What causes upper and lower abdominal pain?
Also there are no cold or flu symptoms, no cough, fever, no sore throat or congestion....and she is starting to get shaky
Think differently if the routine tests are normal
Thanks for your query.
I can understand the plight a child of 9 and her Mother must be going through due to the symptoms and the tests she must have undergone.
Barium through naso-gastric tube is called Enteroclysis.
Erosive gastritis, esophagitis and GERD can be secondary to the primary problems as these can not cause lower abdominal pain and can be stress induced due to the disease process.
I think rest of all other investigations you mentioned are normal.
This make me think differently if investigations are normal, she must be under medicines and yet not relieved of the symptoms.
I can think of the following and would suggest the investigations along with it:
- Color Doppler or Angiography of the abdomen. This is to rule out any vascular problems.
-MRI of the brain- just to rule out any central problem.
-Abdominal epilespy is a known diagnosis and helped by concerned medicines- worth trying in patients with negative reports.
-Psychological (NOT Psychiatric) evaluation - just to be on safe side.
** May please know the detailed history since beginning of the first attack and chronological symptomatology / any medicines that have helped her to be asymptomatic for a good length of time...? This may help me more.
I hope this answer helps you in part at least to get to the diagnosis and the treatment thereupon.
I also hope she is under treatment for GERD and related things.
Please feel free to discuss in detail with possibility of getting a solution.
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