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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Lymph Nodes Adenitis With Mucous Filled Bowel Movements Suggest?

my daughter has been sick for 1 month she is 10 years old she had a ct scan which showered mesenteric lymph node adenitis. She has lost 21 pounds she is in constant pain she was seen by GI this past friday and they have set her up for colonoscopy and EGD. The pain increases after she eats and after she has a bowel movement and her bowel movements have had mucous in them. What could this be please help????
Wed, 29 Oct 2014
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General Surgeon 's  Response
Hi.
Thanks for your elucidate history.
Young child of 10 years loosing so much weight and have Mesenteric Lymphadenitis ans symptoms of bowel movements with mucus and has to go after food is suggestive of Tuberculosis of the abdomen / or a Cancer like lymphoma.
IT is good that she will be subjected to Colonoscopy that biopsy can be taken if a lesion is seen in the colon. EGD for secondary changes.
The best diagnostic tools in such a case are :
Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch,
Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic)
Diagnostic Laparascopy with FNAC or preferably biopsy of the lymph nodes will give a definite diagnosis.
So that a proper treatment can be started ASAP
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What Could Lymph Nodes Adenitis With Mucous Filled Bowel Movements Suggest?

Hi. Thanks for your elucidate history. Young child of 10 years loosing so much weight and have Mesenteric Lymphadenitis ans symptoms of bowel movements with mucus and has to go after food is suggestive of Tuberculosis of the abdomen / or a Cancer like lymphoma. IT is good that she will be subjected to Colonoscopy that biopsy can be taken if a lesion is seen in the colon. EGD for secondary changes. The best diagnostic tools in such a case are : Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic) Diagnostic Laparascopy with FNAC or preferably biopsy of the lymph nodes will give a definite diagnosis. So that a proper treatment can be started ASAP