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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35793
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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My 10 yo daughter has severe left side abdominal pain. Has

Customer Question

My 10 yo daughter has severe left side abdominal pain. Has been going on for 5 months. Stops for a while and starts back again. She screams for days. We've had every test: several xrays,ultrasounds, upper and lower gi. The best dx we could get is abdominal migraine. But nothing works. I've had to take her out of school, we can't go anywhere. We have even taken her to a psychologist because some said it's all in her head. Psychologist said she doesn't see a problem. Who do I see? Where do I turn?
JA: Is the headache episodic or daily? And what about nausea?
Customer: No nausea. Just left side abdominal pain. She's screaming
JA: Anything else in your medical history you think the doctor should know?
Customer: She has asthma. She was already treated for migraine with topamax. They are currently treating her with metoprolol
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 9 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 9 months ago.

Apart from pain has she any other symptoms lie bloating, gas, constipation, urinary symptoms, loss of appetite, fever, weight loss?

Customer: replied 9 months ago.
Several times on xray they have told us she had a lot of stool backed up. I have given her 2 enemas and it's clear. She's still screaming every few minutes
Expert:  Dr. Arun Phophalia replied 9 months ago.

I am writing you the answer. It may take 10 minutes.

Expert:  Dr. Arun Phophalia replied 9 months ago.

For her backed up stool, she should be investigated for following:

1) Hirschprung's disease; a barium study, stool transit time, anal manometry etc will give definite clues for it.

2) Thyroid disorders; hypothyroidism is associated with the constipation so thyroid function tests would be necessary.

3) Electrolyte problems; increased serum calcium and decreased potassium may predispose for the constipation.

4) Anorectal malformations.

Meanwhile following dietary recommendations are helpful;

1) Fruit juice - Certain fruit juices like prune, apple, or pear are beneficial. Only four to six ounces of 100 percent fruit juice per day is advised.

2) Plenty of fluids - Please do not force but 30-32 ounces (900-960 mL) or more water or other non-milk liquids per day is good.

3) Foods which are helpful: pear, strawberries, papaya, raisins, apple, sweet potato, lentils, baked potato with skin, corn, peas, lima beans, grape nuts, Kellogg's Complete Bran Flakes.

4) Avoid; cow's milk, yogurt, cheese, and ice cream.

5) Fiber supplements; wafers, chewable tablets, or powdered fiber that can be mixed in juice (or frozen into popsicles). These can be bought at health stores.

There are following medical causes of abdominal pain which need to be looked for by an Internist:

1) Porphyria

2) Adrenal disorder

3) Parathyroid disorder

4) Sickle cell disease.

5) Intestine parasites.

6) Abdominal migraines which she is being treated.

There are specific blood work which can be done by her pediatrician or an Internist.

Wish you a very happy, prosperous, healthy and safe new year 2017.

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Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 9 months ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

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Expert:  Dr. Arun Phophalia replied 9 months ago.

Hope your daughter is doing good.

Best wishes,
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