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Suffering From Abdominal Pain. Urine Test Report Showed Pus Cells. Guide For Further Medication?

Posted on Mon, 10 Jun 2013

Question: My 4 1/2 year old son suffering from abdominal pain
checked with doctor and perpformed Urint Test BS & BP test it is showing Negative below are the examination details.
Phisical Examination.
Colour - Yellow; Appearance - Hazy; Reaction - Acidic;
Chemical Examination
Protein - Trace; Sugar - Nil
Microscopic Examination
Pus Cells - 2-4/HPF; Red Cells - Occasional/HPF; Epithelial Cells - Plenty/HPF; Crystals - Calcium Oxalate Present
Casts - Nil;

Please guide me the further medication

Answered by Dr. Himanshi Kashyap (58 minutes later)

Hi,

Thanks for posting your query to XXXXXXX

Both the reports urine and abdominal sonography are normal.

Could you describe the abdominal pain:

Since how long the tummy pain is persisting?
Describe the pain like burning ,dull,stabbing and Location of pain etc ?
Any radiation to other parts of the body I.e start and end of pain?
Any relieving or aggravating factors? Any fever?
Any pain while passing urine?
Any loose motions or vomiting?
Has your son been dewormed?
How is his appetite?
How is his growth wt and height?

Kindly get back to me with the answers so that I can help better.
Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Himanshi Kashyap (18 hours later)

Hi, thanks for your reply.
since 5 days he is telling tummy pain.
it is center point of stomch.
no it is in the sa me place.
no fefer.
no pain while passing urine
for first 3 days he vomited.
no he has not dewormed
he is 16.42 wt

currenlty he is using following medicine noflex-tz, meftal, mucais gel,

Answered by Dr. Himanshi Kashyap (9 hours later)

Hi,

Since the reports were normal and there is no fever it is very likely that your son is suffering from Viral Gastritis as of now. If loose motions start then it will become Gastroenteritis.

Norflox TZ is an antibiotic for bacterial and parasitic diarrhea; I don't see the relevance of it being started but nevertheless continue it for 3-5 days as prescribed by his doctor.

Also along with Mucain gel you could give some probiotic - lactobacillus satchet 2 times a day.

Give him soft light diet with curd, which is good for tummy, and reduce the intake of milk. Keep him well hydrated with liquids and juices.

Once he is alright completely maybe after a week you could deworm him by giving Syrup Albendazole single dose in the night after dinner .Such deworming could be done at an interval of 6 mths.

Hope to have answered your query.
Regards.
Dr.H. Kashyap

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Himanshi Kashyap (2 hours later)

ok. thanks for your advise. we will stop using the Norflox tz and 2 dose a of Mucain gel for day.

but still he is saying tummy pain. how do we stop the pain?

Answered by Dr. Himanshi Kashyap (3 hours later)

Hi,

For the symptomatic relief of tummy pain you could give Syp. Cyclopam along with antacid Mucain gel. Please get the syrup Cyclopam prescribed by his pediatrician.

However if the pain continues get him re-examined by his doctor.

Hope to have answered your query.
Regards.

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Above answer was peer-reviewed by : Dr. Shanthi.E