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Suggest treatment for abdominal pain in a child

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Posted on Sat, 16 May 2015
Question: 6 year old female. tummy pain for several months. after treatment for possible ulcers and blood in the stool referred to a GI dr who did a endoscopy and colonoscopy. pretty clean except the small bowel had vascular malformations. GI dr did biopsies. awaiting results. chances of cronhs disease?
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Answered by Dr. Klerida Shehu (2 hours later)
Brief Answer:
Symptoms not typical for Crohn's...

Detailed Answer:
Hi my dear,

I am sorry for the health situation of the little girl.

Now, you are reporting that she is having:
- tummy pain for several months
- blood in stool
- small bowel with vascular malformations during endoscopy

From what you are reporting and considering her young age, Crohn's is almost impossible. As her small bowel has vascular malformations, here we should stay and determine the diagnosis which is not Crohn's to my opinion.

Waiting for biopsy results and considering further treatment for her vascular malformations.
Any other queries are most welcome!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Klerida Shehu (4 hours later)
ok. that's good news. vascular malformations can cause pain, correct? my dauthter, XXXXXXX was adopted at birth so history is not available. how can you treat VM is cauterization is not available due to the dr not knowing where to start and end because there are so many?
doctor
Answered by Dr. Klerida Shehu (18 hours later)
Brief Answer:
Capsulated endoscopy advised...

Detailed Answer:
Hi back my dear,

At this point, I'd suggest to run capsuled endoscopy to determine:
- the exact location of vascular malformations before deciding the best treatment strategy. It is true that treatment depends on the size of malformations: endoscooy coagulation,pharmacotherapy or surgery.

Can you send the endoscopy/colonoscopy reports? I need to understand where did they took the sample for biopsy.

However, I still think that her symptoms of getting tummy aches is not typical for malformations. That's why I asked to run capsulated endoscopy.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest treatment for abdominal pain in a child

Brief Answer: Symptoms not typical for Crohn's... Detailed Answer: Hi my dear, I am sorry for the health situation of the little girl. Now, you are reporting that she is having: - tummy pain for several months - blood in stool - small bowel with vascular malformations during endoscopy From what you are reporting and considering her young age, Crohn's is almost impossible. As her small bowel has vascular malformations, here we should stay and determine the diagnosis which is not Crohn's to my opinion. Waiting for biopsy results and considering further treatment for her vascular malformations. Any other queries are most welcome! Dr.Klerida