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What Causes Recurrent Abdominal Pain?

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Posted on Tue, 29 Dec 2015
Question: My daughter has been complaining about tummy hurt on and off for almost a year. Her paediatrician checked before and didn't find any specific problem. She is otherwise quite healthy. For the past 3 weeks, she complaints more frequently than the past. Her bowl movement has been normal and she is also able carry out daily school and extra-curriculum activities albeit her complains of tummy hurt.

We went to an walk in paediatric clinic tonight. The doctor ordered urine test and the preliminary result shows white blood cell. Doctor also checked her tummy by hand and thinks her liver a bit large. He ordered blood test. Full result of blood test and urine test will be available after 2 days. The doctor also prescribed Teva-Cephalaxin, antibiotics to start and asked us to see her paediatrician once test result comes back.

Since she didn't have any fever (no fever for the past 3 weeks), i wonder whether we need to take the antibiotics right away or wait 2 days? Just in case the doctor can give her more suitable antibiotics after seeing the test result.

Also what can lead to enlarged lever at this young age? We did go to South XXXXXXX 6 months ago but she was vaccinated for hepatitis A and B before the travel. And her complains of tummy hurt was long before the traveling.

Thanks!
XXXX
doctor
Answered by Dr. Archana Verma (39 minutes later)
Brief Answer:
Wait for the lab reports before starting antibiotics

Detailed Answer:
Hi
I understand your concerns but don't worry. Your child seems to be suffering from recurrent abdominal pains and it's not advisable to start with antibiotics unless and until a bacterial infection is present.

The liver can be sometimes palpable even in normal situations. A better parameter for hepatomegaly is liver span measurement or ultrasound abdomen.

At present the best approach would be to wait for lab reports which should include CBC, CRP, SGOT, SGPT, S. sodium and potassium, S. Amylase, urine examination and ultrasound abdomen. Hold any antibiotics till the reports come.

You may upload the reports for my reference so that I may help you in the best possible way.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Archana Verma (6 minutes later)
Thank you so much Dr. Verma! This makes sense so we'll hold off the antibiotics. I will contact you later this week once we get the report.

Thanks again!
XXXX
doctor
Answered by Dr. Archana Verma (1 minute later)
Brief Answer:
She will be fine

Detailed Answer:
I will be happy to help you in any further questions.
Take care XXXXXXX
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Archana Verma

Pediatrician

Practicing since :2006

Answered : 1129 Questions

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What Causes Recurrent Abdominal Pain?

Brief Answer: Wait for the lab reports before starting antibiotics Detailed Answer: Hi I understand your concerns but don't worry. Your child seems to be suffering from recurrent abdominal pains and it's not advisable to start with antibiotics unless and until a bacterial infection is present. The liver can be sometimes palpable even in normal situations. A better parameter for hepatomegaly is liver span measurement or ultrasound abdomen. At present the best approach would be to wait for lab reports which should include CBC, CRP, SGOT, SGPT, S. sodium and potassium, S. Amylase, urine examination and ultrasound abdomen. Hold any antibiotics till the reports come. You may upload the reports for my reference so that I may help you in the best possible way. Take care