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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Complaining Abdominal Pain While Lying At Night. No PMS And No Constipation. Cause?

My 10 year old daughter has been complaining of central lower abdominal pain for the last 4 days now & the pain only comes at night when she's laying down. The 1st 2 things I thought of were pms or constipation. Thankfully there's no sign of pms, no difference in bowel movements, and no constipation. I'm worried it could be her appendix or something serious. She went to bed 3 hours ago & is still awake, curled up in a ball in her bed, & just rated the pain as a 10. Please tell me what to do. What could this be?
Fri, 20 Sep 2013
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General Surgeon 's  Response
Welcome to HCM
Greetings of the day
appendicitis or some other serious is unlikely as just presence of pain for 4 days with pain occuring only at night with no other associated symptoms like nausea/vomiting/fever makes the diagnosis of appendicitis unlikely. It appears to be due to Non specific Intestinal Colic which may be due to worm infestation. Give her plenty of fluids during the day. Get a ultrasound of abdomen done, and if its normal nothing to worry. Give anti-spasmodic like Hyoscine Butyl Bromide. De-worm with Albendazole once she is asymptomatic.
Take Care
Regards
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Child Complaining Abdominal Pain While Lying At Night. No PMS And No Constipation. Cause?

Welcome to HCM Greetings of the day appendicitis or some other serious is unlikely as just presence of pain for 4 days with pain occuring only at night with no other associated symptoms like nausea/vomiting/fever makes the diagnosis of appendicitis unlikely. It appears to be due to Non specific Intestinal Colic which may be due to worm infestation. Give her plenty of fluids during the day. Get a ultrasound of abdomen done, and if its normal nothing to worry. Give anti-spasmodic like Hyoscine Butyl Bromide. De-worm with Albendazole once she is asymptomatic. Take Care Regards