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Has he bloating, diarrhea, gas, nausea/vomiting, fever, tenderness on abdomen?
Where on abdomen is pain exactly located?
How severe is pain on the scale of 0-10 (or mild, moderate or severe)?
Children Tylenol and warm compresses are safest and best for the pain relief. This is likely to be the viral infection of the intestine with the colicky nature of pain (off and on pain with intermittent duration of no pain). But in his age group, the most important thing to rule out would be acute appendicitis which comes with the exactly same manifestations. A tenderness in right lower abdomen is a typical sign. You may confirm that by pressing on the right side of the lower abdomen. If it is present, a visit to either ER or an urgent care clinic is advised. Tenderness on any area of abdomen, as a matter of fact warrants a visit to doctor with pain abdomen and bloating.
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A full blown diarrhea may not be present but soft stool or recurrent sensation of passing motion or just small increased frequency of bowel motion can be the symptoms of viral intestinal infection, which can come in different manifestations. The warning signs for physical examination by a doctor would be moderate to severe pain, tenderness and significant bloating.
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