
Child Have Stomach Pain. US Showed Spleen Was In Over Limit. What Else To Do?

Gastroscopy should be done.
Detailed Answer:
Hello!
Thank you for the query.
If his pain is located in the middle upper abdomen (where the stomach is located) gastroscopy should be also done. Regular ultrasound usually does not give any information about stomach condition. Blood work is usually negative in case of stomach issues.
Characteristic for stomach diseases (peptic ulcer or inflammation) is upper middle abdominal pain which appears after a meal. It does not radiate to the back. Nausea and vomiting can be also present.
Your sons spleen is only slightly enlarged so it does not seem to be anything serious. However to be certain, I suggest you to consult hematologist.
Hope this will help. Feel free to ask further questions.
Regards.


correction.. his cbc was normal and mono test negative
.
Detailed Answer:
Generally there are 2 options: he has been having such spleen since he was born (and its normal for him) or it has gotten enlarged due to some reason.
Spleen can get enlarged for leukemia indeed. However there is so many other diseases which can make it large including infectious diseases (please see this: WWW.WWWW.WW .
Acute leukemia should give very high WBC in CBC. Other possible symptoms of acute leukemia are bleedings, red dots on the skin, weakness, night sweating.
Regards.

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