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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vomiting And Abdominal Pain In A Child

good morning, my daughter has benn sick for eight days now. I will start from the begining. Thursday aftrenoon she went with a friend to eat , she had a chicken burger, she said it did not smell good (shes 13 and ate it anyway) the next morning 5am ish she started vomiting, the belly pain started twards the left side of her abdomen. she seemed ok saturday and sunday (sick and mild belly pain but not throwing up) monday she started thwowing up again now the pain is center to right abdomen getting worse by tuesday shes in allot of pain in her right abdomen. I took her to the Dr. who felt around and mooved her legs when she said take her to the ER. she said she presents as a classic appendicitis . In the ER. the Dr, poked her belly did blood work and an mri. nothing came back they did see the appendix and it looked fine she did have a small gallstone Dr, was not concerned about it now shes projectile vomiting ,still in pain. mils fever of 99-100.so i guess im asking if I should still do the wait and see thing or take her to a different ER? She has also has diariha.
Thank you
Sheila
Sat, 31 Jan 2015
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Pediatrician 's  Response
I have gone carefully through the details provided. Your child could have suffered from acute gastroenteritis caused due to pre-formed toxins in food due to bacterial contamination. But it is unlikely to last long. In any case, proper hydration with oral rehydration solution or intravenous fluids is essential to prevent dehydration.

Your child needs to be properly examined for me to understand the source of the pain & the symptoms.

The diagnosis of appendicitis is clinical. Investigations may not show anything. But tenderness over a certain point over right lower abdomen would indicate appendicitis. It could match the symptoms present. If that is the case, surgery is the only treatment.

If gall bladder stones are evaluated to be the cause, the treatment is also surgical removal of the gall bladder.

The symptoms could also be due to conditions like intestinal obstruction which needs to be treated surgically.

It is no use presuming things. Taking second opinion should be a better idea as I would not be able to clinically assess your child.

Hope that helps.
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Suggest Treatment For Vomiting And Abdominal Pain In A Child

I have gone carefully through the details provided. Your child could have suffered from acute gastroenteritis caused due to pre-formed toxins in food due to bacterial contamination. But it is unlikely to last long. In any case, proper hydration with oral rehydration solution or intravenous fluids is essential to prevent dehydration. Your child needs to be properly examined for me to understand the source of the pain & the symptoms. The diagnosis of appendicitis is clinical. Investigations may not show anything. But tenderness over a certain point over right lower abdomen would indicate appendicitis. It could match the symptoms present. If that is the case, surgery is the only treatment. If gall bladder stones are evaluated to be the cause, the treatment is also surgical removal of the gall bladder. The symptoms could also be due to conditions like intestinal obstruction which needs to be treated surgically. It is no use presuming things. Taking second opinion should be a better idea as I would not be able to clinically assess your child. Hope that helps.