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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Lower Right Side Abdominal Pain

My 14 yo has had persistent lower right sided abdominal pain for 2 1/2 weeks. Pain is now on both sides and up into her rib cage, back and complaints of chest tightness. Low grade fever. First week of Dec. she had her period 2 weeks early and still has not had another cycle. Abdominal untrasound (above belly button) normal, urine culture, white blood cell and blood protein normal. Scheduled for CT with barium Thurs. Pediatrician seems to be chaulking up to stress but I don't buy it. May be a contributing factor. At times she says she feels dizzy and teachers at school have been concerned as she does not look well and often seems "out of it". She says because she is in pain. She is eating, sleeping and using bathroom just fine. No vomiting but does sometimes feel nauseaus. Do I wait for the CT? Go see a GYN? Call the crisis line my pediatrician suggested? She is a virgin and does not use tampons.
Mon, 24 Nov 2014
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General Surgeon 's  Response
HI.
Thanks for your query.
Read the history and understood it.
The most probable cause of pain in a child
-Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.
-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.
-Worms.
The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.
A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.
Also given is a dose of medicines active against worms in intestine.

I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.
If this is indicative of appendicitis , please go for the surgery of appendectomy.
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Suggest Treatment For Persistent Lower Right Side Abdominal Pain

HI. Thanks for your query. Read the history and understood it. The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen. -Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child. -Worms. The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis , please go for the surgery of appendectomy.