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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain Along With High Fever And Congested Throat?

We are headed to the Urgent Care. Thank you for your time. Hi Doctor, This is the mother, Sarah. Pt is 5 year old female, Fiona. No chronic diagnoses or conditions, Thank God. She and her 3 year old brother were diagnosed with strep 9 days ago. Almost finished with 10 day course of antibiotics. Brother was seen in urgent care on 2/17/16 because I was concerned about sand-paper like rash. Dr explained that it was part of strep, no further Rx or treatment needed. This morning at 0600, Fiona complained of a stomach ache when she flexed forward. No other symptoms. I assumed in was the result of too much junk food at a party yesterday. I had her drink a big glass of water, gave her some Children s Tylenol and sent her to school. When I picked her up at 1500, Fiona stated that her stomach hurt too badly for her to eat anything today. She had a fever of 102.4 , congested nose/throat, but no runny nose. She has flat red dots on the backs of her hands and her cheeks and jaw. There are fewer dots on her wrists. Spots might be appearing on back/belly; hard to tell. Normally a firecracker, Energizer Bunny, talks a blue streak. This afternoon, she stumbled into the house, pulled a blanket over her, and was asleep within a minute. States that lying on her side with her knees pulled up helps stomach ache a little.
Mon, 30 Mar 2020
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General Surgeon 's  Response
Hi,

She is having possible lymph node enlargement in the abdomen secondary to previous strep infection. Which is the common cause of concern for abdomen pain and discomfort. The high grade fever, congested throat and body ache, lethargy are part of possible bacterial infection after strep throat through residual organisms or else.

My guidelines at present:
- Body sponging with coolen spa
- continue tylenol every 6 hourly
- Allow boiled water, coconut water with easily digestible food stuffs as rice, dal, fresh yogurt
- Avoid all dairy products, ice creams, sugary bakery and else
- Inform school that she can not attend school at present

Call her doctor for further assistance.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Severe Abdominal Pain Along With High Fever And Congested Throat?

Hi, She is having possible lymph node enlargement in the abdomen secondary to previous strep infection. Which is the common cause of concern for abdomen pain and discomfort. The high grade fever, congested throat and body ache, lethargy are part of possible bacterial infection after strep throat through residual organisms or else. My guidelines at present: - Body sponging with coolen spa - continue tylenol every 6 hourly - Allow boiled water, coconut water with easily digestible food stuffs as rice, dal, fresh yogurt - Avoid all dairy products, ice creams, sugary bakery and else - Inform school that she can not attend school at present Call her doctor for further assistance. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon