Hi,

Thanks for your query.

History of recurrent episodes of severe abdominal pain, with and without vomiting over 3 months in a 13 year old indicates the following the possibilities :
1) Intestinal obstruction due to Intussusception
2) Henoch scholein purpura
3) Inflammatory bowel disorders
4) Fungal infections.

Since certain tests and biopsies have already been done and most of the above can be ruled out like Intestinal obstruction due to Intussusception, Inflammatory bowel disorders and Fungal infections.

The remaining causes can be ruled out only after taking a detailed history and clinical examination.

Mayo clinic is a well renowned hospital you can approach them for better management, I don't know about the clinic personally but according to the health survey it is considered as best hospital .

Hope I have answered your query. If you have any follow up queries I will be available to answer them.

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Hi Again ,

Thanks for your follow up query.

Abdominal migraine and cyclical vomiting syndrome are used to describe symptoms in the child having Abdominal pain, vomiting, etc, though they were considered different,clinically it is very difficult to differentiate.

Yes, Abdominal epilepsy can present without overt seizures ,an EEG will detect the abnormal wave pattern of the brain activity can be helpful in detecting in such cases.

I hope this answers your query.

Wish him a speedy recovery.

Regards.

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