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Six year old daughter having intermittent periumbilical pain with fever, diarrhea. Could it be due to appendicitis?

My six year old daughter started to complain of intermittent periumbilical pain approx 3 weeks ago. She awoke abruptly in the middle of the night with severe abdominal pain and fever. Within a couple hours the pain was gone and the fever was gone later that day. Since then she has had intermittent periumbilical pain. Nothing seems to relieve or worsen the pain. She started in yesterday with pain again and diarrhea . She has had 4-5 episodes of diarrhea. No blood in stools . No nausea/ vomiting . She is running a low grade fever today, however she did just get over a viral URI approx 2 days ago...but hasn t ran a fever for two days. I m unsure if this could be appendix, intestinal issue, or what other etiology. Do you have any advice? Thanks!
Asked On : Fri, 25 Jan 2013
Answers:  2 Views:  120
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Emergency Medicine Specialist 's  Response
Hi Rachy,
Thanks for writing your query.

After reading your post, it seems that your daughter is having some infection in intestine leading to pain in abdomen, fever and diarrhoea.

You can send her stool for examination.
She should be treated with antispasmodic like dicycloverine , antacid like omeprazole, probiotic and antibiotic according to the report of the stool investigation. Paracetamol can be given for fever.
She should be given any medicines after getting her medically examined by her Paeditrician.

Give her light diet with less spice and oil for few days until her stool is normal.

Her pain doesnot seems to be due to appendix as the appendicitis pain is more towards right side of umblicus.

I hope this is helpful to you.
Answered: Fri, 25 Jan 2013
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General & Family Physician Dr. Mamun Kabir's  Response
thank you.
i am sorry for your daughters miserable condition.
have any skin rash,joint pain,burning micturition or history of same type of attack?
it may be simple gastroenteritis,diverticular disease,acute pancreatitis or some type of vasculitis.
some inv. need to be done like CBC,stool exam. CRP,S.amylase & lipase,USG of abdomen.
it is better to consult a pediatric gastroenterologist.
Answered: Fri, 25 Jan 2013
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