Thanks for writing in.
I am a medical specialist with an additional degree in cardiology.
I read your mail with diligence, I think you take her to your regular doctor after an appointment (unless she is so sick that she needs to go to ER again). Because I get the feeling, you did not tell doctors about lump besides her throat which can be missed in hurried examination in emergency. That may (that means may not also) denote some pathology in the area where liver ducts drain bile to stomach. Metastasis from that area are usually seen in neck area. With pain, nausea
, elevated liver enzymes
need a further detailed work up to reach a diagnosis. This is necessary to exclude any serious illness your daughter might be suffering from. Treatment will depend on the established cause which has not been done. Regards
With Best Wishes
Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)