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What Causes Severe Stomach Pain In The Morning?

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Posted on Tue, 8 Apr 2014
Question: Hello, my grandson (15 years old) has had stomach pain and feels terrible mostly in the morning. His alkaline phos was 479. Does this have anything to do with the way he is feeling? He has had blood tests and has been seen by a few doctors with no results except they suspect IBS. He is taking Bentyl and it does help him some, but he still isn't the same active young man that he was a month ago. Any ideas?
doctor
Answered by Dr. Enrique Molina (6 hours later)
Brief Answer: it could be related Detailed Answer: Hello, i will try to answer your question as best as i can with the little information provided. An alkaline phosphatase of 479 is quite high. Depending on the lab, the upper limit of normal is usually around 125 - 140. The alkaline phosphatase can go up, and it could be related to many organs. The organs that can produce this enzymes are: liver, bone, intestine (and placenta, which does not apply to your son obviously). Usually this enzyme is only used in adults, as it can be abnormal in kids due to growth spurts (due to the bone release), and therefore can be as high as 500 during growth spurts. So this could be happening to your son (if the rest of "liver tests" are normal). The stomach pains are likely unrelated to the liver tests. Bentyl can help with IBS or intestinal spasms, however keep in mind that a common side effect of this medication is somnolence and dizziness. Before diagnosing IBS some of the tests that are usually done are: thyroid tests (decreased thyroid function can cause fatigue and IBS type symptoms), celiac disease blood tests, endoscopies. He can also be checked for an entity called "SIBO" (small intestinal bacterial overgrowth), which can cause "IBS type" symptoms, but most commonly bloating. Hope this helped, let me know if you have any further questions or concerns.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Enrique Molina (11 hours later)
Did you read the test results that I attached and did you see anything else out of the ordinary? Were there thyroid tests, celiac disease blood tests, and endoscopies and SIBO? He has missed about 20 days of school this year and we would like to get this figured out. He has an appointment Tuesday with the doctor and we would like to know what questions to ask. Thanks so much for your help!
doctor
Answered by Dr. Enrique Molina (54 minutes later)
Brief Answer: more tests needed Detailed Answer: i can see one scanned page with test results. there is no celiac tests, no thyroid tests, no endoscopy reports on that page. If you have any other results let me know.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Enrique Molina (3 hours later)
Thanks for your help. Is there a way that I can get back to you if I need to after the doctor's appointment?
doctor
Answered by Dr. Enrique Molina (1 hour later)
Brief Answer: Yes Detailed Answer: you can ask a direct query to me on this same website / interface. my office is in south Florida, which i believe is far from you! good luck, hope everything goes well
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Enrique Molina

Internal Medicine Specialist

Practicing since :2004

Answered : 364 Questions

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What Causes Severe Stomach Pain In The Morning?

Brief Answer: it could be related Detailed Answer: Hello, i will try to answer your question as best as i can with the little information provided. An alkaline phosphatase of 479 is quite high. Depending on the lab, the upper limit of normal is usually around 125 - 140. The alkaline phosphatase can go up, and it could be related to many organs. The organs that can produce this enzymes are: liver, bone, intestine (and placenta, which does not apply to your son obviously). Usually this enzyme is only used in adults, as it can be abnormal in kids due to growth spurts (due to the bone release), and therefore can be as high as 500 during growth spurts. So this could be happening to your son (if the rest of "liver tests" are normal). The stomach pains are likely unrelated to the liver tests. Bentyl can help with IBS or intestinal spasms, however keep in mind that a common side effect of this medication is somnolence and dizziness. Before diagnosing IBS some of the tests that are usually done are: thyroid tests (decreased thyroid function can cause fatigue and IBS type symptoms), celiac disease blood tests, endoscopies. He can also be checked for an entity called "SIBO" (small intestinal bacterial overgrowth), which can cause "IBS type" symptoms, but most commonly bloating. Hope this helped, let me know if you have any further questions or concerns.