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Suggest Treatment For Stomach Pain And Nausea In A Teenager
Question: My 13 year old granddaughter complains of a hurting stomach every time she eats and that she feels nausea.
she hasn't thrown up. She was hospitalized last summer for a condition called mesenteric adenitis. could this be from that? should I be too concerned? I gave her an antacid tablet. helped a little.
she hasn't thrown up. She was hospitalized last summer for a condition called mesenteric adenitis. could this be from that? should I be too concerned? I gave her an antacid tablet. helped a little.
Brief Answer:
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern
Mesenteric lymphadenitis has a presentation similar to acute appendicitis. Mesenteric lymphadinitis is mainly treated with antibiotics. The abdomen needs to be examined for signs of acute abdomen including tenderness, rigidity, guarding etc.
An ultrasound can be advised to look for enlarged mesenteric nodes. A CT may be advised instead of a sonogram. CBC, urinalysis and basic metabolic panel can also be done to rule out other causes for the pain. Treatment would depend upon the cause. The stomach or epigastric region pain is classically associated with GERD/ Gastritis or pancreatitis in severe cases, so it might be GERD especially if there was improvement with antacids and PPIs. However, i would advise not to take a chance and to take her to the hospital, immediately, to be on the safe side.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern
Mesenteric lymphadenitis has a presentation similar to acute appendicitis. Mesenteric lymphadinitis is mainly treated with antibiotics. The abdomen needs to be examined for signs of acute abdomen including tenderness, rigidity, guarding etc.
An ultrasound can be advised to look for enlarged mesenteric nodes. A CT may be advised instead of a sonogram. CBC, urinalysis and basic metabolic panel can also be done to rule out other causes for the pain. Treatment would depend upon the cause. The stomach or epigastric region pain is classically associated with GERD/ Gastritis or pancreatitis in severe cases, so it might be GERD especially if there was improvement with antacids and PPIs. However, i would advise not to take a chance and to take her to the hospital, immediately, to be on the safe side.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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