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2025-10-08 17:07:54
The child presents with intermittent abdominal pain for several months, mainly around the umbilical or right lower abdomen, occurring occasionally after meals or during bowel movement. The pain subsides spontaneously without medication. There is a history of hard stools and mild straining, but no associated fever, vomiting, or appetite loss. Past ultrasound (March 2025) showed no evidence of appendicitis or other abnormality. Recent evaluations (October 2025): • Fortis Hospital USG (06-Oct-2025): Appendix mildly prominent (5.5 mm), few mesenteric lymph nodes (8.3 mm), suggesting reactive lymphadenitis or resolving inflammation. • X-ray Abdomen Erect (07-Oct-2025): No obstruction; moderate fecal and gas loading, consistent with constipation. • Cloudnine Hospital USG (07-Oct-2025): Appendix normal, mild ileal wall thickening (4.6 mm) with reactive mesenteric lymph nodes (up to 9.5 mm) — Impression: Mild inflammatory ileitis with reactive mesenteric lymphadenitis. Which is right?
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I totally understand your concern Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided. contact me on practo or WhatsApp chat Contact number : 97012307 two nine Dr. G. Avinash MBBS, MD (Pediatrics) Fellowship in Neonatology

Answered2025-10-09 13:58:24

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I need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on Practo or whatsapp chat (84960595sixfive) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )

Answered2025-10-09 13:01:32

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This is case of chronic constipation not treated adequately Sometimes it can present with pain abdomen and appendicular infection Need to give laxatives as per weight for 1-2mnths

Answered2025-10-09 12:25:24

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Greetings Mesenteric lymphadenitis could be the reason . Kindly look after the diet of the child Consult doctor in person or online

Answered2025-10-09 12:23:29

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