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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Have Tummy Ache And Cramp Followed By Being Violently Sick Then Fainting. What Can Be The Cause?

Hi good evening, the question i have is regarding my son who is 7 yrs old. He has over the years has had 3 occassions where it starts with a servere tummy ache/cramp followed by (1st time) being vilently sick then fainting. I had to call 999 as he was not responding and extremly pale (ghost like) once we were on the way to hosp at one point they called ahead for the crash team....after about 45 mins he woke up like nothing had happened but tired???? second time same syptoms was sick passed out briefly pale but stopped paramedics as came round quickly. Finally today it happened at school to the point the teachers had never seen anything like it called me immediately !!! Took him straight to the doctors where he was checked and he was absolutely normal ???? I have been on computer all evening trying to find out what could possible causing this (your worst nightmare with parents i know) the only thing remotely similar is Abdominal Epilepsy!!! But are you able to shed any light or recommend my next steps.
Many thanks
Sarah Bungay
Mon, 20 May 2013
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Pediatrician 's  Response
Hi Sarah:
Abdominal epilepsy was the first thing that crossed my mind, even before you brought it up at the end of your question.
Abdominal epilepsy is an exceptionally rare syndrome of epilepsy that's more likely to occur in children. Even rare, I have seen 2 cases in my practice of 30 years.
With abdominal epilepsy, seizure activity causes abdominal symptoms. For example, it may cause pain and nausea and vomiting. Anticonvulsant medications can improve the symptoms.
With abdominal epilepsy, it's thought that seizures occur that primarily affect the digestive system. Gastrointestinal symptoms are the result. Those symptoms include: abdominal pain, usually sharp or cramping and lasting seconds to minutes, nausea and/or vomiting, fatigue, lethargy, or sleep following seizures, altered level of consciousness, such as confusion or unresponsiveness.
Abdominal epilepsy is so uncommon that some experts question whether it exists. Abdominal pain is common in people with epilepsy as well as without.
I recommend a neurological evaluation, EEG, to clear that diagnosis.
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Child Have Tummy Ache And Cramp Followed By Being Violently Sick Then Fainting. What Can Be The Cause?

Hi Sarah: Abdominal epilepsy was the first thing that crossed my mind, even before you brought it up at the end of your question. Abdominal epilepsy is an exceptionally rare syndrome of epilepsy that s more likely to occur in children. Even rare, I have seen 2 cases in my practice of 30 years. With abdominal epilepsy, seizure activity causes abdominal symptoms. For example, it may cause pain and nausea and vomiting. Anticonvulsant medications can improve the symptoms. With abdominal epilepsy, it s thought that seizures occur that primarily affect the digestive system. Gastrointestinal symptoms are the result. Those symptoms include: abdominal pain, usually sharp or cramping and lasting seconds to minutes, nausea and/or vomiting, fatigue, lethargy, or sleep following seizures, altered level of consciousness, such as confusion or unresponsiveness. Abdominal epilepsy is so uncommon that some experts question whether it exists. Abdominal pain is common in people with epilepsy as well as without. I recommend a neurological evaluation, EEG, to clear that diagnosis.