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Treatment for Mesenteric adenitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Intermittant RLQ pain, no other symptoms. CT scan showed all organs normal, evidence of diffuse upper abd. panniculitis and sensteric adenitis and adenopathy. Also evidence of bilateral pelvic adenopathy. PET scan showed 1 level three node and several precervical lymph nodes w/ SUV
Doctor :   Hi
Doctor :   Dr XXX here
User :   Hello
Doctor :   give me moment let me read your query
User :   Also.... 64 yr old, female
Doctor :   Ok
User :   mesenteric adenitis and adenopathy
Doctor :   Since when do you have the issues
User :   At least 2 months.... possibly longer
Doctor :   Ok
Doctor :   The doctor has advises colonoscopy and endoscopy to visualise and come to conclusion
Doctor :   As your reports suggest some inflammtory change
User :   pain is most pronounced when supine
Doctor :   the cause for inflamtion is to be ruled out
User :   what could cause the infalmmation? No fever, no nausea, no weight loss
Doctor :   Thats why PET was taken even that was not proving the diagnosis
Doctor :   Possibly could be infection
Doctor :   Yersenia is an organism which can cause mesenteric adenitis
Doctor :   Do you have anyother medical conditions
User :   How is that contracted?
Doctor :   Food posioning
Doctor :   Oral route only
User :   Very well controlled type 2 diabetic. Treated mild hypertension. On "glaucoma watch"
Doctor :   Ok diabetic since?
User :   2002
Doctor :   ok
Doctor :   Did you have Tuberculosis
User :   HgbA1c usually between 5.7-5.9
User :   No TB
Doctor :   Ok
Doctor :   thats within range
Doctor :   Any history of abdominal surgeries?
User :   Would colonoscopy show Yersenia? What about blood tests
Doctor :   The blood tests will not colonoscopy
User :   Cholecysectomy in 1970, D&C in 2001 and 2008
Doctor :   Ok
Doctor :   Were the procedures uneventfull
User :   What do you mean "The blood tests will not colonoscopy"?
User :   Very uneventful
Doctor :   I said blood tests will detect yersenia and colonoscopy cant
User :   ok
Doctor :   There are some home remedies i can suggest you'
User :   Please do
Doctor :   The measures include getting plenty of rest, drinking extra fluids and applying a warm moist washcloth to the abdomen to relieve pain.
User :   Any other ideas besides Yersinia? And why is the dr. wanting to do an endoscopy when there is no problem in the upper abdomen?
Doctor :   Over-the-counter drugs such as acetaminophen may help relieve pain, and paracetamol may be effective for relieving fever. Be sure you stay hydrated. Severe vomiting may cause dehydration, which could be deadly.
Doctor :   Inflamation and infections are always associted
Doctor :   There are no other probable causes
Doctor :   Very minimal chances for malignmancy
Doctor :   *malignancy
User :   Primary dr. prescribed Darvocet APAP 100/650 because pain would keep me awake at night
Doctor :   Just to rule out that we opt for colonoscopy for visulisation and confirmation'
User :   No problem with hydration.... always drink lots of water and have had no vomiting
Doctor :   mostly antibiotics are prescribed for moderate bacterial infections and severe cases may require the surgical removal of diseased bowel and possibly the appendix.
Doctor :   But we shall now the results follwing your procedure
Doctor :   Wishing you a speedy recovery
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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