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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Abdominal Pain Prior To Bowel Movement?

I have an 8 year old active, healthy daughter who has frequent abdominal pain usually just prior to or during a bowel movement. However, what concerns me is that the last attack while she was still 7 yrs old (1 month ago) she had what looked to be the first menstrual cylce. However, this cycle or bloody, mucus discharge, only lasted a matter of hours and was over. Despite the discharge, the abdominal pain stopped upon having a bowel movement. Any ideas? Is this normal, abnormal? Should I be worried and take her to see her regular pediatrician?
Mon, 15 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read the history and understood it.
The most probable cause of pain in a child
-Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.
-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.
-Worms.
The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.
A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.
Also given is a dose of medicines active against worms in intestine.

I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.
If this is indicative of appendicitis , please go for the surgery of appendectomy.
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What Causes Recurring Abdominal Pain Prior To Bowel Movement?

Hi. Thanks for your query. Read the history and understood it. The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen. -Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child. -Worms. The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis , please go for the surgery of appendectomy.