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18 year old having episodes of severe stomach pain, sweating and fluttering in stomach. Need investigation?

my 18 year old son has a quick attack of a severe stomach ache and was sweating profussly, The pain lasted about 15 minutes...this is the second time this has happened in a4 months. He is going to college in 7 this something that needs to get investiaged immediatately. After the attach je was fine and we spent the day water rafting, out to dnner and he was fine. He has also complained of a fluttering in his stomach whic h i htought was nerves as he is soon to be moving away to college for the first time.
Asked On : Wed, 8 Aug 2012
Answers:  2 Views:  40
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General & Family Physician 's  Response
Hi, Rothsteinz,
Thanks for query.
If pain is on right lower stomach then possibility of having acute appendicitis should be ruled out.
In chronic gastro intestinal infection this can happen as well.
So go for stool test to for G.I.infection and after report go for treatment accordingly.
Avoid fried and junk food.
Avoid constipation.
Ok and bye.
Answered: Wed, 8 Aug 2012
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Emergency Medicine Specialist Dr. Sujjalaxmi Bharali's  Response
from what you say, it seems the pain is of severe intensity.
In addition what I would like to know are:
Is the pain associated with vomiting?
Does the pain have any association with food ? Is he used to taking very spicy food?
I apologise but does your son take alcohol, the frequency of drinking and was there any binge drinking prior to the attack?
I suppose his motions are clear.
Actually to arrive at a probable diagnosis the information is little insufficient but still just to say its because he is nervous would be wrong unless you get a couple of relevant investigations done to
rule out acute abdomen (acute pancreatitis, acute cholecystitis or acute gastritis). Dont worry the probabilities are not very high considering the pain has occured only twice over a perod of 4 months
Investigations advised:
1. Ultrasound abdomen
2. Blood test: Serum amylase, serum lipase,
Liver function test
Complete blood count

Dr Sujjalaxmi
Answered: Wed, 8 Aug 2012
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