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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Vomiting, Weight Loss, Weakness, Loss Of Appetite And Abdominal Swelling?

Hi, My child 7 year old, is having fever, vomiting, weight loss, weakness, loss of appetite, swollen stomach since 3-4 months. Visitied various doctors. Elisa blood test of negative. Ultrasound and endoscopy are normal with some dirty water collected in between organs(as doctors say).Underwent medication for ascites since one month but no improvement in health or appetite. Gets fever every other day. Now doctor have started DOTs medication. What could be the possibility my child is suffering from? Do i need to get my child admitted or any other tests needed to be done?
Thu, 11 Feb 2016
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General & Family Physician 's  Response
thank you for your query
I completely understand your concern.
I would like to clarify a few things.
1)did she travel anywhere in the past six months?
2) were any blood tests done? If so, what were her bilirubin and liver enzyme level, any other abnormal blood results?
3) what Elisa test was done? For which organism?
4)did she have any undercooked red meat or have contact with animal feces?
5)any CT scan or MRI for abdomen donedone?
6)were her kidney function test alright?
7)was the ascetic fluid tested?
Right now, she is being treated for tuberculosis which could be causing these symptoms.

Hydrated disease, liver abscess needs to be ruled out.
Ascites is a sign which shows that there could be damage to the liver and stasis of blood flow.
I recommend an MRIof the abdomen and blood work to check for liver, kidney functions, and signs of infections. Testing the ascitic fluid will also help to pinpoint diagnosis which will help to accurately treat her.

Testing of antibodies to tuberculosis bacteria can show if that is the cause. A pediatrician, infectious disease specialist, and a gastroenterology the opinion will help

Hope I've helped
feel free to get back to us if you need further clarification
Wish you both good health

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What Causes Fever, Vomiting, Weight Loss, Weakness, Loss Of Appetite And Abdominal Swelling?

thank you for your query I completely understand your concern. I would like to clarify a few things. 1)did she travel anywhere in the past six months? 2) were any blood tests done? If so, what were her bilirubin and liver enzyme level, any other abnormal blood results? 3) what Elisa test was done? For which organism? 4)did she have any undercooked red meat or have contact with animal feces? 5)any CT scan or MRI for abdomen donedone? 6)were her kidney function test alright? 7)was the ascetic fluid tested? Right now, she is being treated for tuberculosis which could be causing these symptoms. Hydrated disease, liver abscess needs to be ruled out. Ascites is a sign which shows that there could be damage to the liver and stasis of blood flow. I recommend an MRIof the abdomen and blood work to check for liver, kidney functions, and signs of infections. Testing the ascitic fluid will also help to pinpoint diagnosis which will help to accurately treat her. Testing of antibodies to tuberculosis bacteria can show if that is the cause. A pediatrician, infectious disease specialist, and a gastroenterology the opinion will help Hope I ve helped feel free to get back to us if you need further clarification Wish you both good health