Childhood Diseases

Posted by: eve | 2012/02/12



Hi Doc, my six year old son stopped having his lunch st school saying he wasn''t hungry, then four days later he told me his tummy was sore and slouched onto the chair. I thought nothing of it cos he got up and ran around that afternoon at his soccer practice. The next morning outside school he complained again and I just brushed it off as him needing a poo. When he got home that afternoon he folded himself in half and starting moaning about the pain, by the way my son has a very high pain threshold. He has now refused to eat his lunch and anything else u offer him to eat. That night he comes down with a fever, so I rush him off to casualty and a very well known paed diagnosis him with colic and sends us home with nurofen and amoxil. The next I take him to the gp, cos I wasn''t happy with the diagnosis and we did a sonarwhich showed adenitis but they couldn''t rule out appendicitis. The next day he was fine not so much pain and no fever. That evening we attended a get together and as usual the kids played outside,my son woke me upat three in the morning with pain and fever. Now my question is he gets these strong cramps often and his fever is twice a day early morning and mid afternoon.could this be appendicitis? His dad and uncle were both wrongly diagnosed so I have become very paranoid. What tests can we do to rule out appendicitis? And how long can these fevers go on for its been 3-4 days. Sorry fir the long post.

Expert's Reply



I agree that appendicitis is a possible cause of your son's tummy pain, but the findings of the sonar in particular seem to point to the possible diagnosis of a fairly common mimic of appendicitis in children. Your son has been shown to have enlarged glands in his abdomen and his appendix seems to be normal. It is likely that he has a condition called 'mesenteric adenitis' This may follow after a tonsil infection in children.Just to make 100% sure and because of the severity and ongoing pain and fever your son is having,it would be best to get a deciding opinion from a paediatric surgeon. My opinion is that he does have mesenteric adenitis.

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Posted by: BMJ | 2012/02/13

Please ask your GP to do an abdominal sonar and ask to be referred to a surgeon. My 9y old son had similar symptoms and when I finally insisted on a sonar, he was seen by a surgeon straight away and his appendicts removed 2 hours later. When the pathology came back it was proved to have been appendicitis.

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