12 Year Old Female Complains Of Her Stomach Hurting Almost Every Day. This Has Been Going On For Several Years. Urine Test With Negative Results. Doctor States Nothing Is Wrong And Suggests Seeing A Psychologist. A Little Concerned Due To 2 Students And 2 Teachers In A School Of 75, Have Developed Cancer (Brain Tumor & The Other Had One In His Chest.

Brief Answer:
Possibly due to gastritis

Detailed Answer:
Hi,

I have gone very carefully through your query. Your child's problem seems to be due to gastritis and is not necessarily due to psychogenic cause. An overnight gap between meals would essentially lead to accumulation of stomach acids (which are meant to help in digestion but the food simply does not come). The excess acids thereby collect and irritate the stomach walls which leads to throwing up. This is therefore caused due to the injury caused by stomach acids. This would lead to abdominal pain but would not show up on investigations.

In order to provide relief, you need to ask for the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Give Lanzol Junior tablet (lansoprazole) 30mg once daily before breakfast.
* Give plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase the dietary fiber intake.
* Regular playing or exercise for at 1 hour a day to keep the bowel movements proper.
* Give curd or yogurt on daily basis. It contains beneficial bacteria and should help.

I do not suppose that you need to worry about the cancers that some people had developed. The presentation in the child does not resemble cancer.

Hope that helps.

Let me know if I could help further.

Regards

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Brief Answer:
Yes

Detailed Answer:
Yes, nausea can occur typically due to gastritis. Vomiting is not essential.

Regards

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