What are the symptoms of abdominal lymph node inflammation

Everyone knows that lymph is part of the human immune system. It helps the body fight various external viruses and thus maintains the body's health. But it is not omnipotent. Once the body is diseased, it will react immediately. The abdomen is a special position where most of the human organs are located. Therefore, if the abdominal lymph nodes are inflamed, people will always be particularly worried, fearing that it will cause a series of problems. Therefore, we must have a certain understanding of the symptoms of abdominal lymph node inflammation so as not to be flustered when facing this problem and cause panic in our hearts. Here I will tell you about the symptoms of abdominal lymph node inflammation and how to diagnose it.

1. Symptoms

1. Acute retroperitoneal lymphadenitis

The main symptoms are high fever and chills, accompanied by abdominal pain, bloating, pain in the lower back, nausea, vomiting, etc. The body temperature can reach 39-40℃, presenting as remittent fever or retained fever. Abdominal examination shows tenderness and rebound pain, but no obvious muscle tension. In severe cases, there may be signs of intestinal paralysis, percussion pain in the lower back and back, and an increase in white blood cell count.

2. Chronic or tuberculous retroperitoneal lymphadenitis

Mycobacterium tuberculosis can invade the retroperitoneal lymph nodes, either as a local component of the primary syndrome or as a result of widespread dissemination of tuberculosis. The affected lymph nodes can be treated without symptoms and eventually calcify. Some lymph nodes swell, undergo dryness and necrosis, and even form abscesses. The onset of this disease is often insidious, and symptoms are vague or even absent. The main symptoms are persistent or paroxysmal dull pain or bloating in the abdomen, accompanied by low fever, nausea, vomiting, abdominal distension, loss of appetite, etc. The abdominal pain in this disease may be intermittent, and the treatment is often ineffective after anti-infection, anti-tuberculosis and antispasmodic treatments.

Compression or displacement of the proximal ureters and kidneys, pyloric obstruction, gastric wall rigidity, duodenal notching or stenosis, dilated duodenal loops, and displacement of the transverse colon have been reported. Rare manifestations include leg swelling, chylous ascites, portal hypertension, biliary obstruction, and fistula formation. Examination of the abdomen may reveal a palpable mass or localized fullness, deep tenderness, no abdominal muscle tension, and active bowel sounds.

2. Diagnosis

This disease is often difficult to diagnose before surgery. Common abnormal manifestations include increased erythrocyte sedimentation rate, discovery of tuberculosis lesions (old or active) in other parts of the body, abdominal masses and low-grade fever. X-ray, B-ultrasound and CT, tuberculosis antibody or tuberculin test can all help to confirm the diagnosis. The final diagnosis depends on biopsy of the lesion.