Pain in abdomen

10 yr male patient come with complaint Pain in abd suprapubic region since 3 month Usg and blood report attached pls advice for management

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enterocolitis . perhaps yersinia enterocolitica causing it . mesenteric lymph nodes enlarged secondary to it . give levofloxacin n ordinazole probiotics n drotaverine for pain . but suprapubic pain does not corelates well with usg report . i would still advise u to go for urine c/s too .

? ENTERITIS / COLITIS .. WITH.. MESENTERIC LYMPHADENITIS.. &.. HEPATOMEGALY.. NEED'S.. CTCE STUDY ABDOMEN.. WITH.. EXPERTS OPINION.. MEANWHILE TREAT WITH.. SYMPTOMATIC T/T.. DEWORMING WITH ALBENDAZOLE.. LIVER TONICS..

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Give trial of cefixime orally then review after 7 days...symptomatic treatment also..

Lab reports are insignificant Usg suggest hepatomegaly and subcenteric lymphadenopathy with colitis These also inconsequential Pain in suprapubic is not related with findings Hence my adv treat symptomatically with good evacuation and reassess the case Keep on bulk laxatives Multivitamins supplements Antispasmodics sos Deworming

Yes agree with u investigation are inconsequential adv for ct abdomen is required or not sir
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It’s may be due to Colitis c Mesentric adenitis 1.Avoid all outside/Pizza/burger/ foods 2.A course ofOfloxinc metronidazole is given.3.tab.Landprozole-15 mg od .....10 days. 4.Arrange CBC,Urinalysis,LFT...SOS

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Hepatomegaly Sub centric mesenteric adinitis ,colonic thickening, Suggest stool exam , a course of anti amoebic drugs, albendazole ,and observation Observation

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Colitis with Mesentric lymphadenitis Start with ceftriaxone 500 bd Levoflox 250 od Lansohub kid bd Meftal spas tds Avoid junk food and spicy food

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Tab Oflox oz Bd syp liffit bd Tab colimex Bd Aviod All junk food oily food ARQ Mako syp