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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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5 Year Old, Fever, Vomiting, Pain In Abdomen. CAT Scan, Ultrasound, Blood Work, Urine Tests Done. Underlying Cause?

My 5 year old granddaughter has been sick for 10 days. Started out with a fever and then vomiting and severe pain in abdomen. Has been to the ER 2 times and dr. 2 times. They have done a CAT scan and ultrasound of abdomen area, blood work, strep test, urine test and found nothing. She still isn t feeling well and complains of pain and won t eat. What else can we have done for some answers?
Sat, 9 Nov 2013
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Pediatrician,  's  Response
Hi there,

Sorry to hear that your granddaughter has been suffering for so long.

As you stated, she has been having a fever, vomiting and severe pain in her abdomen for 10 days. She has already had detailed testing done including a CAT scan which rules out lot of things.
Also, make sure her basic blood investigations are complete, she should have had liver function tests, amylase, lipase and a blood sugar level which they probably might have done in the ER.

Has she had a throat examination, sometimes ulcers in the mouth and posterior part of the pharynx that extend into the esophagus (food pipe) can cause such type of presentation.
I would suggest that if she continues to have pain in her abdomen, she might have to be evaluated by a gastroenterologist.

Hope this helps.

Regards,
Dr. Sumeet.



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5 Year Old, Fever, Vomiting, Pain In Abdomen. CAT Scan, Ultrasound, Blood Work, Urine Tests Done. Underlying Cause?

Hi there, Sorry to hear that your granddaughter has been suffering for so long. As you stated, she has been having a fever, vomiting and severe pain in her abdomen for 10 days. She has already had detailed testing done including a CAT scan which rules out lot of things. Also, make sure her basic blood investigations are complete, she should have had liver function tests, amylase, lipase and a blood sugar level which they probably might have done in the ER. Has she had a throat examination, sometimes ulcers in the mouth and posterior part of the pharynx that extend into the esophagus (food pipe) can cause such type of presentation. I would suggest that if she continues to have pain in her abdomen, she might have to be evaluated by a gastroenterologist. Hope this helps. Regards, Dr. Sumeet.