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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Stomach Cramps And Diagnosed With Irritable Bowel Syndrome?

Hi, My daughter (aged 10 year and 8 months) is having recurring stomach cramps (GP thinks Irritable Bowel Syndrome) separate to that for the past week she has been on and of school with stomach cramps and feeling nauseous/dizzy. Last week it started on Tuesday, we went to the GP and she thought it might be a cold / stomach bug that s been going round. My daughter seemed okay on Wednesday and she felt sick again on Thursday, okay on Friday. We had a very hectic weekend (sports on Saturday with a dance performance in the evening and a 2.5 hour charity walk on Sunday. That evening she had a headache (I believe she had been drinking properly during the walk, so I m not suspecting dehydration but not sure) and she vomited. We kept her home on Monday and she seemed okay again on Tuesday. We sent her to school, but the school called to say that she had been sent to the nurse because of stomach cramps that made her cry, so I picked her up from school. That was yesterday. We just came back from the GP for test results from a stool sample that was taken last week (nothing showed) and to ask what else can be done. The GP thought perhaps Giardiasis and prescribed Metrogyl (5 tablets of 200 mg 3 x a day = 3000 mg). Long story, but my question is this. I ve gone online and as far as I can tell that dosage is unusually high. I have found that for children a dosage is prescribed up to a maximum of 2 grams a day for three days or a lower dosage over 7 days. What is the correct dosage? Much appreciate your time. BTW, my daughter weighs 38.2 kg and I m not sure if this is relevant, but we live in Australia. Best regards, Isabella.
Fri, 29 Dec 2017
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General & Family Physician,  's  Response
Hello Isabella,
Thank you for posting your query on healthcare magic.
Let me please assert that your daughter does not need the antibiotic as there is no sign of infection in the stool test and also since you did not mention any fever.
Moreover the dose is too high.
From the symptoms you mentioned and also the fact that your daughter is nearing puberty this could be psychogenic.
I advise you to make sure she's not under too much stress or pressure at school or at home.Girls around this age tend to be frequently struck by anxiety related to various things like peer pressure and feelings of insecurity particularly at school and these manifest themselves in physical symptoms, frequently headaches and stomach aches.
If needed you may take her to psychotherapy sessions and also help her open up to you.
Meanwhile, you can give her probiotics which will help with the stomach issues of bloating and nausea.
For now, she does not need any medication.
However if symptoms worsen or if she debelops fever and diarrhoea you may neef prescription antibiotics.Until then, please follow the advise I have given.
Hope this helps.
Thank you for visiting healthcare magic.
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What Causes Recurring Stomach Cramps And Diagnosed With Irritable Bowel Syndrome?

Hello Isabella, Thank you for posting your query on healthcare magic. Let me please assert that your daughter does not need the antibiotic as there is no sign of infection in the stool test and also since you did not mention any fever. Moreover the dose is too high. From the symptoms you mentioned and also the fact that your daughter is nearing puberty this could be psychogenic. I advise you to make sure she s not under too much stress or pressure at school or at home.Girls around this age tend to be frequently struck by anxiety related to various things like peer pressure and feelings of insecurity particularly at school and these manifest themselves in physical symptoms, frequently headaches and stomach aches. If needed you may take her to psychotherapy sessions and also help her open up to you. Meanwhile, you can give her probiotics which will help with the stomach issues of bloating and nausea. For now, she does not need any medication. However if symptoms worsen or if she debelops fever and diarrhoea you may neef prescription antibiotics.Until then, please follow the advise I have given. Hope this helps. Thank you for visiting healthcare magic.