
What Causes Severe Abdominal Pain In A Teenager?



I forgot to write that my son has started Nexium 22.5 mg, 2ce/day, and amitryptalene at night, and sucralfate as needed. So far, I have not received any emails to my first question sent 54 minutes ago.
In the original message, I meant to write, "he has no blood in his stools", instead of, "he has no blood". I was interrupted while writing and forgot to finish the thought. The doctor (Pediatric GI) thinks that it is a "brain-gut" problem, meaning that his brain is firing signals for pain for no real reason. They also are recommending biofeedback. He had ultrasound of the abdomen back in March. He had endoscopy in April. They told me if he had had a peptic ulcer, and even if it had healed by the time of the endoscopy, months later, they still would have seen remnants of it.
Could be abdominal migraine or functional pain abdomen
Detailed Answer:
Hi... I have just read through your question. Whatever you are describing is called Chronic Pain Abdomen in medical terms.
The differential diagnosis of abdominal pain in children varies with age, gender, genetic predisposition, nutritional exposure and many environmental factors. The causes are many including - constipation / acid peptic disorders / inflammatory bowel disorders / irritable bowel syndrome / worm infestation etc.
But you have ruled out everything.
The only other possibilities that remains are a functional pain abdomen or an abdominal migraine.
I suggest get an EEG done. If it's showing seizure activity then anti epilepsy medication like Valproate will help.
But I can assure you one thing. Though he's having pain abdomen, since long, there are no red flag signs like - blood in motion, weight loss, recurrent unexplained vomiting etc. So he's not having anything serious.
If it's only a functional pain abdomen, I suggest you talk to him and find out if he's having any problems at school which is making him avoid school.
Regards - Dr. Sumanth

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