From the Research
Mesenteric lymphadenitis should be treated with supportive care, including hydration and pain medication, as the condition is self-limiting and typically resolves within 2-4 weeks without residuals. The treatment approach for mesenteric lymphadenitis is primarily focused on managing symptoms, as the condition is often self-limiting and resolves on its own. According to a study published in 2017 in BioMed research international 1, the mainstay of treatment includes supportive care, such as hydration and pain management.
Key Treatment Considerations
- Pain management is crucial and can be achieved with medications such as NSAIDs or acetaminophen.
- Hydration is essential to help the body recover from the inflammatory process.
- Reassurance and explanation of the condition to patients and families are vital, as the condition resolves completely without residuals within 2-4 weeks.
Medication Options
- NSAIDs like ibuprofen or naproxen can be used to reduce pain and inflammation.
- Acetaminophen can be used as an alternative for pain management if NSAIDs are contraindicated.
- Antibiotics are not recommended unless there is evidence of a bacterial infection.
Additional Measures
- Rest and adequate hydration can complement medication therapy.
- Application of heat to the abdomen may help alleviate abdominal pain.
- Ultrasonography is the main diagnostic tool, and it discloses 3 or more mesenteric lymph nodes with a short-axis diameter of 8 mm or more without any identifiable underlying inflammatory process, as noted in the study 1.
The focus of treatment should be on supportive care, including hydration and pain management, rather than on specific medications, as the condition is self-limiting and resolves on its own within a few weeks, as supported by the study 1.