What's wrong with stomachache and low-grade fever

Symptoms of abdominal pain and low-grade fever are most likely caused by mesenteric lymphadenitis. Mesenteric lymphadenitis is a disease caused by a viral infection. It is also a common symptom among adolescents. When the symptoms occur, it will have a great impact on the health of children. Next, we will introduce the pathological causes, symptoms and signs, and treatment methods of mesenteric lymphadenitis!

1. Pathological causes

Viral infection is mainly caused by Coxsackie B virus or other viruses. Since the lymphatic drainage of the distal ileum is very rich and there are many lymph nodes in the ileum and large intestine, after an upper respiratory tract infection, the virus and its toxins reach the lymph nodes in this area along the blood circulation, causing mesenteric or retroperitoneal lymphadenitis.

2. Symptoms and Signs

It is common in children under 15 years old. After an upper respiratory tract infection, they have sore throat, fatigue and discomfort, followed by abdominal pain, nausea, vomiting, and fever. The abdominal pain is more common around the umbilicus and right lower abdomen, and is paroxysmal with tenderness and rebound pain, but it is not as severe as appendicitis, and the pain point is not fixed.

3. Treatment Methods

This disease is caused by viral infection and is often secondary to upper respiratory tract infection. Therefore, actively preventing upper respiratory tract infection is a basic measure to prevent this disease.

(1) Actively exercise to improve physical fitness;

(2) Do not wear too much at ordinary times, and add or remove clothes when the temperature changes;

(3) Avoid contact with patients. Try not to take children to public places during the epidemic season of upper respiratory tract infection. Wear a mask or take Chinese medicine such as Isatis root and Isatis indigotica for prevention when necessary.

(4) Timely treatment of diseases that may easily induce upper respiratory tract infections, such as malnutrition, zinc deficiency, vitamin A deficiency, and rickets. Brenneman syndrome treatment with traditional Chinese medicine

Traditional Chinese medicine treatment: costus root 5 g, betel nut 10 g, tangerine peel 3 g, bitter orange peel 5 g, Poria 10 g, Atractylodes macrocephala 5 g, Taraxacum mongolicum 10 g, chicken gizzard 5 g, white peony root 10 g, and liquorice 3 g. Clinical additions and subtractions: in case of fever, add honeysuckle and forsythia suspensa to relieve exterior symptoms; in case of cough, add apricot kernel and Fritillaria thunbergii to relieve cough and reduce phlegm; in case of constipation, add scutellaria baicalensis and trichosanthes seed to moisten the intestines and promote bowel movements; in case of poor appetite, add malt and barley sprout to help digestion and strengthen the stomach. Combined with the Chinese patent medicine Huaji oral liquid to eliminate accumulation, digest food and relieve stagnation, and Qingrejiedu oral liquid to clear heat and toxins from the internal organs. Western medicine treatment of Brenneman syndrome

If it cannot be differentiated from acute appendicitis, surgical exploration should be performed; if it has been confirmed, conservative treatment can be given with the use of broad-spectrum antibiotics and supportive therapy. Some patients may develop intussusception and should be observed. Generally, they can recover naturally.