Dear Mr. and Mrs. Macfarlane-
Thank you for your question.
It can be very upsetting as a parent to follow your child's
swollenSwollen glands glands. But I can assure you that in most cases,
swollenSwollen glands glands represent a
normalNormal saline flush, healthy body response to either infection or inflammation. Lypmh glands (or
nodesLymph node biopsy
Swollen glands
Swollen lymph nodes in the groin
Swollen lymph nodes under arm) are the body's filter system which become
enlargedEnlarged adenoids
Enlarged prostate when there is any kind of an insult - like a cold or other illness, or, an insect bite or other local irritation. We call these nodes "reactive nodes" - and often end up following them for months. We watch them get smaller, and then sometimes get bigger.
As long as your child is healthy - and his blood work is normal - then, probably these nodes do represent a normal response. I would suggest a screen for tuberculosis - just to rule that out - and maybe, repeat bloodwork if it has been months since last done. Ultimately, your child's doctor who has the best perspective, medically speaking, since he/she sees your child physically over time. Perhaps - if you feel strongly, a second opinion from another Pediatrician, or even from a Pediatric surgeon, would reassure you that all is really well.
Again, most swollen lymph nodes/glands do represent a normal process and reflect a normal functioning immune system.
Hope this helps -- Dr. EV