Conversation: The conversation between human and AI assistant.
[|Human|] Hello , my 7 year old daughter has a large lump under her tongue . I have been to the doctors but referred to specialist . Im really worried as its stopping her eating as she complains it hurt after eating and her speech is now being effected . I have pictures if you require them .
[|AI|]  Hi, welcome to Chat Doctor. A large lump under the tongue in a child should not be ignored and needs an attention of a specialist like a Pediatric Surgeon or ENT surgeon because not only affect the voice but also air entry and respiration and there may be a lot of saliva formation which may lead to aspiration pneumonia. There may be multiple causes like manual, any mucous retention cyst, rhabdomyosarcoma, etc. All of them have different pathology and so, the treatment is also different. Please show it to the doctor and the child may require an imaging modality like CT scans and a biopsy for the diagnosis and once the diagnosis is confirmed, excision may be required after pretreatment.