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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Pain In Child. Stool Test Shows E.histolytica Cysts. Ultrasound Found Mesenteric Lymph Nodes

sir, My daughter 4 1/2 years, 17 kg, was complanining Stomach pain, and doctor suggested some diagonosis as follows 1. Stool test : E Hystolytica cysts seen and Bacteria flora present 2. Blood test : Lymphocytes 61 % 3. Mantaux test : after 48 hours, redness spread around 20 mm, but not easily visible, and was itching some times 4. Ultra sound test : Found mesentric lymph nodes 1.8 X 1 cm
posted on Sun, 2 Sep 2012
Twitter Sun, 2 Sep 2012 Answered on
Twitter Mon, 3 Sep 2012 Last reviewed on
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Pediatrician, Cardiology,  's  Response
Hello
Thanks for the query
Pain abdomen in this age group is very common and most of the time it has been found that it is functional in origin. E. hyst. in stool suggests worm infestestion and most of the time bacterial flora found in stool are normal commensal of gut. Lymphocyte 61% is out of range. In Mantoux test its not the redness but the induration which is recorded and if induration is 20 mm then it is significant. Mesenteric lymph node of more than 1.5 cm is significant. But what one should also look for that there is any matting or not. Most of the time lymphadenpathy is just reactive one.
So I would suggest you to deworm and give one course of Ofloxacin and watch for any weight loss, rise in temperature and consult one pediatric gasroenterologist.
I hope this answers your query effectively
With regards
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Stomach Pain In Child. Stool Test Shows E.histolytica Cysts. Ultrasound Found Mesenteric Lymph Nodes

Hello Thanks for the query Pain abdomen in this age group is very common and most of the time it has been found that it is functional in origin. E. hyst. in stool suggests worm infestestion and most of the time bacterial flora found in stool are normal commensal of gut. Lymphocyte 61% is out of range. In Mantoux test its not the redness but the induration which is recorded and if induration is 20 mm then it is significant. Mesenteric lymph node of more than 1.5 cm is significant. But what one should also look for that there is any matting or not. Most of the time lymphadenpathy is just reactive one. So I would suggest you to deworm and give one course of Ofloxacin and watch for any weight loss, rise in temperature and consult one pediatric gasroenterologist. I hope this answers your query effectively With regards