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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Fever, Constipation. Possible Appendicitis. Uncontrolled Urination. Right Diagnosis?

Hi Doctor, My 8 year old son had a very high fever on Tuesday night and had to be taken to the hospital the doctor at the er diagnosis was possible appendicitis and also said he had a lot of poop backd up and to give him miralax. Yesterday I have him miralax twice and he still can t poop and his pee is very bubbly and has had several accidents were he pees on him self he said he can t control it. What can this be he no longer has a fever and has minimal lower abdominal pain what can it be?
Tue, 11 Dec 2012
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General Surgeon,  's  Response
Dear Flores, it is not so usual but is possible to have the appendicitis at this age. Many diagnoses such as mesenterial adenitis, invagination or ileus can be considered, but I doubt because he has a mild clinical presentation. Fever is a sign of any infection in the body,and tummy can hurt related to pharyngitis or viral infection, respiratory or urinary infection... Did they check his urine? If he doesnt have symptoms now and no fever then you should just observe him and look for signs such as blood in the stool and urine, weight loss, or sharp abdominal pain with fever. It it happens go to hospital immediately.
Wish you good health, Dr. Ivan Romic (Rominho)
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General Surgeon,  Dr. Milind Patil's  Response
Dear ,flores i agree with Dr.Ivan mesentric lymphadenitis is common cause of abdominal pain and fever in this age group .kindly get ddone urine test to look for urinary tract infection ultrasonography to look for subacute appendicitis and mesentric lymaphadenitis . Get well soon
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Abdominal Pain, Fever, Constipation. Possible Appendicitis. Uncontrolled Urination. Right Diagnosis?

Dear Flores, it is not so usual but is possible to have the appendicitis at this age. Many diagnoses such as mesenterial adenitis, invagination or ileus can be considered, but I doubt because he has a mild clinical presentation. Fever is a sign of any infection in the body,and tummy can hurt related to pharyngitis or viral infection, respiratory or urinary infection... Did they check his urine? If he doesnt have symptoms now and no fever then you should just observe him and look for signs such as blood in the stool and urine, weight loss, or sharp abdominal pain with fever. It it happens go to hospital immediately. Wish you good health, Dr. Ivan Romic (Rominho)