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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mesenteric Adenitis In Children?

My son is 14 passing debris in his urine and has pain we thought he had kidney stones so they did a CT scan it showed mesenteric Adentis. Is it normal to pass debris in your urine with this? He is in some pain off and on and feels sickly. The doctor has us go draw blood. What kind of questions should I be asking or what should we be looking for. The doctor hasn t even had us in for an exam.
Fri, 10 Apr 2020
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Pediatrician 's  Response
Hi,

Mesenteric adenitis (of few millimetres) is a very common findings during abdominal ultrasound/CT done for any reasons. This is not related to urine debris, and we will take it significant only when the size is >1cm.

Urine of children may show some debris if allowed to dry on floor. Debris in freshly passed urine is not common unless the urine is quite concentrated(as in hot weather with inadequate fluid intake) or there is urine infection or hematuria. In such cases, I used to get a urine routine examination done, if debris are still there after hydrating the child with oral fluids.

To comment on pain, we need more details like duration, frequency, exact location of pain, its severity, associated nausea/vomiting. Mild to moderate pain around umbilicus is very common in children, and is taken as normal(functional abdominal pain) which they will overgrow as age advances.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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What Causes Mesenteric Adenitis In Children?

Hi, Mesenteric adenitis (of few millimetres) is a very common findings during abdominal ultrasound/CT done for any reasons. This is not related to urine debris, and we will take it significant only when the size is 1cm. Urine of children may show some debris if allowed to dry on floor. Debris in freshly passed urine is not common unless the urine is quite concentrated(as in hot weather with inadequate fluid intake) or there is urine infection or hematuria. In such cases, I used to get a urine routine examination done, if debris are still there after hydrating the child with oral fluids. To comment on pain, we need more details like duration, frequency, exact location of pain, its severity, associated nausea/vomiting. Mild to moderate pain around umbilicus is very common in children, and is taken as normal(functional abdominal pain) which they will overgrow as age advances. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician