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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain In Right Side And Middle Of Abdomen

my son has been having pain in his right side and more into the middle of his abdomen. He constantly feels like he is going to get sick. He has missed 9 days of schoo counting today. he has had a CT scan and an Ultrasound. Both came back fine. They found enlarged limp nodes in that area. I have heard many people say that they had the same thing and the results came back with these test that they didnt need their gallbladder out. then they had a HIDA scan and it showed differently. Once the gallbladder was removed, they felt much better. Help me please. more importanly, how can i help my son?
Mon, 16 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and concern for your son.
Young boy missing the school due to pain in abdomen on the right more on the middle of abdomen. Constant feeling of sickness.
The CT scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site.
The gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child.

The reason for the pain in abdomen is obvious.
Get the relevant tests of blood, urine and stool, Widal for Typhoid, Quantiferon gold test for Tuberculosis, Ultrasonography guided FNAC id the nodes are just bellow the anterior abdominal wall.

Give him a 7 day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. Give additional course of 2 more weeks and see the results.
He will be fine by then.
If there is no regression even after 3 weeks course, he needs Laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports.


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Suggest Remedy For Pain In Right Side And Middle Of Abdomen

Hi. Thanks for your query and concern for your son. Young boy missing the school due to pain in abdomen on the right more on the middle of abdomen. Constant feeling of sickness. The CT scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site. The gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child. The reason for the pain in abdomen is obvious. Get the relevant tests of blood, urine and stool, Widal for Typhoid, Quantiferon gold test for Tuberculosis, Ultrasonography guided FNAC id the nodes are just bellow the anterior abdominal wall. Give him a 7 day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. Give additional course of 2 more weeks and see the results. He will be fine by then. If there is no regression even after 3 weeks course, he needs Laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports.