Enlarged mesenteric lymph nodes in children

Causes of mesadenitis in children # 8212; how to save a child from stomach pains

You should not be negligent about the baby’s complaints about discomfort and pain in the stomach, especially when the child has ARVI and has a baggage of chronic diseases.

Here, the cause of pain can be not only a simple disorder of the gastrointestinal tract, but also a more serious disease like mesadenitis in children. Therefore, we will consider in this article what a mesadenitis is, find out how it is diagnosed and treated.

What is mesadenitis?

The disease mesadenitis is inflammation of the lymph nodes located in the mesentery (abdominal fold of the intestine, through which the small intestine joins the wall of the abdomen).

As you know, the abdominal cavity contains about 500 lymph nodes, which do not allow infections to spread and take all the “fire”.

Thus, inflammation and even suppuration can be observed in the nodes. Such a disease, to a greater extent, is characteristic of children and adolescents.

Types of mesadenitis

Mesenteric lymphadenitis occurs in two forms.

Modern medicine calls them as:

  • acute form (acute nonspecific mesadenitis). A characteristic feature of this form is the presence of cramping pain;
  • chronic form (chronic mesadenitis). Its symptom is prolonged pain.

The disease is divided into several types.

The species identifies the pathogen:

Types of mesadenitis differ in the method of infection in the mesentery:

  1. The infection comes from another diseased organ (enteral penetration).
  2. The bacterium enters through the blood (lymph) from the damaged area (respiratory organs, appendicitis).

What factors may be the causes of mesadenitis

There are many examples when mesenteric lymphadenitis developed after a disease of the nasopharynx and respiratory canals (tuberculosis, pneumonia, acute respiratory infections, tonsillitis, infectious mononucleosis and others). In these examples, the infection enters the mesenteric lymph nodes through the blood. Though cases when it appears in an intestine through the phlegm which is getting to it are not excluded.

What are the symptoms characteristic of mesadenitis?

Each form of the disease is manifested by its symptoms of mesadenitis.

The following signs correspond to the acute form:

Chronic mesadenitis has mild symptoms.

The pain does not have a certain localization, it is spread throughout the abdomen and increases with heavy physical exertion and abrupt gestures.

Pain can be observed for weeks and for several months.

The tubercular form of the disease manifests itself in mild abdominal pain, weight loss, increased body temperature to 37.5 degrees.

Cough is sometimes observed.

How is disease diagnosed?

The diagnosis of the disease is determined by the following methods:

Feeling of the abdomen confirms the pain sensation near the navel and in the right lower abdomen.

There are no signs of tension in the abdomen.

These factors confirm the inflammation of the intestinal lymph nodes and distinguish it from appendicitis.

Sometimes only probing allows you to detect an increase in lymph nodes, and pressing on them provokes vomiting.

Additional ways to diagnose mesadenitis:

At the same time, it is important to understand that ultrasound examination data alone are not enough, since in children a node diameter of 5 mm is an acceptable norm.

What complications can a disease cause?

  1. The formation of peritonitis (purulent processes in the lymph nodes can lead to the appearance of abscesses in the abdominal cavity).
  2. Intoxication of the body (sepsis) due to the expansion of the area affected by the infection, and its entry into the blood.
  3. Expansion of the area affected by lymphadenitis with subsequent damage to all lymph nodes of the body.

Such complications can be met very rarely, and they manifest themselves to a greater degree in tuberculosis patients.

How to treat mesadenitis

Treatment of mesadenitis in children is performed by the drug method with the addition of UHF procedures. In this case, excitement, stress and exercise are prohibited.

Medications

Selection of drugs for drug treatment is carried out only on the basis of diagnosis. It allows you to determine what kind of disease bothers the child, and to understand from which microbacteria inflammation of the lymph nodes in the abdominal cavity occurred.

Antimicrobial drugs are prescribed depending on the sensitivity of pathogens:

The treatment of mesadenitis should be performed by qualified doctors.

For it to be successful, it is necessary to quickly determine the reason why there was an increase in the nodes in the stomach.

Delay in choosing the right treatment can lead to the appearance of edema around the tissues adjacent to the lymph nodes, as a result, scars will appear, the growth of connective tissue will begin, which can lead to the formation of lymphostasis.

Is the diet prescribed for mesadenitis?

In the treatment of the above disease, as well as other gastrointestinal diseases, a diet is prescribed for children with mesadenitis (table number 5).

The main requirement for nutrition is the frequent use of food (every 3-4 hours) in small portions.

It is forbidden to eat before bedtime, while drinking is allowed without restrictions.

Food should be cooked in the oven or cooked.

With this disease, the following products are banned:

  • fatty meat and fish products, lard, all fried foods;
  • fatty broths;
  • tea, coffee, chocolate;
  • spicy, salty, smoked, spicy foods;
  • semi-finished products, eggs, canned food, mushrooms;
  • ice cream, buns, cake;
  • radish, sorrel.

Allocate a number of the products allowed for the use.

These include:

  • salads, vegetable soups, milk soups, lean meat broths;
  • loose porridges;
  • compote, tea with sugar, honey, tomato juice;
  • low-fat cottage cheese and sour cream.

ethnoscience

To restore bowel function, when inflammation of the lymph nodes in the stomach is detected, traditional medicine and doctors recommend the following decoctions:

Take 4 times throughout the day for 1/4 cup.
Cumin seed decoction. One glass of boiling water poured 1 tbsp. l seeds and boiled for 30 minutes.

Take before meals for 2 tbsp. l decoction 4 times throughout the day.

Prevention of mesadenitis

In order for a child not to get sick with mesadenitis, it is necessary to treat infectious diseases in a timely manner, and not allow them to become chronic.

Consider the basic requirements for the prevention of mesadenitis:

Given the fact that the signs of mesadenitis are similar to the symptoms of gastrointestinal diseases (intestinal pain, fever, loose stools, nausea with vomiting), the patient needs to be consulted and examined by a highly qualified doctor. Therefore, taking into account the serious complications and difficulties in diagnosing the disease, patients should not postpone the visit to the doctor.

And with a sharp appearance of pain in the abdomen, you should immediately visit the surgeon. After passing the diagnosis, treatment of young patients with mesadenitis is performed by a TB doctor.

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Causes of mesadenitis in children # 8212; how to save a child from stomach pains

You should not be negligent about the baby’s complaints about discomfort and pain in the stomach, especially when the child has ARVI and has a baggage of chronic diseases.

Here, the cause of pain can be not only a simple disorder of the gastrointestinal tract, but also a more serious disease like mesadenitis in children. Therefore, we will consider in this article what a mesadenitis is, find out how it is diagnosed and treated.

What is mesadenitis?

The disease mesadenitis is inflammation of the lymph nodes located in the mesentery (abdominal fold of the intestine, through which the small intestine joins the wall of the abdomen).

As you know, the abdominal cavity contains about 500 lymph nodes, which do not allow infections to spread and take all the “fire”.

Thus, inflammation and even suppuration can be observed in the nodes. Such a disease, to a greater extent, is characteristic of children and adolescents.

Types of mesadenitis

Mesenteric lymphadenitis occurs in two forms.

Modern medicine calls them as:

  • acute form (acute nonspecific mesadenitis). A characteristic feature of this form is the presence of cramping pain;
  • chronic form (chronic mesadenitis). Its symptom is prolonged pain.

The disease is divided into several types.

The species identifies the pathogen:

Types of mesadenitis differ in the method of infection in the mesentery:

  1. The infection comes from another diseased organ (enteral penetration).
  2. The bacterium enters through the blood (lymph) from the damaged area (respiratory organs, appendicitis).

What factors may be the causes of mesadenitis

There are many examples when mesenteric lymphadenitis developed after a disease of the nasopharynx and respiratory canals (tuberculosis, pneumonia, acute respiratory infections, tonsillitis, infectious mononucleosis and others). In these examples, the infection enters the mesenteric lymph nodes through the blood. Though cases when it appears in an intestine through the phlegm which is getting to it are not excluded.

What are the symptoms characteristic of mesadenitis?

Each form of the disease is manifested by its symptoms of mesadenitis.

The following signs correspond to the acute form:

Chronic mesadenitis has mild symptoms.

The pain does not have a certain localization, it is spread throughout the abdomen and increases with heavy physical exertion and abrupt gestures.

Pain can be observed for weeks and for several months.

The tubercular form of the disease manifests itself in mild abdominal pain, weight loss, increased body temperature to 37.5 degrees.

Cough is sometimes observed.

How is disease diagnosed?

The diagnosis of the disease is determined by the following methods:

Enlarged mesenteric lymph nodes in children

Feeling of the abdomen confirms the pain sensation near the navel and in the right lower abdomen.

There are no signs of tension in the abdomen.

These factors confirm the inflammation of the intestinal lymph nodes and distinguish it from appendicitis.

Sometimes only probing allows you to detect an increase in lymph nodes, and pressing on them provokes vomiting.

Additional ways to diagnose mesadenitis:

At the same time, it is important to understand that ultrasound examination data alone are not enough, since in children a node diameter of 5 mm is an acceptable norm.

Enlarged mesenteric lymph nodes in children

What complications can a disease cause?

  1. The formation of peritonitis (purulent processes in the lymph nodes can lead to the appearance of abscesses in the abdominal cavity).
  2. Intoxication of the body (sepsis) due to the expansion of the area affected by the infection, and its entry into the blood.
  3. Expansion of the area affected by lymphadenitis with subsequent damage to all lymph nodes of the body.

Such complications can be met very rarely, and they manifest themselves to a greater degree in tuberculosis patients.

How to treat mesadenitis

Treatment of mesadenitis in children is performed by the drug method with the addition of UHF procedures. In this case, excitement, stress and exercise are prohibited.

Medications

Selection of drugs for drug treatment is carried out only on the basis of diagnosis. It allows you to determine what kind of disease bothers the child, and to understand from which microbacteria inflammation of the lymph nodes in the abdominal cavity occurred.

Antimicrobial drugs are prescribed depending on the sensitivity of pathogens:

The treatment of mesadenitis should be performed by qualified doctors.

For it to be successful, it is necessary to quickly determine the reason why there was an increase in the nodes in the stomach.

Delay in choosing the right treatment can lead to the appearance of edema around the tissues adjacent to the lymph nodes, as a result, scars will appear, the growth of connective tissue will begin, which can lead to the formation of lymphostasis.

Is the diet prescribed for mesadenitis?

In the treatment of the above disease, as well as other gastrointestinal diseases, a diet is prescribed for children with mesadenitis (table number 5).

The main requirement for nutrition is the frequent use of food (every 3-4 hours) in small portions.

It is forbidden to eat before bedtime, while drinking is allowed without restrictions.

Food should be cooked in the oven or cooked.

With this disease, the following products are banned:

  • fatty meat and fish products, lard, all fried foods;
  • fatty broths;
  • tea, coffee, chocolate;
  • spicy, salty, smoked, spicy foods;
  • semi-finished products, eggs, canned food, mushrooms;
  • ice cream, buns, cake;
  • radish, sorrel.

Allocate a number of the products allowed for the use.

These include:

  • salads, vegetable soups, milk soups, lean meat broths;
  • loose porridges;
  • compote, tea with sugar, honey, tomato juice;
  • low-fat cottage cheese and sour cream.

ethnoscience

To restore bowel function, when inflammation of the lymph nodes in the stomach is detected, traditional medicine and doctors recommend the following decoctions:

Take 4 times throughout the day for 1/4 cup.
Cumin seed decoction. One glass of boiling water poured 1 tbsp. l seeds and boiled for 30 minutes.

Take before meals for 2 tbsp. l decoction 4 times throughout the day.

Prevention of mesadenitis

In order for a child not to get sick with mesadenitis, it is necessary to treat infectious diseases in a timely manner, and not allow them to become chronic.

Consider the basic requirements for the prevention of mesadenitis:

Given the fact that the signs of mesadenitis are similar to the symptoms of gastrointestinal diseases (intestinal pain, fever, loose stools, nausea with vomiting), the patient needs to be consulted and examined by a highly qualified doctor. Therefore, taking into account the serious complications and difficulties in diagnosing the disease, patients should not postpone the visit to the doctor.

And with a sharp appearance of pain in the abdomen, you should immediately visit the surgeon. After passing the diagnosis, treatment of young patients with mesadenitis is performed by a TB doctor.

Did you like our article? Do not forget to put her five stars in the line below!

Similar articles

Similar articles

Get the most interesting, expert articles of the week on children’s health right on the mail!

AT 76% using our articles, You will be able to recognize the beginning disease in your child!

Causes of an increase in lymph nodes in the abdominal cavity: symptoms, diagnosis, treatment

Lymphadenopathy – the mechanism of occurrence

As mentioned earlier, an increase in lymph nodes is not a disease, but the chronic course of the inflammatory process can lead to the development of severe complications. Most often with lymphadenitis observed an acute course of the disease. The affected node becomes larger, palpation causes pain, the skin above the surface of the lymph node is hyperemic, and the temperature rises locally. These symptoms are quite indicative and require immediate treatment to the doctor.

Enlarged mesenteric lymph nodes in children

As for the mesenteric lymph nodes, their diagnosis is difficult. Since they are located in the peritoneal cavity, inflammation in them cannot be diagnosed without laboratory tests and instrumental procedures.

Causes of pathology

It is impossible to accurately and unambiguously determine the causes of the increase in retroperitoneal and mesenteric lymph nodes. But this happens mostly because infections pass through the intestines or lymph nodes inside the lymph nodes.

This lesion can cause absolutely any infection under “favorable” conditions:

  • adenovirus or enterovirus infection;
  • streptococcus and staphylococcus;
  • Epstein-Bar virus (herpetic type 4 virus);
  • mycobacteria;
  • Koch wand;
  • syphilis;
  • parasites and protozoa;
  • microbes that cause brucellosis.

The viruses, infections and bacteria listed above are pathogenic in nature and can affect any of the 500 lymph nodes in the abdominal region.

Classification

Depending on the number of lymph nodes increased, the pathology is classified into three types:

About 70% of cases of an increase in lymph nodes occur in a local form of pathology. Generalized inflammation in the nodes indicates serious problems in the immune system.

Another type of classification divides lymphadenopathy by statute of limitations:

Mesadenitis can take any of these three forms of the disease. But It is worth noting that in the chronic form in the lymph nodes there is already a purulent inflammation, which spread throughout the body.

Some specialists use the classification of pathology according to the degree of hyperplasia, but this is a rather controversial separation, since the lymph nodes from different areas of the body vary in size even in normal condition.

Symptomatology

Mesadenitis is a pathology, the existence of which people most often do not suspect. Abdominal lymph nodes are located inside the peritoneum, and their increase can be diagnosed only by ultrasound.

  • Increased body temperature.
  • Nausea and vomiting.
  • Lack of appetite and stomach pain.
  • Diarrhea or constipation.
  • Tachycardia.
  • Enlarged spleen and liver.
  • Dry mouth, dehydration.

In case of a long neglect of the symptoms, the patient can get unpleasant symptoms in the form of peritonitis, intestinal obstruction and other serious diseases. This happens because the lymph nodes without proper treatment begin to fester.

The chronic form of the course is less noticeable to humans, the clinical picture is blurred and rarely causes concern. Pain syndrome is almost absent, pain is felt only during physical exertion.

Complications of mesenteric lymphadenitis

Mesadenitis requires treatment, it is incredibly dangerous for a person to start pathology. If you do not see a specialist for a long time, there is a risk of an abscess or peritonitis due to lymphatic suppuration.

Establishing diagnosis

The doctor initially collects a history of the disease. In order to identify the causative agent of the pathology, questions are asked about past traumas, blood transfusions, transplantations, place of work, recent travels and

It is necessary to do a number of laboratory tests:

  • General analysis of blood and urine.
  • Biochemical study of blood.
  • General analysis of feces.
  • Feces for hidden blood.
  • Serological analyzes.
  • Wasserman test.

Treatment and prevention of pathology

The main part of the course of treatment is aimed at eliminating the disease, due to which the lymph nodes are enlarged. With a positive effect, inflammation in the nodes will decrease, and they will decrease in size.

Most often used:

  • Anti-inflammatory drugs.
  • Antibacterial agents.
  • Antiviral medicines.
  • Immunomodulators and others.

With an increase in the lymph nodes in the lower abdomen, the patient feels sharp pain. In order to conduct a differential diagnosis and find out the causes of the development of pathology, you need to consult a doctor. The specialist will prescribe a series of studies and prescribe medications. As a rule, for complete recovery, it is enough to follow the doctor’s recommendations for 1-2 weeks, depending on the degree of progression of the underlying disease.

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