How to Treat Periumbilical Pain in Children

Patient's question:

Age
Detailed medical condition and purpose of consultation: Periumbilical pain (discomfort), during pain, an irregular hard lump can be felt above the pubis with the hand, moving with the hand's movement. When not in pain, the child appears normal, without any lump. It has persisted for about 3 months, hoping for a definitive diagnosis.
Onset and duration of this episode: 6:20 AM, 9:10 PM, lasting 20 minutes.
Current general condition: Pain in the morning and evening.
Medical history: None
Previous diagnoses, treatments, and outcomes: Growing pain, intestinal spasm, gastritis, abdominal lymphadenopathy

Doctor's answer:

This situation should be considered as possible mesenteric lymphadenitis. It is often caused by local exposure to cold, or consuming excessive snacks and cold foods. It commonly presents with periumbilical pain, and sometimes diarrhea or constipation may occur. It is recommended to pay attention to dietary regulation, ensure local warmth, avoid cold foods, and limit snack consumption to develop good eating habits. Medications such as Ji Nei Jin, Multi-enzyme Tablets, and Belladonna can be used for treatment.

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