Childhood Diseases

Question
Posted by: BMJ | 2012-08-18

Q.

Re: flu - post 629

Dear Doc

Further to that post. Durning the the night my son had a very high fever 39.8 but he did not wake up from pain. This morning he was still looking unwell and not eating, but his fever went down to 37.4. A friend doctor popped by and I shared my deep concerns. She palpitated his tummy and said he is not gaurding or showing rebound tenderness and he may have mesenteric adenitis. He originally got sick on Tuesday. He still has no appetite. He had a very big runny poo about 30 minutes ago (the first abnormal poo since the pain and fever started on Tuesday) and he still says very specifially point to pain on his belly button. I know mesenteric adenitis is self resloving, do I now just leave him until he is better or still investigate it if the belly button pain persists.

Expert's Reply

A.

Paediatrician

It would be best to get your son checked again. Mesenteric adenitis does not usually only cause pain in the umbilical area like this.

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