hi smurf28,
thks for the reply. yup, doc did mention her body coudl be fighting for some infection. but my gar dun look sick and not sick during her 9mth but node still can be felt. she is somemore on ebm.
An updates:
We have decided to bring my gar to the PD at CCK kidlink (third option) for her lymah node. We just walk in without any appointment bec even I called in 1 week in advance to book the appointment, it was full. so we reached there at 1210hr hoping to be the last patient before the clinic closed. this was my first time bring my gar to see a PD. we were the last 3 patients. wow, the doctor charges the consultant fees by timing. eg less than 10 mins = $40-$60. if more than 10 mins but less than (forgotten liao) will be $50- $100. still got prescribe fees of $10 on top of that.
The PD at kidlink checked the lymph node. He checked all the lymah nodes (neck,armpit and groin area) in her body. PD mentioned that the lymah node on her right side is very tiny (so dun worry) but it is 'unique' that her left side has double lymah node- meaning that on my usual 1cm node, there is another very small size node beside it. for her case, he advised us to monitor for another 3 mth to see if the size increase or not (size matter but not it did not matter if lymph node can be felt or not....it is the size....only but for my case, the node is rather small only 1cm) and also asked us if she encountered with any ppl in the house for chronic illness (coughing) or any pet. we told him there isn't except during cny, my gar only did encounter with my sil's chihuahua only during cny time but at that time, she already had lymph node (can felt type) during her 9 or 10 mth time. PD also said that some children lymph node is like that, it can be a lifetime case and there is no life threatening case. he gave 2 suggestion whether my parents wanted me to go for blood test and chest xray or just remove the lymph node for study. but afterall, he adviced was to monitor for another 3 mth as my case is not that serious cos her node is small. even the blood test and chest xray were not 100% accurate in the testing and nothing might not be found. of cos, by removing the node will be more accurate case as testing can be done to see if the node is beige or not. we did ask the side effect for the removal of the node. the doc said no life threatening and also removing one node no different cos our body got tones of lymph node.of cos, we disagree to remove the node from the neck.
my col also have this case, he also refered to a specialist at TSS. the specialist also gave him 2 choice either go for surgery or monitor. he said siao anyhow, remove the node (no pain nothing) what if it turned out to be nothing then later got side effect how. so he chose to monitor.
Another Mummy removed her lymph node at her armpit as she felt uncomfortable and doctor advise her to remove as she scared it might be breast cancer type.
Just to recall the comment made by polyclinic doc (2 different doc) and KKH A& E doc.
KKH A & E doc - on 30/3, we took me to KKH A&E (as suggested by my mum bec my gar Lao Sai and no appetite etc. At that time, she had recovered from fever and vomiting for 3 days liao) and then 'shun bian' ask the doc abt the lymph node issue. KKH doc mentioned that all children has lymph nodes, it will go away and come again when there is infection and vice versa. so he told us not to worry for my case as my node is only 1cm. size is matter unless it is 2cm.
as for polyclinic doc (see doc on 17/3), they mentioned it is 1.5cm for my gar's lymph node. she was given 5 days of antibiotic(yellow liquid). then the next doc review (see doc on 27/3) again, she was extended to another 5 days with double dose (2 x2.5ml thrice a day). in total, she only completed the 9 days out of 10 days course of antibiotic bec on the 10th, she vomitted, lao sai, fever and a bit runny nose (few days ago already runny nose but was on runny nose medicine liao). so she had stopped taking the anitiobiotic on the last day of the course. doc said, if the antibiotic work, then it will work on the first dose. so the doc just told us to focus esp on her fever first etc instead of the node. node now will be not accurate as she was sick then. so she will be given another doc review again on 25/4 (think won't be gg to polyclinic as we had brought her to PD). another doc said, if antibiotic did not have any effect then she will have to go for blood test or refer to specialist.
Comment from Papa: dun even want to take her to PD and say her node seems to be smaller. but I still insist to bring me to PD.
Comment from my mum: Just leave it lah, when she grew up, node will go off.
Comment from my Col (last time): Get a 2nd advice from PD since polyclinic doc and KKH doc did seem to do anything.
my col herself also go for a minor surgey, just a small cut on her neck area (her neck swollen) and doc scrapped out tissue for testing. then doc placed plastic on her neck only and wound heal few days later.
Pondering if you were me, what would u do? Am scratching her head for an answer??