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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated Liver Enzymes After Enlarged Painful Upper Abdomen Scan. Mild Ulcers Found In Stomach. Reasons ?

18 year old male weight 176 lbs. Active, works out, and plays summer AAU basketball.
Woke early morning 5:30 AM June 18, 2013, with enlarged and moderately painful upper abdomen.
Doctor took blood sample and found liver enzymes elevated 6X normal.
Next day ultra sound indicated no problems, but gall bladder wall slightly thicker.
Wed June 26: Performed Upper endosocopy of stomach and upper small intestine -- biopsy did not find anything. Gastroenterologist said mild ulcers in stomach and lower esophagus found. Prescribed omeprosole for 6 months. Ordered colonoscopy for July 10.
Blood work June 25 showed liver enzymes now back to normal.
Played basketball on Thursday, June 27, and had mild headache.
Played again on Friday morning, June 28, resting in late afternoon and asked me (dad) to look at his right eye because he thought something was in it. Right eye blood vessels very dilated -- so took him to ophthalmologist who prescribed Dextromycin-Dexameth Ophth susp drops.
Saturday morning he woke up at 8:00 AM and vomited yellowish bile before breakfast and had a bad headache.
Called on-call gastroenterologist and he said because of headache take him to emergency room.
They drew more blood and said he did not have mono or dehydration -- throat started to get real sore and emergency room doctor prescribed hydrocodone and something else for nausea -- departed hospital.
Took hydrocodone on limited basis unless pain was severe, only took nausea medicine on Sat afternoon.
Slept from 4:00 Pm on Sat June 29 to 8:00 AM (16 hours) on Sunday, June 30.
Sunday still had headaches and very sore throat.
Monday, July 1, eye very good, but upper body covered in red rash.
Took him to doctor -- doctor thought maybe allergy or unknown virus causing all symtoms.
Tuesday, July 2, rash diminished.
Wednesday morning, July 3, took to doctor due to continued headaches.
Doctor thought might have bacterial sinus infection due to virus and doctor prescribed Amoxicillin.
Took more blood to check for West Nile virus (negative).
That afternoon headache started to get bad again, so gave hydrocodone -- hour later started giving the prescribed Amoxicillin.
Did not have any headaches after taking medicine on Wednesday afternoon, July 3.
During this 2 week time he lost 7 pounds.
Colonoscopy on Wed, July 10. Doctor checked large intestine for Graves and other stuff, also
checked lower small intestine. Did not find anything. Thought it could be Graves but would have to
do more tests of small intestines. Decided to wait and thought maybe virus was cause of all the symptoms.
Said to let him know if symtoms returned or anything happened. Son has only regained about 3 pounds.
Thanks
Wed, 31 Jul 2013
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Pediatrician 's  Response
Hi dear
Welcome to the Board of Health care magic

Gone through your elaborated history and came to conclusion that you had a mild attack of hepatitis and along with that you also developed some gastritits.

Hepatitis is usually self limiting disease. it subsided of its own with out causing much trouble to you. All the symptoms headache,pain in abdomen bloated abdomen can be explained with hepatitis.

For the gastritis part you have already prescribed omperazole for 6 weeks which you should continue.

Hope you should recover with due coarse of time with this treatment only.

Thanks
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Elevated Liver Enzymes After Enlarged Painful Upper Abdomen Scan. Mild Ulcers Found In Stomach. Reasons ?

Hi dear Welcome to the Board of Health care magic Gone through your elaborated history and came to conclusion that you had a mild attack of hepatitis and along with that you also developed some gastritits. Hepatitis is usually self limiting disease. it subsided of its own with out causing much trouble to you. All the symptoms headache,pain in abdomen bloated abdomen can be explained with hepatitis. For the gastritis part you have already prescribed omperazole for 6 weeks which you should continue. Hope you should recover with due coarse of time with this treatment only. Thanks