Excerpt 1

Should mesenteric lymphadenitis be treated?

The most ugly disease in outpatient clinic is stomachache. Children have stomachache, and doctors often ask them to do abdominal ultrasound examination. Most children will have mesenteric lymphadenopathy, which often makes parents very nervous.

1. What is mesenteric lymphadenitis?

Acute mesenteric lymphadenitis in ileum and colorectal region caused by upper respiratory tract infection. Also known as throat virus infection with mesenteric and retroperitoneal lymphadenitis.

2. How did mesenteric lymphadenitis come from?

After respiratory tract infection with Coxsackie B virus or other viruses, lymphatic drainage at the end of ileum is very rich, and there are more lymph nodes in ileum and colorectal cancer. After upper respiratory tract infection, the virus and its toxin reach the lymph nodes in this area along the blood circulation, causing mesenteric or retroperitoneal lymphadenitis.

3. Should drugs for mesenteric lymphadenitis be treated?

Through outpatient observation, children with mesenteric lymphadenitis have different levels of doctors and various treatment methods. Some doctors give antibiotics, some give antiviral treatment, some give Chinese medicine orally, and some stick navel. Some may be effective, but most of them have no effect.

Through the pathogenesis, we can know that mesenteric lymphadenitis is mostly caused by virus infection, and there is no specific medicine for virus infection, so treatment is not needed, mainly to avoid colds and enhance physical fitness. Don't use antibiotics at will unless you have moderate or severe bacterial infection. Everyone knows the harm of abusing antibiotics, so I won't mention it.

4. What should I do if mesenteric lymphadenitis does not treat stomachache?

Many doctors will give a diagnosis to children with abdominal pain: mesenteric lymphadenitis. This diagnosis seems reasonable. The child has a stomachache, and the lymph nodes are swollen on ultrasound, which seems to be consistent. This diagnosis is also in line with parents' psychology, but in the opinion of gastroenterologists, this diagnosis is wrong.

Gastroenterologists often ask the child's medical history carefully, make a careful physical examination, and make other diagnoses in combination with other auxiliary examinations. After treatment, abdominal pain will be alleviated or disappeared.

Therefore, for children with abdominal pain, clinicians should not diagnose mesenteric lymphadenitis at will. Don't abuse antibiotics and traditional Chinese medicine preparations.

Excerpt 2

Gu Song, Shanghai Children's Medical Center: Mesenteric lymphadenitis is a common lesion in children, which is easily confused with other abdominal diseases. It is generally believed that it occurs after upper respiratory tract infection (that is, after a cold), which is a common complication of many viral infections. Don't worry too much, but other abdominal diseases and lymphatic diseases should be ruled out before diagnosis. It is more common at the end of ileum (clinical manifestations are right lower abdomen and periumbilical pain, etc.). ) Lymph nodes are swollen, showing multiple hyperemia and swelling. There may be a small amount of inflammatory exudate in the abdominal cavity. The disease is common in children and young adults, and can be improved and cured after anti-inflammatory and antispasmodic treatment. At ordinary times, it is necessary to strengthen children's physique, prevent colds, and not eat cold, unsanitary and indigestible food. Pay attention to a light and digestible diet during the attack. It is recommended to eat semi-liquid or even liquid diet such as porridge to avoid overeating. Mesenteric lymphadenitis generally does not need special treatment, and it will get better with the improvement of the primary disease, usually leaving no problems.

Excerpt 3

Intestinal lymphadenitis in children

Mesenteric lymphadenitis is one of the common causes of abdominal pain in children, which is easily confused with acute appendicitis in clinic. More common in children under 7 years old. Most of them are viral infections, which often occur in the process of acute upper respiratory infection or secondary to intestinal inflammation. Typical symptoms are fever, abdominal pain, vomiting, sometimes diarrhea or constipation. Epidemiology: There are more boys than girls in clinical reports, mostly in winter and spring, often complicated with upper respiratory tract infection or intestinal infection, and there is a gradual increase trend.

The cause of disease

Because the lymphatic drainage at the end of ileum is very rich, there are more lymph nodes in ileum and colon. After upper respiratory tract infection or intestinal infection, viruses, bacteria and their toxins reach the lymph nodes in this area along the blood circulation, causing mesenteric lymphadenitis. The patients with viral infection showed mesenteric lymph node hyperplasia, edema and congestion, but all of them were negative. Mesenteric lymphadenitis caused by salmonella infection is different from viral lymphadenitis. The lymph nodes invaded by bacteria mostly show acute inflammatory reaction, bleeding and necrosis, and Salmonella can be isolated from the lymph nodes.

nosogenesis

The mesenteric lymph nodes in children are distributed along the mesenteric artery and its aortic arch, which is very rich. The materials in the terminal ileum and ileum, especially in the small intestine, often stay at the terminal ileum due to the function of ileum valve, so intestinal bacteria and virus products are easily received in the ileum lymph nodes there, causing mesenteric lymphadenitis.

Chinese medicine treatment? Listen to the sound.

Its diseases are improper diet, phlegm-heat interaction, food stagnation and heat accumulation, intestinal obstruction, heat toxin accumulation, and depression for a long time. Treatment with Wanjin Plaster has the functions of clearing away heat and toxic materials, moistening the intestines, relaxing bowels, removing blood stasis and turbidity, regulating qi, relieving pain, reducing swelling and resolving hard mass, and * * * plays the role of strengthening the body resistance and eliminating pathogenic factors.

Acupoint therapy

Zusanli is the most commonly used treatment point in clinic. Usually, when a child has a stomachache, the abdomen often refuses to press it. It is recommended to take acupuncture points from the far end. Zusanli is the best one. You can press a nest of wind 1-2 minutes, take Chengshan point 50 times and chiropractic 5- 10 times. Finally, add the belly angle (5- 10 times on both sides), which is a point with keen fighting power.

In addition, excess heat of lung and stomach can also be used for clearing stomach, clearing lung and clearing intestine for 300 times each. Help each other and add some spleen and stomach strengthening skills: rubbing the door, transporting the gossip inside, pinching the spine and rubbing the cup.

If you have a fever again at this time, of course, you can use the fever wrist I introduced in the first part: clear sky for 300-500 times, riding across the Tianhe River for 20 times, and if the heat exceeds 40 degrees, you will have to add 300-500 times to retreat your six bowels.

If you are constipated, you should add: four skills of relaxing bowels. If you have diarrhea, add four skills to treat diarrhea. If the tongue coating is thick and greasy and you don't want to eat it, you can pinch it four times 10 times.

Drugs and food should be avoided.

Because of the long course of disease, easy recurrence and slow treatment, it is necessary to strictly regulate the diet of children, reduce the stimulation of diet and chemical factors to the intestine, and prevent the occurrence of intestinal endotoxin, which is conducive to the recovery of the disease.

Therefore, medical workers and parents of children are required to strictly use antibiotics and hormonal drugs, prevent food intake containing hormones and other chemical factors, control children's recipes, give priority to foods that are light, easy to digest, low in sugar, high in vitamins and high in plant cellulose, and solemnly warn them not to eat cold, melons and fruits, drinks such as litchi, strawberries, cherries, longan and other fruits, and actively help each other.

Traditional Chinese medicine analysis

The compilation of lung in traditional Chinese medicine includes the inside and outside of lung and large intestine, so the transmission of information and energy between lung and large intestine was not decided by our ancestors, but was summarized long ago. Therefore, in addition to Zusanli and a swarm of bees, it is helpful to take the three levels of Chengshan, chiropractic, abdominal horn and external massage and massage the external palace point for 20-30 minutes. Remember, if you take medicine to relieve pain at this time, you should take antispasmodics instead of painkillers.

After reading it, the results of mesenteric lymphadenopathy in children are summarized as follows, unless the doctor makes a mistake for three times.

1, avoid eating: the baby ate a lot of strawberries, longan, sugar, chocolate and various snacks a while ago. Ring!

2, to raise: reduce outdoor blowing, avoid contact with respiratory tract infection sources (adults and children with colds), and avoid a lot of second-hand smoke.

3. Refuse to take antibiotics regularly and protect your immune system unless absolutely necessary.

4, often rub your stomach and do massage.

The frightened people are frightened because they don't know much about medical knowledge, and they are unwilling or too lazy to look up medical knowledge, but they know how to worry about and worship big hospitals (preferably the largest at the provincial level).

I am worried, but I am not afraid.