Question: My 13 year old daughter had her gall bladder removed in 2012 after many tests and medications tried- for pain in upper right quadrant. Hydia Scan showed gall bladder was non functioning. Since then she has had constant diarrhea and symptoms of IBS. She has to watch what she eats or drinks, never knows what will set her stomach off. Last two days she has had sudden acute stabbing abdominal pain right above her naval and pain in upper left quadrant. The pain gets so severe she ends up curled up in the fetal position crying-the pain is unrelenting. I have taken her to the ER the last two mornings, since anything I tried ie heating pad, hot water bottle, or any otc meds or perscriptions she has had no effect on the pain or lessoning it. In the ER they have given her GI cocktails, and some stomach meds thru her IV, and finally a pain med. She says the pain helped somewhat, but pain never completely goes away-it just becomes more bearable. Tonight she is once again curled in fetal position with severe stabbing pains above navel. She has not had a period yet-has not yet started her menstral cycle. I understand that the medications given will take time to take affect. But what is causing, and what can we do with the flare up of the acute stabbing abdominal pain that seems to happen towards evening without any let up!?!

Her first ER visit on the 16 th she had a urinalysis dipstick done....all normal. Pregnancy test...negative, Control passed, and a cbc differential all values were within normal range. The results of her comprehensive metabolic panel had some abnormal values ie chloride was 111 (98-107 meq/l) Protein total was 6.2 (6.4-8.3 gm/dl) Globulin was 2.0 (2.4-3.7 gm/dl) A/G Ratio was 2.1 (1.1-1.8) Alkaline Phosphatase was 359 (25-345 u/l) Her Lipase was normal. Urinalysis normal. Bedside Glucose was normal. Does this make you think of any more possible advice?