Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Uncomfortable Abdominal Pain And Tender To Touch Below Belly Button?
Took my otherwise healthy 6.1, slender, athletic, 16 year old son to the ER with abdominal pain which came on gradually then moderate to severe within about an hour. He started to throw up when we go to the ER and became pale. A type of Cat scan through the rectum showed enlarged lymph nodes and his blood work showed a high lymphocyte count, along with cloudy urine. His temperature stayed a little over 98 degrees and no diarrhea. The doctor sent him home with pain and nausea medication and said return if he spikes a fever and /or pain gets worse. He is still tender to the touch and sleeping most the day, normally very active doing card type workouts. He is tall and slender, with not much body fat, and the doctor said it is makes the test procedure more uncomfortable and difficult to be too conclusive counting out an appendicitis. Could this be just a virus since the pain is more uncomfortable and tender to the touch below his belly button and to his right? Wouldn't a virus cause a fever?
Mon, 29 Dec 2014
Hi.
Thanks for your query and an elucidate history.
This is a typical situation where the young present with pain in abdomen and associated severe problems like falling pale.
Since the CT scan has shown the enlarged lymph nodes, the diagnosis is certainly related to the lymph nodes.
Although there is no diarrhea, lymph nodes should be investigated, if possible get an appointment with interventional radiologist to do an FNAC of the lymph node under ultrasonography guidance. If this fails I would advise to get a course of an antibiotic and anti-inflammatory course for up to 3 weeks, review the lymph nodes by ultrasonography.
IF still present , better to do diagnostic laparascopy and to do a formal biopsy.
This does not look to be due to virus as there will be pain and other general symptoms also. Virus may or may not cause fever.
Thanks for your query and an elucidate history.
This is a typical situation where the young present with pain in abdomen and associated severe problems like falling pale.
Since the CT scan has shown the enlarged lymph nodes, the diagnosis is certainly related to the lymph nodes.
Although there is no diarrhea, lymph nodes should be investigated, if possible get an appointment with interventional radiologist to do an FNAC of the lymph node under ultrasonography guidance. If this fails I would advise to get a course of an antibiotic and anti-inflammatory course for up to 3 weeks, review the lymph nodes by ultrasonography.
IF still present , better to do diagnostic laparascopy and to do a formal biopsy.
This does not look to be due to virus as there will be pain and other general symptoms also. Virus may or may not cause fever.
I find this answer helpful
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Appendicitis
Loading Online Doctors....