HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

My Daughter Is 8, Presenting With Abdominal Pain For Last

default
Posted on Thu, 9 Apr 2020
Question: My daughter is 8, presenting with abdominal pain for last 48 hours+
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.
default
Follow up: Dr. Shinas Hussain (0 minute later)
My daughter is 8, presenting with abdominal pain for last 48 hours+
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.
doctor
Answered by Dr. Shinas Hussain (5 hours later)
Brief Answer:
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


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
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


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Shinas Hussain (2 hours later)
So she is in children’s paediatric care at present.
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
default
Follow up: Dr. Shinas Hussain (0 minute later)
So she is in children’s paediatric care at present.
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
doctor
Answered by Dr. Shinas Hussain (10 hours later)
Brief Answer:
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
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Shinas Hussain (0 minute later)
Brief Answer:
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
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Shinas Hussain

General Surgeon

Practicing since :2015

Answered : 23661 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
My Daughter Is 8, Presenting With Abdominal Pain For Last

My daughter is 8, presenting with abdominal pain for last 48 hours+ 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.