Symptoms of mesenteric lymphadenitis

summary

Mesenteric lymphadenitis is one of the common causes of abdominal pain in children. Clinically, it is easily confused with acute appendicitis. It is more common in children under 7 years old. Most of the cases are viral infection. It often occurs in the third winter and Spring Festival. It is often complicated in the course of acute upper respiratory tract infection or secondary to intestinal inflammation. The typical symptoms are fever, abdominal pain, vomiting, and sometimes diarrhea or constipation. Epidemiology: boys are more than girls in clinical reports, especially in winter, spring and Spring Festival. It is often complicated with upper respiratory tract infection or intestinal infection, and has a gradually increasing trend. Tell us about the symptoms of intestinal lymphadenitis.

Symptoms of mesenteric lymphadenitis

Mesenteric lymphadenitis is often associated with upper respiratory tract infection. Its clinical manifestations are fever, abdominal pain, vomiting, or diarrhea or constipation. Abdominal pain is sometimes like colic in the right lower abdomen, but also in other parts, so it is easy to be misdiagnosed as acute appendicitis, and it is only proved as mesenteric lymphadenitis during operation.

The most sensitive part of tenderness may be different from each physical examination. The tenderness part is close to the midline or on the high side, which is not fixed in acute appendicitis. The degree of tenderness is milder than that of acute appendicitis, with less rebound pain and abdominal muscle tension. Occasionally, a small nodular mass with tenderness can be found in the right lower abdomen, which is an enlarged mesenteric lymph node. Some children may have intestinal obstruction and should be observed.

Acute mesenteric lymphadenitis should be considered in younger children with similar clinical symptoms as appendicitis, but with mild condition and no abdominal muscle tension. Acute mesenteric lymphadenitis should be considered in children with fever, abdominal pain, vomiting and upper respiratory tract infection, or after intestinal inflammation without abdominal muscle tension.

matters needing attention

Mesenteric lymphadenitis in children is a common complication of many viral infections, so don't worry too much. Pay attention to light diet, easy to digest, frequent pain attacks, it is recommended to eat porridge and other semi liquid or even liquid diet, avoid overeating.