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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Epigastric Pain?

My 13 yr daughter has had episodes of epigastric pain for about 9 months... Dr assumed classic gall bladder pain symptoms... She had endoscopic ultrasound yesterday... Gallbladder, pancreas and ducts all normal... Only thing noted subcenter portal lymph node appears reactive to inflammation could this have any significance to possible pain episodes
Wed, 5 Nov 2014
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Pediatrician 's  Response
There are two possibilities that I would consider. The most probable cause is gastritis. Give her omeprazole in the morning for one and a half months. Give small but frequent meals. I hope that her pain would be relieved.
The other possibility is some non specific gastrointestinal infection which could also be behind the inflamed lymph nodes. It could be related and a possible cause of the abdominal pain. A simple course of antibiotics like ofloxacin will be enough.
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What Causes Recurring Epigastric Pain?

There are two possibilities that I would consider. The most probable cause is gastritis. Give her omeprazole in the morning for one and a half months. Give small but frequent meals. I hope that her pain would be relieved. The other possibility is some non specific gastrointestinal infection which could also be behind the inflamed lymph nodes. It could be related and a possible cause of the abdominal pain. A simple course of antibiotics like ofloxacin will be enough.