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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Abdomen In 13 Year Old With Blood Reports Normal?

My 13 yr old daughter has spent 2 days in hospital eith severe upper abdominal pains. Her scan and bloods were normal and doc has put it down to a viral infection with no further Investigation.she is still in alot of pain and I m not sure what to do Her bowels are working well and she is not due her period What shall I do
Tue, 25 Jul 2017
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Pediatrician 's  Response
Hi thanks for choosing HCM for your medical query. I'm sorry but your question is deficient in a lot of information that would have been very helpful for me to answer. You have not mentioned if this was the first episode of pain or she has past history. You did not mention if she hd any accompanying symptoms like diarrhoea, vomiting, blood in stool or vomitus ,fever, pallor or jaundice. Was her abdomen tender to touch? Has the pain gotten worse or it has subsided in intensity? Is it only present in the upper abdomen or has it shifted to some other area or extended further?You also did not specify which tests and scans were ordered and came out negative. I can infer that the pain was very severe from the fact that she was hospitalised. Upper abdominal pain can be due to a number of causes she might have pancreatitis , cholecystitis or peptic ulcer . Pancreatic enzyme levels , ultrasound scan and H pylori antigen should be performed to rule out these conditions.
As you have mentioned she had work up done at a hospital so i assume she was evaluated for these conditions.
If all other tests are normal she may have functional abdominal pain. It is common amongst girls between the ages of 5 years to 14 years . It is because of a altered mechanism for pain perception so that the affected individual is more sensitive to pain. No definitive cause for this pain can be found but that does not mean it's not real. It usually presents in anxious children possible environmental triggers are a stressful environment like strict parents or bullying at school. It is usually accompanied by other symptoms like recurrent diarrhoea ,constipation and headaches . The usual sites are around the umbilicus and in the upoer abdomen. If your child has been worked up fully for all serious condition the best course of action is to reassure her . Try to eliminate stress as much as possible, incorporate soluable fibres in her diet . Probiotics are also helpful. Do not limit her activities due to pain and try not to let her miss school. Talk to her techers and explain to them the situation. Do not dismiss her pain as nothing ,acknowledge it's presence but try to make your child see that she has to continue her activities in a normal fashion.
Hope my answer helps you if you have any futher questions I would be happy to answer .
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What Causes Pain In Abdomen In 13 Year Old With Blood Reports Normal?

Hi thanks for choosing HCM for your medical query. I m sorry but your question is deficient in a lot of information that would have been very helpful for me to answer. You have not mentioned if this was the first episode of pain or she has past history. You did not mention if she hd any accompanying symptoms like diarrhoea, vomiting, blood in stool or vomitus ,fever, pallor or jaundice. Was her abdomen tender to touch? Has the pain gotten worse or it has subsided in intensity? Is it only present in the upper abdomen or has it shifted to some other area or extended further?You also did not specify which tests and scans were ordered and came out negative. I can infer that the pain was very severe from the fact that she was hospitalised. Upper abdominal pain can be due to a number of causes she might have pancreatitis , cholecystitis or peptic ulcer . Pancreatic enzyme levels , ultrasound scan and H pylori antigen should be performed to rule out these conditions. As you have mentioned she had work up done at a hospital so i assume she was evaluated for these conditions. If all other tests are normal she may have functional abdominal pain. It is common amongst girls between the ages of 5 years to 14 years . It is because of a altered mechanism for pain perception so that the affected individual is more sensitive to pain. No definitive cause for this pain can be found but that does not mean it s not real. It usually presents in anxious children possible environmental triggers are a stressful environment like strict parents or bullying at school. It is usually accompanied by other symptoms like recurrent diarrhoea ,constipation and headaches . The usual sites are around the umbilicus and in the upoer abdomen. If your child has been worked up fully for all serious condition the best course of action is to reassure her . Try to eliminate stress as much as possible, incorporate soluable fibres in her diet . Probiotics are also helpful. Do not limit her activities due to pain and try not to let her miss school. Talk to her techers and explain to them the situation. Do not dismiss her pain as nothing ,acknowledge it s presence but try to make your child see that she has to continue her activities in a normal fashion. Hope my answer helps you if you have any futher questions I would be happy to answer .