Seeking opinion for 9 m 19 d baby girl.

Hi. The neck lumps could be anything, but most commonly in very young kids they're secondary to an infection of the throat, as in viral cold, or scalp dandruff. Since you didn't post a photograph, it's hard to say because the location, size and consistency is often suggestive of underlying etiology. Generally the swelling subsides in 2 weeks, you only need to get it evaluated if it's growing in size, looks red or tender, or hasn't subsided by then.

wait and watch

Hello parent! A weight of 6.25 kg at 9 months plus age is definitely low and needs work up. It will be helpful to know her height and past weight and height too esp the birth details The Ig A levels increase with age and normal reference values for 7-12 months are between 21-37 mg/ dL. So we need to check against age specific values, which appears normal. We do this test to interpret serum tTGA antibodies- It’s a marker for coeliac disease but then I am assuming that the child is adequately exposed to wheat protein / gluten. I feel you could go for the test since Ig A total values are normal. The bicarbonate level is at a borderline low. It’s done to check for Renal Tubular Acidosis but will require a look into the original reports to comment on it further since it requires extensive work up along with relevant data in history The lumps in the neck could be related to lymph nodes inflammation The baby definitely needs more work up I don’t want to label anything here since information provided is inadequate. A picture of neck swellings with the reports will be helpful

Need more information

A basic blood work up including hemogram, ESR, T4 and TSH, urine routine, stool routine, serum ALK phosphatase, serum creatinine, serum calcium, fasting phosphate, and XRay chest PA should be done additionally together with history for any chronic illness. This are basic tests

Consult with Pediatrician physically for further evaluation and treatment

Go for montaux test and chest x ray