My Daughter Is 8, Presenting With Abdominal Pain For Last
Originally was a band across the middle of stomach which moved to right hand side approximately 12 hours later. Started ibuprofen and paracetamol the pain then moved to left hand side approx 6 hours later. Paracetamol and ibuprofen stopped around six hours later, and pain then moved back to right hand side an hour after pain relief stopped. Became in excruciating pain to the right. Pain present but manageable once pain relief restarted.
Pain is higher up around side of belly button.
Bowels opened and no symptoms of UTI
Nausea throughout and still present. Loss of appetite. No pain in back.
Blood tests show higher levels of white blood cells and CRB, repeated 24 hours later and white cells XXXXXXX slightly whilst CRB remained the same.
Urine test came back negative with +1 of blood and results same and repeated 3 times.
Patient colouring ranges between yellow ish and Grey/pale. Very sunken dark circles around eyes.
Patient history - 2 months premature in NICU on oxygen for approx two weeks. Weight gain slow but since caught up and on the 91st centile. Extremely well and no colds, coughs or virus in the past.
Has a history of nose bleeds heavy and frequent. Nose cauterised in 2018. Nose bleeds restarted this year. Swapped and positive in the past for Staph infections. Has not been retested.
History of cold sore virus and impetigo.
Recurrent (non symptomatic) UTIS approx 4 in last 5 months. Under consultant care. Bloods showed higher levels of creatine. Ultrasound normal. Distended bladder. No signs of any problems with this though.
Originally was a band across the middle of stomach which moved to right hand side approximately 12 hours later. Started ibuprofen and paracetamol the pain then moved to left hand side approx 6 hours later. Paracetamol and ibuprofen stopped around six hours later, and pain then moved back to right hand side an hour after pain relief stopped. Became in excruciating pain to the right. Pain present but manageable once pain relief restarted.
Pain is higher up around side of belly button.
Bowels opened and no symptoms of UTI
Nausea throughout and still present. Loss of appetite. No pain in back.
Blood tests show higher levels of white blood cells and CRB, repeated 24 hours later and white cells XXXXXXX slightly whilst CRB remained the same.
Urine test came back negative with +1 of blood and results same and repeated 3 times.
Patient colouring ranges between yellow ish and Grey/pale. Very sunken dark circles around eyes.
Patient history - 2 months premature in NICU on oxygen for approx two weeks. Weight gain slow but since caught up and on the 91st centile. Extremely well and no colds, coughs or virus in the past.
Has a history of nose bleeds heavy and frequent. Nose cauterised in 2018. Nose bleeds restarted this year. Swapped and positive in the past for Staph infections. Has not been retested.
History of cold sore virus and impetigo.
Recurrent (non symptomatic) UTIS approx 4 in last 5 months. Under consultant care. Bloods showed higher levels of creatine. Ultrasound normal. Distended bladder. No signs of any problems with this though.
An ultrasound scan is required.
Detailed Answer:
Hello,
Thanks for the query.
Possible causes like stone disease and bowel related problems like intussusception must be ruled out. As the blood creatinine is high, kidney-related problems like stone and subsequent hydronephrosis will be a more possible cause.
Consult a paediatrician and plan for an ultrasound scan to make a diagnosis. Additional investigations like CECT abdomen may be required based on initial evaluation.
Thanks
An ultrasound scan is required.
Detailed Answer:
Hello,
Thanks for the query.
Possible causes like stone disease and bowel related problems like intussusception must be ruled out. As the blood creatinine is high, kidney-related problems like stone and subsequent hydronephrosis will be a more possible cause.
Consult a paediatrician and plan for an ultrasound scan to make a diagnosis. Additional investigations like CECT abdomen may be required based on initial evaluation.
Thanks
No constipation and bowels listened too and no problem detected so far and pain not in the right area.
Scan booked for tomorrow and possible laparoscopy and possible appendectomy.
My question is could kidney issues be related if pain isn’t in that area?
And would this show the same blood results?
Thank you for your answer it is insightful
No constipation and bowels listened too and no problem detected so far and pain not in the right area.
Scan booked for tomorrow and possible laparoscopy and possible appendectomy.
My question is could kidney issues be related if pain isn’t in that area?
And would this show the same blood results?
Thank you for your answer it is insightful
Kidney related problem is a possibility.
Detailed Answer:
Hi,
Kidney related problems like stone disease is a possibility. It may not be detected by blood tests always. Elevated blood urea and creatinine can be seen if the stone obstructs the kidneys and leads to hydronephrosis.
Appendix is mainly a clinical diagnosis and if there is tenderness in the right Iliac fossa, appendix will be a most likely diagnosis.
Thanks
Kidney related problem is a possibility.
Detailed Answer:
Hi,
Kidney related problems like stone disease is a possibility. It may not be detected by blood tests always. Elevated blood urea and creatinine can be seen if the stone obstructs the kidneys and leads to hydronephrosis.
Appendix is mainly a clinical diagnosis and if there is tenderness in the right Iliac fossa, appendix will be a most likely diagnosis.
Thanks