Title: Second Opinion for My 4-Year old

2026-07-23 17:12:23
Hello Doctors, I need a second opinion regarding my 4-year-old son. About three months ago, I noticed a small, painless lump near his left ear in the parotid region. It was about the size of a chickpea. Over the next few weeks, it slowly became a little larger, but he had no pain, fever, weight loss, or any other symptoms. He remained active, playful, and ate normally. Our ENT doctor advised an ultrasound and FNAC. After the FNAC, the swelling increased, and pus/fluid developed. The doctor prescribed antibiotics, and the redness and swelling have reduced, but the lump is still present. The ENT surgeon has now recommended a small surgery to drain the pus and take a biopsy from the parotid gland. I am very worried because my son is only 4 years old, and I want to avoid surgery unless it is absolutely necessary. Could this still be an infection that may improve with medicines? Is a biopsy really necessary? Is it reasonable to get a second ENT opinion before surgery?
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As per attached report it is more sounds like active infection of parotid region Should continue antibiotics and get pediatrician opinion as well .
Next Steps
take pediatrician opinion with all current investigations report

Answered2026-07-24 05:32:03

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Antibiotics recommended. Further evaluation needed for management.
Next Steps
Consult Immediately

Answered2026-07-24 07:55:04

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It's active infection in parotid gland. Continue antibiotics. You can repeat USG after antibiotics n see for improvement.

Answered2026-07-24 06:28:01

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