Question
A 17-month-old infant experienced fever symptoms at 3 a.m. on May 3rd and suddenly felt intermittent abdominal pain during the day. The hospital diagnosed it as intestinal spasm, and the condition has persisted for three days. The infant has a fever every morning but not during the day, and the abdominal pain persists. Is this situation severe? Will it leave any underlying conditions? What medications should be used for treatment? And how should care be provided?
Answer
Fever and abdominal pain in children are often signs of acute mesenteric lymphadenitis (AMLN). Acute mesenteric lymphadenitis is a common viral infection in children under eight years old. This condition often occurs in conjunction with or as a secondary infection to upper respiratory infections and is prone to recurrence, sometimes accompanied by fever. After confirming the enlargement of mesenteric lymph nodes through color Doppler ultrasound, if diagnosed with lymphadenitis, there is usually no need for special treatment. In cases of severe symptoms, fasting, intravenous fluid therapy, and antibiotic treatment can be significantly effective.