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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Abdomen Pain

a boy 16 yrs . presents with h/o severe headache,irritability,appetite excess or low,occasional heavy perspiration

pain abdomen off and on.clinically nothing significant found. invest. mri brain ,cerebral angio ruledout any neuro problem.hemodynamices and thyroid function normal.usg abd. reveales rt. pu junction narrowing with hydronephrosis . what next investigations may be done?what may be the probable diagnosis?pl. reply>
Thu, 22 May 2014
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Pain Medicine & Palliative Care Specialist 's  Response
Hai.with most of the stronger investigation done already ur neurological, abdominal system look normal.my strong suspicion is regarding juvenile diabetes (iddm),or any kifney disorder.
U can go for these investigations:fasting blood sugars, hba1c, post prandial levels, serum creatinine, blood urea,
Ct kub to rule any obstruction
Serum electrolytes,
Most probably the diagnosis could be kidney parenchmal disease, relating to diabetes.
Good luck take care
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Suggest Treatment For Headache And Abdomen Pain

Hai.with most of the stronger investigation done already ur neurological, abdominal system look normal.my strong suspicion is regarding juvenile diabetes (iddm),or any kifney disorder. U can go for these investigations:fasting blood sugars, hba1c, post prandial levels, serum creatinine, blood urea, Ct kub to rule any obstruction Serum electrolytes, Most probably the diagnosis could be kidney parenchmal disease, relating to diabetes. Good luck take care