Patient's question:
Starting from the age of 5 until now, it has been approximately every one and a half months. During the episodes, the patient experiences abdominal pain and continuous vomiting. The condition is relieved after 4-5 days of intravenous saline for anti-inflammatory and fluid replenishment. Is this likely to be inflammation of the mesenteric lymph nodes? How should it be treated?Details of the current episode and duration: October 8th, lasting for 5 days.
Previous diagnoses and treatment history and outcomes: The condition has been diagnosed as inflammation of the mesenteric lymph nodes in various major hospitals in the province and city. Apart from intravenous saline for anti-inflammatory and fluid replenishment, there has been no definitive treatment.
Auxiliary tests: Colonoscopy and gastroscopy were performed, both showing no abnormalities.
Doctor's answer:
Appendicitis is often caused by inflammation of the mesenteric lymph nodes due to colds or other factors. There are no special treatments for it; it is primarily treated with anti-inflammatory therapy. Intravenous fluids are slightly more effective and faster than oral medication. If you do not want to receive intravenous fluids, oral medication alone may be slightly less effective and slower.This child has had intermittent abdominal pain and vomiting for 3 years, but gastrointestinal endoscopy showed no abnormalities. Currently, appendicitis should not be considered alone. An electroencephalogram should be performed for further evaluation to rule out habitual vomiting and abdominal epilepsy.