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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?
Answers (4)
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I totally understand your concern
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Dr. G. Avinash
MBBS, MD (Pediatrics)
Fellowship in Neonatology
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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 )
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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
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings Mesenteric lymphadenitis could be the reason . Kindly look after the diet of the child
Consult doctor in person or online
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.