What should I do if my child's submandibular lymph nodes are swollen and painful?

Patient's question:

The child has been in poor health since birth. Since childhood, whenever they catch a cold, their submandibular lymph nodes would swell. At that time, it was always thought that the swelling was caused by the cold because they took anti-inflammatory medication and had anti-inflammatory injections, and the lymph nodes would then improve. The child's body resistance improved significantly by the time they were around three to four years old, but at least they caught colds more frequently! Currently, the child has a poor appetite, and the submandibular lymph nodes are swollen more than before, and they are multiple. The child also mentions some slight pain. Blood tests always show high white blood cell counts, and it is unclear what to do about this situation.

Doctor's answer:

The child has been prone to recurring colds since childhood and often experiences swollen submandibular lymph nodes. In this case, the first consideration should be whether it is caused by tonsillitis. Based on your description, you are experiencing this condition again, which may still be due to tonsillitis leading to lymph node inflammation. It is best to have a thorough examination to check for any enlarged tonsils. Wishing the patient a speedy recovery!

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