Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 9 years old and a fairly healthy child. But for the last month or so she has had fever thrice coupled with loose stomach and once a throat infection. She recovers quickly. I have attributed this to changed weather , heat, swimming, school food. However today when I showed her to a doctor , he diagnosed her with swollen cervical glands and said it wud need treatment for 6 months or so and can lead to retardation in growth and tuberculosis . Pls advise.
[|AI|]  Hi welcome to Chat Doctor First part of history given by you is suggestive of recurrent infections, twice of gastrointestinal tract and once upper respiratory infections, most likely viral. Now the issue is of cervical lymph nodes and 6 months treatment. If I were your treating pediatrician I would like to examine and evaluate for the cause of enlarged cervical lymph nodes. Have you noticed earlier these enlarged lymph nodes or it is a new finding ? Size of lymph nodes?. Are they painful ? Is there fever this time ? Is there any family history suggestive of tuberculosis ? Depending upon history and examination and investigations we shall be able to lead to a conclusion what is the cause of enlarged lymph nodes. If there is short history it can be simply viral or bacterial infection, in later case will resolve with a course of antibiotics. Question of tuberculosis and 6 months treatment only arises if they are found to be tubercular. Has she been evaluated for that ? If found positive she can be cured with a 6-month course of antitubercular Chat Doctor. In my opinion she needs proper evaluation for cause of enlarged lymph nodes and to decide accordingly. You have not mentioned any investigation done. Previous episodes of fever do not seem to be related to lymph nodes enlargement. Do revert with these inputs to reach upon any conclusion. Hope I answered your query thanks