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Vomiting, diarrhea, fever, loss of appetite. Prescribed flagyl. Ultrasound shows swollen lymph nodes. Treatment?

8 year old child was sick with vomitting then changed to diarrhea this has lasted 4 weeks with abdominal pain around belly button low grade fever. 3xrays showed nothing. 2 ultrasound showed swollen lymph nodes, they took STOL samples and blood then hospital sent us home, they don t know what it is. Prescribed flagyl and she isn t getting better. Diarrhea stopped but pain and fever still appetite not drinking alot. Said if she gets worse bring her back... She s not getting better and not getting worse she just stays the same. Very concerned.
Asked On : Thu, 13 Sep 2012
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Psychiatrist 's  Response
Thanks for writing in to us.

Swollen abdominal lymphnodes (mesentric lymphadenopathy) can cause significant pain to a child. It can also cause changes in bowel habits like diarrhoea. This happens when there is infection of the bowel like typhoid enteric fever.

the enlargement of mesenteric lymph nodes frequently causes abdominal pain in children, being an indication for laboratory investigations. Vomiting and fever are the most common other symptoms in these patients. Ultrasonographic examination usually shows large enlargement of lymph nodes, sometimes in conglomerates, with tendency to invagination. Acute diarrhea and respiratory tract infection are the most frequent reasons of the enlargement of abdominal lymph nodes. In about 20% of the children primary mesenteric lymphadenopathy is diagnosed.

A complete course of antibiotics (flagyl) are essential to cure the problem. Food and water hygiene should also be maintained.

Hope this helps
Answered: Thu, 29 Aug 2013
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