflammation when pressing on the lymph node and when moving the neck.

Associated symptoms depend on main reason, which provoked the development of the disease.

If an infection occurs with harmful microorganisms, the throat may hurt, a runny nose and cough, and tingling in the ears. Body temperature rises, with sore throat and flu it reaches high levels, up to 40 degrees. With mononucleosis there is a very big boss on the neck, which indicates an acute inflammatory process, the child also has a strong fever due to the high temperature, and there may be vomiting.

In case of dental diseases, the baby’s nodes will be swollen, and the pain will be localized, in addition to the lymph node itself, in the oral cavity. At the same time, teeth and/or gums hurt.

Pathologies of the thyroid gland are accompanied by specific symptoms, which are expressed in an increase in the tissues of this organ, hormonal imbalance. Children with an unhealthy thyroid gland are overly active, excitable and irritable, and tearful.

If there are no symptoms other than inflammation in the lymph nodes, this indicates that the nodes are simply blown. But diagnosis is still necessary to exclude serious pathologies. After passing the tests and general examination appropriate treatment has already been prescribed.

Which doctor should I contact?

Which doctor treats swollen lymph nodes in children? First, you should visit your pediatrician. He will hold initial examination. As a rule, this is enough to diagnose the underlying disease and identify the real reason disorders of the lymph nodes in a child

If the pediatrician suspects serious pathologies, he refers you for additional examinations to an endocrinologist, neurologist, dentist or oncologist.

Diagnostics

If there are signs of an infectious disease (red throat, runny nose, cough, fever), then additional diagnostics no lymph nodes required. In other cases, when the exact cause of the inflammatory process is not clear or it does not go away for a long time, you need to undergo a series of studies:

  • blood tests (general, biochemical, sugar);
  • examination of the oral cavity by a dentist;
  • Ultrasound of the thyroid gland and lymph nodes in the neck;
  • fine-needle biopsy (puncture) of the lymph node.

After determining the cause, the doctor will tell you how to cure it. cervical lymph nodes.

Treatment methods for cervical lymph nodes

Because cervical lymphadenitis in a child is not an independent disease, then treatment is carried out depending on the cause that caused it. Once it is eliminated, the lymph nodes will also return to normal.

Infectious diseases of various origins, causing disorders of the lymph nodes, are treated with complex antibacterial (Amoxicillin, Flemoxin Solutab, Hemomycin, Bicillin, etc.) and antiviral (Kagocel, Arbidol, Oscillococcinum) drugs, and if available fungal infection tissues - then antimycotic agents (Nystatin, Fluconazole, Clotrimazole).

Doctors prescribe gargling, since most cases of pathological cervical lymph nodes in a child are associated with inflammation of the throat. For rinsing, use furacillin, chamomile, calendula, Rotokan (a mixture of herbs), and oak bark. A solution of soda, salt and iodine is suitable, pharmaceutical drugs Betadine and Stomatidin.

In case of dental diseases, complete sanitation of the oral cavity is sufficient for the cervical lymph nodes to return to normal.

For elimination chronic infections, that is, to relieve an exacerbation, immunostimulants and immunomodulators are used. This is Ingavirin, Viferon, children's Arbidol, Cycloferon, Anaferon for children and herbal preparations– Immunity for children, Echinacea.

In case of thyroid pathology, hormone replacement is required, iodine preparations And antioxidant vitamins(E, A, C).

It is forbidden to warm the neck of babies. If available purulent process in the lymph node, then heating will greatly aggravate the process. Pus can also be located between the cervical lymph nodes, in which case heating provokes phlegmon or an abscess - the spread of pus to neighboring tissues. These conditions are extremely dangerous and require surgical intervention.

At home, you can use iodine mesh (for children over 6 years old), “Zvezdochka” balm, Vishnevsky and Ichthyol ointment, but only after a medical diagnosis and with the permission of a doctor, since these products have contraindications.

Treatment infant and children under one year of age is difficult, since they cannot take many medications, such as antibiotics. In this case, the doctor will most likely prescribe medications traditional medicine and will tell you how to treat inflammation so as not to harm the baby.

In children, the cervical lymph nodes become inflamed quite often. In some cases, pathology is caused by diseases that do not pose any danger, and sometimes the inflammatory process is associated with serious disorders. Therefore, as soon as a lump on the child’s neck in the form of an inflamed node is discovered, you should immediately contact medical institution For complex diagnostics, after which treatment is prescribed.