What should I do if multiple low-lying small intestinal mesenteries are visible in the abdomen of a 4-year-old child?

Patient's question:

Children's abdominal mesentery shows multiple hypoechoic masses, the larger ones being about 1.10.5cm. The sound suggests it is lymph nodes! Which type of medicine can treat this? Is it necessary to receive intravenous fluids to treat it? Thank you!

Doctor's answer:

The mesenteric region contains multiple lymph nodes arranged in a row. On magnetic resonance imaging, those smaller than 1.2 cm can fuse, and clinical symptoms can confirm lymphadenopathy. Lymphadenopathy is a manifestation of inflammation in the lymph nodes and should be treated with antibiotics. Penicillin-based antibiotics are generally used, and cephalosporins can be used for those allergic to penicillin. Treatment can be decided between oral medication and intravenous therapy based on the severity of symptoms. For your child, the lymph nodes in the mesenteric region are relatively large, measuring 1.1x0.5 cm. The magnetic resonance report may state "lymph nodes are visible in the mesenteric region." If there are no symptoms, no intervention may be necessary.

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