Patient's question:
A 3-year-7-month-old child has swelling and pain in the left knee joint with fluid accumulation, and cannot straighten it. Over the past two days, the child has been applying cold compresses, and the swollen, painful knee feels less hot than before. However, the child has difficulty sleeping during naps due to leg pain and avoids walking in the morning. The child has Type 1 diabetes, and the doctor did not recommend an MRI at the hospital. The doctor suggested that the child rest for a week to see if the fluid accumulation can resolve on its own. I am unsure how to administer sedatives for an MRI to a child of this age.Doctor's answer:
According to the situation you mentioned, it is recommended to have a re-examination at the local hospital. If necessary, you can consider undergoing sedation for MRI. Generally, phenobarbital is used. Based on the situation you described, it is advisable to rest and avoid excessive exercise. Take preventive measures against cold exposure. Has the child had any local injuries in the past? Is the temporary living environment damp? Wishing the patient a speedy recovery!