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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Belly Button Pain And Back Pain In Toddler?

Hello, I have a just barely 3 year old who is very small, technically failure to thrive...although I would say she is thriving in every way, but she is small. We have already had all the basic tests done (Celiac, Thyroid, Metabolic Panels, and most recently an upper Endoscopy), all of which are normal. The last four months she has been complaining of belly button pain, sometimes back pain at the same time. The complaining is 3-4 times a day, she just had a UA with Micro/Culture and Stool testing for absorption done. The urine was fresh, the pH was high at 7.5, could this be due to her Prilosec medication? Also, she has mucous in her urine, but everyting else was normal...including the culture. I m thinking something kidney related, based on the fact that her bowel movements are normal any thoughts? I haven t heard back from the GI specialist yet, but I want to be prepared when we speak. Should I ask for an ultrasound to be performed? The constant tummy pain is a worry, and we can t seem to get to the bottom of it. Thanks, Kelli
Tue, 16 Sep 2014
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Pediatrician, Neonatology,  's  Response
The urine PH is worrying. High urine Ph with failure to thrive suggest only one diagnosis - a variety of renal tubular acidosis (RTA). You have to examine the urine for bicarbonates, glucose , amino acids and Ph. If all of them come high and Blood Ph comes low its RTA. You have not mentioned the weight of the baby, also i require to go through all your reports. Kindly sent me the reports and also the weight, height, head circumference of the baby. also try to measure the 24 hours urine output. Prilosec does not cause high Ph. An ultrasound abdomen can see if there is any anatomical defects but will not detect any functional anomaly of kidneys.
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What Causes Belly Button Pain And Back Pain In Toddler?

The urine PH is worrying. High urine Ph with failure to thrive suggest only one diagnosis - a variety of renal tubular acidosis (RTA). You have to examine the urine for bicarbonates, glucose , amino acids and Ph. If all of them come high and Blood Ph comes low its RTA. You have not mentioned the weight of the baby, also i require to go through all your reports. Kindly sent me the reports and also the weight, height, head circumference of the baby. also try to measure the 24 hours urine output. Prilosec does not cause high Ph. An ultrasound abdomen can see if there is any anatomical defects but will not detect any functional anomaly of kidneys.