Patient's question:
Pain, sometimes above the navel, sometimes below the navel, accompanied by fever. It started in mid-October 2009 with intermittent pain that went away after a while. Recently, the pain has become more frequent. After receiving intravenous saline for 2 days, the pain still persists.Previous treatment and outcomes: On December 5, 2009, I went to the hospital for an ultrasound and found a lymph node measuring 20mm x 7mm. The doctor recommended receiving intravenous saline for 3 days before another ultrasound for a thorough examination. However, after 2 days of intravenous saline, my daughter still reported pain and said she couldn't do her homework when it hurt.
What kind of assistance is needed: Is this a normal phenomenon? Should an ultrasound also be done below the navel?
Doctor's answer:
Inflammation of the gastrointestinal tract can lead to inflammation and swelling of the abdominal lymph nodes, and generally, it is not likely to cause any serious problems. Pediatric mesenteric lymphadenitis is a common inflammation in children. It is generally believed that it is caused by the blood-borne transmission of streptococci or viruses after upper respiratory tract infections (i.e., after a cold), while others believe it is related to intestinal inflammation and parasitic diseases.Recommendations: It is most commonly found at the terminal ileum (clinical manifestations include right lower abdominal pain, periumbilical pain, etc.). The lymph nodes appear multiple and congested, swollen. There may be a small amount of inflammatory effusion in the abdominal cavity.