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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child With Abdominal Cramps. Mild Hepatomegaly And Enlarged Mesentric Lymph Node In USG. Concerned

My daughter is 8 years old. She usually feels cramp in the abdomen. I did USG. The findings are 1) Mild hepatomegaly. 2)Enlarged mesentric lymph node measures approx 14.2 * 5.8mm 3) small fluid is seen in pelvic cavity and P.O. D. .Today I did X- Ray of the Chest. Congestions are seen in both hila, medical aspects of both lower zones. Please help. I am very worried.
Mon, 8 Apr 2013
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Pediatrician,  's  Response
Thanks for your concern.
1/--Mild hepatomegaly simply means that the liver is slightly increased in size.
To find the cause she needs blood tests (liver function tests)
2/-- Lymph nodes help body fight disease. They trap and destroy microscopic germs.
Mesenteric nodes are found in a membrane that attaches the intestine to the abdominal wall.
The most common cause of swollen mesenteric nodes is a viral infection of the intestine like that causes diarrhoea. The other common cause is an upper respiratory infection. Uncommon causes include tuberculosis, typhoid, crohn's disease,appendicitis,lymphoma etc.
More often the enlarged nodes are a chance finding on ultrasound & cause in not found.
3/-Small free fluid in pelvic cavity & POD (pouch of douglos) is also often a common incidental finding on ultrasound scan & has no significance.
4/--Her x ray findings are also non specific.
There is no need to panic.
I would advise you to see a paediatrician who after detailed history taking & physical examination can plan some more tests to solve the problem.
Hope you find the information helpful.
Best regards.
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Orthopaedic Surgeon,  Dr. Sunil Kumar Srivastava's  Response
Get Complete blood count, ESR, Mantoux or PPD test.Make a weekly weight chart and daily temperature chart, recording fever morning and evenings,watch on appetite and keep a record of diet consumption, report all this to a pediatrician in an institution with base line reports so that the Doc.can construct the diagnosis and manage accordingly.
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Child With Abdominal Cramps. Mild Hepatomegaly And Enlarged Mesentric Lymph Node In USG. Concerned

Thanks for your concern. 1/--Mild hepatomegaly simply means that the liver is slightly increased in size. To find the cause she needs blood tests (liver function tests) 2/-- Lymph nodes help body fight disease. They trap and destroy microscopic germs. Mesenteric nodes are found in a membrane that attaches the intestine to the abdominal wall. The most common cause of swollen mesenteric nodes is a viral infection of the intestine like that causes diarrhoea. The other common cause is an upper respiratory infection. Uncommon causes include tuberculosis, typhoid, crohn s disease,appendicitis,lymphoma etc. More often the enlarged nodes are a chance finding on ultrasound & cause in not found. 3/-Small free fluid in pelvic cavity & POD (pouch of douglos) is also often a common incidental finding on ultrasound scan & has no significance. 4/--Her x ray findings are also non specific. There is no need to panic. I would advise you to see a paediatrician who after detailed history taking & physical examination can plan some more tests to solve the problem. Hope you find the information helpful. Best regards.