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Abdominal pain and incrases while coughing,laughing, Diarrhoea, lowered apetite

My daughter has had upper right quadrant abdomen pain for about 3 weeks. It is very tender to touch especially to the right of her navel and she is only 15 years old. She has ad a CT scan , X-rays, blood work, urinalysis , and ultrasounds and everything comes back fine. She does not have a fever. It worsens or has sharp pain when she moves a certain way, coughs, laughs, hiccups, anything jarring. She reports some diarrhea but not constant, but she has a lack of appetite and is tired because she doesn t sleep well because if she moves in her sleep the pain wakes her. Now her pediatrician wants to send her to a pediatric gastroenterologist . Would they be able to diagnose tendonitis to the diaphragm? Could that be it? If so, how would it be treated? I have been so concerned it could be appendicitis but the tests don t seem to be giving the answer.
Asked On : Tue, 1 May 2012
Answers:  1 Views:  181
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Gastroenterologist, Surgical 's  Response
Dear ...!
many thanks for the mail.
I have gone through your mail in detail and could grasp the salient points.
Pain in the abdomen keeping her awake is a significant pain and a thing of concern. A retro-caecal appendicitis is a distinct possibility. Many a time an ultraosnogram and a blood count may not help in diagnosing an appendicitis. A good clinical examination by an experienced surgeon will be helpful.

Answered: Thu, 3 May 2012
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