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Child having swollen knee and hurts to walk. Should I be worried?

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Hi ...My daughter is 7 years old... Her right knee is swollen, specially the right side...she says it hurts a lot when walking or bending her knee...also... under her her leg hurts too, She keeps saying it cracks a lot like if it moved out of place and came back.... She doesn't recall getting hurt .... Should I be worried about it?

Is it a bones problem...I'm asking since she's allergic to dairy, wheat, eggs, oats and soy....
I started giving her some Calcium supplements since we found out (3 months ago) that she was allergic to dairy....but I wonder if it's not enough...

Or could it be something else.... her knee does look swollen...more rounded than the other one...

She's in a lot of pain...when she walks or sits or bends her knee
Posted Mon, 3 Dec 2012 in Bones, Muscles and Joints
Answered by Dr. Grzegorz Stanko 4 hours later

Thank you for the query.

First of all some explanation for you. Joints inflammations, allergies, and intestines diseases can all be caused by immune system hyperactivity. We do call such diseases autoimmune. In my opinion it is time to take a look at your daughter problems all together, not as separate diseases.
There is a disease causing such symptoms all together - Crohn`s disease. This disease affects mainly the digestive system causing constipations, diarrheas, stomach aches, weight lost and many other. It can also has so called extraintestinal manifestations like single joint inflammation, skin rashes, inflammations and many many others.
Moreover, with proper diagnostics and treatment this disease can be controlled.
That is why it is necessary to rule it out.
I do not say that this is for 100% this disease, but it is very possible.
It is advisable for your daughter to have colonoscopy performed (this is the best way to get this diagnosed), full blood work with CRP and WBC (inflammation markers), blood antibodies levels (ANCA and ASCA), knee X-ray and ultrasound, knee fluid (if present) biopsy with antibodies tests.
It is very important to stop the knee inflammation as it can result with permanent knee dysfunction.

Hope this will help. Feel free to ask further questions.
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Follow-up: Child having swollen knee and hurts to walk. Should I be worried? 1 hour later
Are colonoscopies safe for a 7 year oled?

She also has very dry skin most of the time... often she gets very very dry wrists and knuckles. She has had very dry eyes, sometimes they hurt.... And just today a couple hours ago, I went to eat lunch with her at school and she showed me her other knee, she had rash there...kind of like little water filled little balls....about 4 of them... She is usually very gassy (flatulence) and she does get itchy butt here and there... I have been trying to give her a lot of vegetables ...she still eats meat... she can't eat dairy, wheat, soy, eggs or oats. So for grains she gets a lot of rice...some buckwheat. Can you tell me if there would be a better diet... I feel like I'm doing something wrong...It's been very hard 3 months so far...and she gets tired of salads/stews/rice/ etc...

Any insight or more info I will appreciate...Also...I need to know...if I'm doing okay with this supplements:

Here goes the list:
First of with a little bit of water I'm giving her this before breakfast:
- Culturelle probiotic (I give her 1 of this a day){keyword}&gclid=CObjy63LzLMCFQY5nAod_WgAPg

Then after breakfast I give her:
-----L'il Critters Gummy Vites MULTI-VITAMIN & Mineral Formula
(Free of her allergens btw)
** I only giver her one though, the dose says 2, but because I'm also giving her the
-----L'il Critters CALCIUM Gummy Bears with VITAMIN D3 (also free of her allergens, which also recommends 2 gummies, and I'm giving her only 1)
So this 2 supplents have vitamin D...And other stuff, I don't want to over supplement her if that makes sense...can you tell me if I'm giving her the right amount or should I do 2 of each instead of 1 of each...I know she needs the calcium ....
Then I'm also giving her the
---------Rainforest AnimalZ VITAMIN C (2 chewables a day)
Should I giver her Omega 3 also? or something else? or stop giving her any of these?

Answered by Dr. Grzegorz Stanko 52 minutes later

Yes colonoscopy is quite safe for children and should be performed if necessary.

Your daughter skin problems only confirms what I`ve said before as skin problems can be also caused by autoimmune diseases. She needs diagnostics for sure. It can be only allergy, however it can skin manifestation of intestines disease. I suggest you to start with tests I have mentioned. If all will come negative you can start treat it as allergy.
All mentioned by you supplements are fine and helpful for growing child. But this supplements wont help if there is any disease left undiagnosed. So I would not change anything with her diet or supplements, but you should start looking for the reason.

Hope this will help.
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