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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Fever And Stomach Ache?

My daughter has always had a hard time going to the bathroom. It continues to be something we struggle with. My younger daughter got a fever last week. She had it a day then the fever went away. This week my older daughter (with the stomache issues) got a fever. I figured it was the same thing but her fever is still not going away (day 2). She also mentioned she had a belly ache. I confirmed that she went to bathroom 2x yesterday. Should I be worried about her appendix? Should she be seen by a doctor at this point? I always try to weigh the risks of going into the dr office since so many kids are sick I figure unless I'm sure I need to go then I hold up. She is 8 yrs old, small for her age but also short. About 50lbs and 50" tall.
Fri, 19 Dec 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

The causes of pain in abdomen in 9 year old child with fever can be :
-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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What Causes A Fever And Stomach Ache?

Hi. Thanks for your query and an elucidate history. The causes of pain in abdomen in 9 year old child with fever can be : -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.