Suggest Treatment For Appendicitis

Posted on Mon, 19 Sep 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 19 Sep 2016 Answered on

Thu, 6 Oct 2016 Last reviewed on

Question : my daughter is 14 and six days ago started having severe pain in her lower right abdomen. took her to the hospital where she had a blood test, urine test and ultrasound. could not see the appendix. was sent home. returned on the Friday still with abdominal pain and was admitted with a saline drip. no fever or other indicators. threw up 60ml of bile fluid when taken for a shower on the Saturday. a mild case of nausea. but no loss of appetite. pain still present. took her to another doctor yesterday who advised if the pain still present in 2 or 3 days return to the hospital. pain last nigh 7/10 gave her 2 hedafen capsules (400mg ibuprofen) pain this morning 4/10.

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
CT scan abdomen helps the best.

Detailed Answer:
Hi.
Thanks for your query about your daughter.
To recapitulate: Female/14 - severe pain in right lower abdomen 6 days ago - stabbing lasting more than 20 minutes initially - tearing or reaping on Sat - blood, urine and ultrasound - Friday admitted with saline drip - vomited bilious fluid on Sat - pain still present but no fever, no other indicators - mild nausea - second opinion - pain 7/10 last night - gave 2 Hedafen - this morning pain 4/10 - Doctors at hospital not willing to pass a camera -

My thoughts:
- When in doubt - go for contrast enhanced CT scan of the abdomen - give a lot more information than ultrasound.
- Has she her Menarche - starting her periods?
if yes, which day of the cycle the pain started?
Ovulation pain in teenage can mimic similar picture. Called as Mittelschmerz
- Also needed may be dose for the worms.
- Repeat stool test and other blood and urine tests.
- Please give what is the clinical picture at the moment?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar