Having Paleness Tremors In Hands, Pain In Groin And Fever. Suggest
Thank you for your query on Healthcare Magic.
I can understand your concerns and worry towards your child health problems.
With your description of your child seems having the following health problems.
1. Paleness.
2.Tremors of hands since several years.
3.Abdominal and groin pain, on and off since April.
4.Fever on every other day for several months.
What about the reports of the investigations done? Are they normal?
What about the ultrasound abdomen report if it is done?
What is the level of hemoglobin and WBC count in CBC?
Paleness may be due to anemia with low hemoglobin.
Tremors in hands usually in children in uncommon but they are seen in conditions like hyperthyroidism, anxiety, low blood glucose, essential tremor, and some underlying neurological problems.
Some children may have physiological tremors, which usually aggravated by fatigue and weakness.
So tremors needs evaluation with history and investigations for the above conditions.
Nothing to worry as his abdomen and pelvis examination is normal
But the causes of on and off fever for several months has to be evaluated further with relevant investigations after consulting the pediatrician like smear for malarial parasite, widal test, peripheral smear for any abnormal cells, complete urine examination, and culture of urine and blood, and mantoux test if it is required.
Therefore I advise you to consult his pediatrician for physical examination, followed by appropriate investigations to look for the causes of on and off fever.
Hope I have answered your query, if you have any clarification please let me know along with the information I have asked.
Regards.
They did not order an ultrasound or any radiology for that matter nor did they order urine or blood cultures
He also has been saying his forehead hurts I assume it's from fever his hard to read as he never ever complains even with severe pain he says nothing and I fear this has gone on sev months
Thank you for getting back.
In children, on and off fevers are common and they are mostly due to different viral illnesses, upper respiratory tract infections with bacteria.
Most of these fevers will respond to simple Tylenol or some times with a short course of antibiotic for bacterial infections.
This type of fevers will subside within 3 to 5 days.
But if the fever is continuous together for weeks to months, then it is a problem of concern.
The peripheral smear for abnormal cells is to rule out some atypical white cells, blast cells to rule out any underlying hematological malignancies. This is just to rule out any concerns of an underlying problem and to reassure you about your child.
They didn't ordered ultrasound mostly because the examination of abdomen and pelvis was normal.
There may be headache in children with fevers.
Nothing to worry and consult again the doctor with the reports.
Hope I have answered your query, if you have any clarification please let me know.
Regards.
Thank you for getting back.
If all the tests are normal, there is no need to go for all the tests I have recommended.
Complete review of child complaints of on and off fevers, and a complete general and systematic physical examination of the child by the pediatrician will give an idea to plan for relevant tests if they are required depending on the doctor conclusion.
Yes, I agree with you that it is common in medical people to think about many health related conditions if one of family member suffers even a small medical issue.
Nothing to worry and you can discuss with your concerns, whatever you are having with his pediatrician.
After examination, if the doctor suggest you any investigations depending on his clinical findings, then you can think for further testing.
Hope I have answered your query, if you have any clarification please let me know.
If you don't have any doubt, you can close the session and I request you to kindly rate and review my answer.
Wish your child speedy recovery.
And thank you very much for wishes.
Best regards.