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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal pain, fever, vomiting. Urine test shows ketones and proteins. Cure for symptoms?

Hi my son is 7years old,four month ago he started to have abdominal pain , vomiting and high fever. The gb prescribed pain relief, it didnt worked. Had a scan, blood and urinal test and the result is negative but my son until now still have lower left side abdominal severe pain with vomiting. His urinal test today showed ketone and protein please help me i don t know what to do.
Mon, 21 Jan 2013
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General & Family Physician 's  Response
Hi,

Thank you for posting on HCM

From your description your son is presenting with a kidney infection most probably pyelonephritis. The type of pain is usually nephritic colic and the usual pain remedy would not work. Your son will require an antispasmodic and definitive cure. First your doctor will need to do a urine analysis and culture to determine the kind of bacteria involved, do blood work up and probably a kidney ultrasound. Presence of ketones in urine might be physiologic or due to another illness such as diabetes. So fasting blood sugar test is recommended. Other possible causes of protein in urine such as nephritic syndrome, nephrotic syndrome etc need to be ruled out by your doctor.

Hope this helps
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Abdominal pain, fever, vomiting. Urine test shows ketones and proteins. Cure for symptoms?

Hi, Thank you for posting on HCM From your description your son is presenting with a kidney infection most probably pyelonephritis. The type of pain is usually nephritic colic and the usual pain remedy would not work. Your son will require an antispasmodic and definitive cure. First your doctor will need to do a urine analysis and culture to determine the kind of bacteria involved, do blood work up and probably a kidney ultrasound. Presence of ketones in urine might be physiologic or due to another illness such as diabetes. So fasting blood sugar test is recommended. Other possible causes of protein in urine such as nephritic syndrome, nephrotic syndrome etc need to be ruled out by your doctor. Hope this helps