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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And High WBC

Thanks, yes, My 12 yr old has recent fever with abdominal pain and Hi WBC (18K). We have ruled out appendicitis,UTI, and ultrasound was negative but not sure what else to do? No CT scan (radiation risk) But we asked about MRI, they deferred , What wold be your plan of action?
Mon, 7 Jul 2014
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General Surgeon,  's  Response
Hi ! Good afternoon. i am Dr Shareef answering you query. If all the investigations till now showed nothing, and the symptoms persist, then I would either go for a MRI or a diagnostic laparoscopy which could visualise the pathology, and perform an appendicectomy. There might not be much harm in taking out a normal appendix, but much harm might be done on leaving a diseased appendix. However, decision would be of the treating doctor, who already has examined the child clinically as appendicitis is more of a clinical diagnosis than a investigative diagnosis.

I hope this information would help you in discussing with your family physician/treating doctor in deciding on further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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Suggest Treatment For Abdominal Pain And High WBC

Hi ! Good afternoon. i am Dr Shareef answering you query. If all the investigations till now showed nothing, and the symptoms persist, then I would either go for a MRI or a diagnostic laparoscopy which could visualise the pathology, and perform an appendicectomy. There might not be much harm in taking out a normal appendix, but much harm might be done on leaving a diseased appendix. However, decision would be of the treating doctor, who already has examined the child clinically as appendicitis is more of a clinical diagnosis than a investigative diagnosis. I hope this information would help you in discussing with your family physician/treating doctor in deciding on further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.