This is half of the reason for the child’s stomach pain

I often have mothers who consult their children about their stomachaches, and they can feel the anxiety and tension of the parents through the screen .

Stomach pain is special. Many reasons can cause stomach pain. Some may be severe enough to threaten life, while others may be completely fine. . So, what is going on with a child's stomachache?

Common causes of abdominal pain include gastroenteritis, allergies, occasional cramps, food intolerance, span_1span4span1 span_1span Growth pain, mesenteric lymphadenitis, etc.

Among them, mesenteric lymphadenitis is the most common and the most prone to abuse. Clinically, at least half of the children with stomach pain are caused by inflammation of the mesenteric lymph nodes , that is, because of its high incidence, it is often misdiagnosed and abused by antibiotics.

So for this disease,We need to have a clearer understanding of it.

What is lymphadenitis ?

Mesenteric lymphadenitis, as the name implies, is inflammation of the mesenteric lymph nodes.

To understand mesenteric lymphadenitis, we must first understand What is lymph node, what is lymphadenitis, and what is mesenteric lymphadenitis?

In addition to the blood circulation, the human body also has a lymphatic circulation , which is distributed throughout the body and is composed of , lymphatic tissue, lymphatic ducts, and lymph fluid in the flow of strong24span. It will pass through a place called the lymph node. Lymph nodes are everywhere throughout the body. They are like a series of purifiers that filter out possible viruses and bacteria in the lymph.

Some are processed silently, some will be cleared by fierce fighting, and the swelling can be eliminated, and some even can't beat the germs, but make themselves inflamed.

This type of lymph node swelling caused by fierce fighting is called swollen lymph nodes,

1 .

So swollen lymph nodes and inflammation of the lymph nodes indicate that the body is in a state of being infected and the immune system is fighting bacteria, but they are very different.

Lymph nodes are equivalent to the house of lymphocytes. Now that germs invade, the human body will have many lymphocytes running to participate in the fight. In order to hold more lymphocytes, the house has to become bigger, otherwise it can’t live. Ah!

Therefore, swollen lymph nodes indicate that immunity is performing its normal function. It does not mean anything. In addition, children’s lymphatic development is particularly vigorous, especially those under 6 years old. Common thing.

lymph node inflammation,It is more serious than swollen lymph nodes.

For example, if you have a cold, your child’s neck is prone to swollen lymph nodes. This swelling is usually painless and can move, and when the cold symptoms are better, the swollen lymph nodes will slow down by themselves. Slowly subside;

But if the lymph nodes are inflamed, it will not be so easy to heal. Lymphadenitis may not only make the lymph nodes swell, but also have inflammation, swelling, heat and pain. In severe cases, it may also be secondary. The problem.

What is mesenteric lymphadenitis?

knows what is lymphadenitis, then mesenteric lymphadenitis is easy to understand, that is, inflammation of the lymph nodes that occurs in the mesentery.

The human body has multiple groups of lymph nodes, divided into superficial lymph nodes, such as the neck, back of the head, chin, groin, etc. These lymph nodes are normally inaccessible, but when they are enlarged or After inflammation, they can usually be felt or seen under the skin.

There are also deep lymph nodes, such as mesenteric lymph nodes, which are basically invisible and intangible.

Mesenteric lymph nodes are lymph nodes distributed in the mesentery , Mesentery is located in the abdominal cavity of the human body. It is a layer of membrane that wraps the large intestine and small intestine, connecting the intestine and the abdominal cavity. The lymph nodes here belong to the deep lymph nodes , and they are enlarged again , We can't touch it, so only through medical testing can we know whether it is inflamed or swollen.

(the yellow part is the mesenteric symptoms, the green particles are the mesenteric lymph nodes) What are the mesenteric lymph nodes? How to diagnose

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If only mesenteric lymph nodes are enlarged , the symptoms may not be obvious, but if it is mesenteric lymphadenitis, then this inflammation may cause many kinds of symptoms, span_strong4span The clinical manifestations include abdominal pain (mainly around the right lower abdomen and belly button), fever, nausea, vomiting, diarrhea and so on.

and there is a history of upper respiratory tract infection and gastrointestinal infection before the onset. It can be seen that mesenteric lymphadenitis is also secondary to other infections, and it can also be considered to be a diseaseGo to the mesenteric lymph node here, so it causes infection.

From our experience of , we have chronic gastrointestinal weakness, poor digestive function and prone to rhinitis, respiratory tract, etc. Children are more likely to develop mesenteric lymphadenitis .

In addition to related symptoms, clinical diagnosis is usually combined with medical imaging (B-ultrasound, CT, etc.) (this is also the main cause of abdominal pain that excludes appendicitis, , intussusception, etc.) The method, the specific distinction is still given to the doctor, not discussed here), this examination is usually because the child has abdominal pain, so abdominal imaging is required.

But because the mesenteric lymph node is the same as other lymph nodes, its role is to filter and intercept germs, and the germs are everywhere, so it may also be in a swollen state every day, which is not abnormal.

After a lot of doctors have done a B-scan, the mesenteric lymph nodes are swollen, so they are diagnosed as mesenteric lymph nodes inflammation.Then prescribe antibiotics, which is not reasonable enough.

On the one hand, if the mesenteric lymph nodes are enlarged, it is not necessarily the inflammation of the mesenteric lymph nodes (if the abdominal pain is caused by other causes, would it not be a delay); on the other hand, even if the mesenteric lymph nodes are inflamed, it is not necessary to eat antibiotic.

In fact, for mesenteric lymphadenitis , there is currently no unified or above diagnostic criteria for the diagnosis of short diameters greater than 8 mm by most scholars in China. The enlarged lymph nodes of the patient are meaningful for the diagnosis of lymphadenitis. Some doctors will also combine blood routine diagnosis.

(It is roughly like this picture, mesenteric lymph node short diameter greater than 8mm is considered to be inflammation)

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Do I need antibiotics?

mesenteric lymphadenitis is mostly caused by viral infections, and only a few cases are bacterial infections. Again, you can’t take antibiotics because of mesenteric lymphadenitis.Only mesenteric lymphadenitis caused by bacterial infection requires antibiotics.

However, due to the unclear diagnostic criteria and medical limitations, the treatment plan for mesenteric lymphadenitis is not very uniform. Doctors also see ultrasound for some subjective and objective reasons. Antibiotics will be prescribed for the lymph nodes, which is also the cause of the overdiagnosis and treatment of mesenteric lymphadenitis.

can be inflammation ≠ infection, infection ≠ bacterial infection Bacterial infection ≠ antibiotics

_p1span strong in mainstream medicine. Mainly . For example, if you have a fever, follow the symptoms of the fever to reduce the fever, use physical methods to reduce the fever, take anti-fever medicine, etc.; if you vomit, give targeted relief, rehydration salt and other methods.

So, are there any better suggestions for the recovery of this disease?

is the same as behind the ear lymph node when a cold occurs.Most of the mesenteric lymphadenitis is also a viral infection. They are just different in the location of the disease. The pathogenesis is the same. The viral infection is basically a self-limiting disease.

In other words, the treatment of mesenteric lymphadenitis is similar to the treatment of colds.

In addition to regular symptomatic care, other suggestions are as follows:

1. Drink more warm water, reduce activity, and rest more; A more comfortable posture:

3. The diet is light and easy to digest, and other appropriate weight reductions and cooking are softer and easier to digest;

, avoid heavy 4. Over-processed foods, ban raw and cold spicy foods, suspend beef, mutton, seafood, meat, milk, eggs and other protein totals to reduce, just give it as the child wants;

5. Provide nutritional support, especially Auxiliary antiviral nutrients can help children relieve pain and shorten the course of illness. These nutrients include food-grade acerola VC, zinc, immune protein, probiotics , etc., especially with indigestion, vomiting and diarrhea of,Requires probiotics and zinc. Pay attention to the nutrients in powders, which are the mildest and most easily absorbed at this time.

It was observed that children who often inflamed the mesenteric lymph nodes have weak daily digestion and poor eating habits. Therefore, it is essential to improve it. It is necessary to develop good eating habits and improve intestines. Tract function, overall improvement of weak digestion and weak immunity, to reduce the occurrence of inflammation.

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