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I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
Your son's symptoms are concerning.
Kidney stones cannot be ruled out just by checking the urine.
Also sometimes, serious kidney infection may be missed in the urine test.
He needs a CT scan of the abdomen urgently with contrast.
Besides kidney infection, acute pancreatitis, acute cholecystitis ( gallbladder inflammation) are other serious possibilities.
Since his symptoms are not getting better, this makes a strong case for further scans as above.
Please take him to the better hospital if possible or at least discuss with the ER the above options.
are you able to read my replies?
Please let me know --thanks
they did an abdominal ultrasound and didnt find anything wrong with gallbladder or pancreas.
ultrasound is not as sensitive as CT scan.
That is why CT scan is important.
He should be also started on IV antibiotics till the cause is found to cover for any serious infection.
they took urine to rule out uti which he has often. would the urine test show the stones?
no it will not.
and for chronic infection, urine test may not be specific especially if he received antibiotic recently.
did he have any blood tests?
like blood count, LFTs, electrolytes?
they did take blood but not sure for what
ok that is very important also.
high white blood cell count will suggest underlying infection.
elevated LFTs suggest liver or gallbladder problem.
elevated amylase, lipase predict pancreatitis for example.
so these are valuable information to find correct diagnosis.
thankyou so much. will take your advice because sometimes I dont think they really care that much. I may have to raise my voice :
yes that is true.
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