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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Abdominal Pain

!my son 24 years of age suffers from non stop vomiting severe abdominal pain. Will start at any time no warnings blood work always comes back with white blood cell high, red blood cell count high, hgb high, mchc high, hct high, fragmented neutrophils High, absolute monocytes high, lymphocytes low. doctor diagnosed polycythemia primary and neutrophilic leukocytosis second. doesn t sound right my son. Does not swell or itch. What do u suggest?
Mon, 18 May 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.;
This condition in which all the counts of blood cells is increased t alarming levels is called polycythemia vera.
This is one of the reasons for sudden pain in abdomen and vomiting.
This is due to affection of the proximal part of the small intestine called as jejunum.
I would suggest you the following"
First of an opinion of a Hematologist to confirm the reason and to get treatment. You may need bone-marrow biopsy.
- Get another opinion of a General Surgeon to see the clinical picture.
- Barium studies to find the cause.

-The treatment will obviously depend upon the cause found.
I hope this answers your query.
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Suggest Treatment For Severe Abdominal Pain

Hi. Thanks for your query and an elucidate history.; This condition in which all the counts of blood cells is increased t alarming levels is called polycythemia vera. This is one of the reasons for sudden pain in abdomen and vomiting. This is due to affection of the proximal part of the small intestine called as jejunum. I would suggest you the following First of an opinion of a Hematologist to confirm the reason and to get treatment. You may need bone-marrow biopsy. - Get another opinion of a General Surgeon to see the clinical picture. - Barium studies to find the cause. -The treatment will obviously depend upon the cause found. I hope this answers your query.