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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mesenteric Adenitis

Thank you Doctor, After 3 months and 2 CT scans, I was given a diagnosis of Mesenteric Adenitis. The pain is acute and comes and goes, with each episode getting worse. The Adenitis was viral so I was not given antibiotics, just Percocet and an anti nausea medicine. It has been a week since my diagnosis and I am still in bed from the pain and nausea . I read that this condition can actually lead to an acute appendicitis if not treated properly. My appendix showed no swelling and my white count was 0. Do I have a reason for concern ? Thank you. Bonnie C.
Fri, 13 Mar 2015
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General Surgeon,  's  Response
Hi Bonnie.
Thanks for your query.
It was wonderful to know that it took 3 months for a diagnosis of Mesenteric Lymphadenitis.
This is a condition in which the multiple lymph nodes in the mesentery get enlarged. The commonest cause is always secondary to some infection or cancer.
I thin you are less investigated than required as you are still in bed with pain and nausea.
I would advise you the following:
-Consult a General Surgeon.
-Get further investigations to see if there is any other problem related to blood cancer or so. You writing of white count of 0 is not acceptable, this is either your you ignorance or something else you could not note.
-You need a Diagnostic Laparoscopy and Biopsy of the lymph nodes for the proper diagnosis. This allows to see all the interior of the stomach and appendix and other parts of the intestine and pelvic contents. Can tackle any problem hence seen.
-A course of broad spectrum antibiotics and anti-inflammatory medicines.

I hope this answer will help you to get to the root-cause and proper treatment.
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Suggest Treatment For Mesenteric Adenitis

Hi Bonnie. Thanks for your query. It was wonderful to know that it took 3 months for a diagnosis of Mesenteric Lymphadenitis. This is a condition in which the multiple lymph nodes in the mesentery get enlarged. The commonest cause is always secondary to some infection or cancer. I thin you are less investigated than required as you are still in bed with pain and nausea. I would advise you the following: -Consult a General Surgeon. -Get further investigations to see if there is any other problem related to blood cancer or so. You writing of white count of 0 is not acceptable, this is either your you ignorance or something else you could not note. -You need a Diagnostic Laparoscopy and Biopsy of the lymph nodes for the proper diagnosis. This allows to see all the interior of the stomach and appendix and other parts of the intestine and pelvic contents. Can tackle any problem hence seen. -A course of broad spectrum antibiotics and anti-inflammatory medicines. I hope this answer will help you to get to the root-cause and proper treatment.