How is mesenteric lymphadenitis treated?

Many problems may occur in the intestines. The human stomach is like a pipe, winding and piled up in the abdomen. The intestines generally do not have problems, but intestinal diseases caused by improper diet can cause bacteria to slowly grow in the intestines. Mesenteric lymph nodes are intestinal system lesions caused by inflammation, and various excretory diseases may occur. Patients can be treated and dealt with through non-surgical, surgical, and medication care.

Treatment/Mesenteric lymphadenitis

1. Non-surgical treatment is mainly based on antibiotics, combined with antispasmodics and analgesics such as scopolamine. Acute mesenteric lymphadenitis should not be treated surgically, but should be treated with anti-infection. The treatment method is conservative therapy, with ampicillin 0.1g/(kg?d) plus 0.9% saline intravenous drip twice a day, combined with metronidazole intravenous drip once a day. For patients with severe fever and abdominal pain, add dexamethasone 5 mg/time, and the dexamethasone should not be used for more than 3 days. Two days later, the white blood cell count showed a significant decrease and the symptoms were significantly relieved, and consolidation treatment was continued for 1 week.

After 2 to 3 days of treatment, the fever usually subsides, the white blood cell count decreases significantly, and the abdominal pain symptoms are significantly relieved. After 1 week of anti-infection treatment, most patients are cured and discharged from the hospital.

2. Choice of surgery: Since this disease is sometimes difficult to differentiate from acute appendicitis in children, if the diagnosis is uncertain, it is better to perform laparotomy. Otherwise, leaving the acutely inflamed appendix in the abdominal cavity may delay treatment. B-ultrasound examination is based directly on the image of the appendix and can also show enlarged lymph nodes. It is an effective method to distinguish between the two. If the condition is still stable or the onset is within 6 hours, you can continue to observe. Acute appendicitis often worsens progressively and requires surgery; acute mesenteric lymphadenitis can often be relieved. If the condition is severe or acute appendicitis cannot be ruled out after more than 12 hours of onset, laparotomy and appendectomy should be performed. If abdominal pain persists for 6 hours after anti-infection treatment, the body temperature does not drop, and the abdominal muscles are tighter than before, surgery should be performed decisively to avoid appendicitis perforation. The general observation time should not exceed 24 hours. If after treatment, the abdominal pain is not severe, the body temperature does not increase significantly, and the white blood cell count does not continue to increase, the disease can be treated and the observation time can be extended to avoid unnecessary surgical trauma. It is generally considered to be justifiable if surgery is performed for misdiagnosis of acute appendicitis. If surgery is delayed due to acute appendicitis, it may cause perforation and peritonitis, and even be life-threatening. During the operation, if the ileocecal mesenteric lymph nodes are found to be enlarged and congested, the enlarged lymph nodes should be removed for pathological section examination.

Complications: Because the abdominal pain is paroxysmal, such as twisting, clinical complications such as vomiting again after eating occur.

Prognosis : The prognosis of this disease is good, and it often improves naturally within 3 to 4 days.

Prevention: For patients with fever, especially children and young adults, if there are prodromal symptoms of upper respiratory tract infection, antiviral and anti-infection treatments should be carried out immediately to prevent the occurrence of acute nonspecific mesenteric lymphadenitis.