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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Left Rib And Swollen Abdomen On Both Sides?

Hi. My dauhter is 14years old. We just came from a restaurant, but she only ate vedgetables, because she was naugeseous. Her abdom is swollen. and warm in the middle of it. Both sides are swollen, especially The left side! She say it feels like a pinching pain going through her left rib.What can it be? What can I give her? Heidi
Mon, 23 Feb 2015
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General Surgeon 's  Response
Hi Heidi.
Thanks for your query.
Read the history about your daughter and understood your problem.

It is important to know that your daughter , 14 already had nausea as per the history you have provided, so she ate vegetables.
The reason for the swelling on both sides of the abdomen and warm in the middle, pinching pain going through left rib can be :
Loos to be gastroenteritis with colitis as a major problem causing the warmth and distension in the center, distension being so much that she is feeling the pain going through left rib .

I would advise the following :
First of all take to ER as the things look serious or can turn serious as the third space loss can be dangerous as your daughter is just 14 years old and a single large loose motion and / or vomit can make her dehydrate or can go into septicemia.
Needs admission, vitals to be checked,
intravenous fluids and antibiotics
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What Causes Pain In Left Rib And Swollen Abdomen On Both Sides?

Hi Heidi. Thanks for your query. Read the history about your daughter and understood your problem. It is important to know that your daughter , 14 already had nausea as per the history you have provided, so she ate vegetables. The reason for the swelling on both sides of the abdomen and warm in the middle, pinching pain going through left rib can be : Loos to be gastroenteritis with colitis as a major problem causing the warmth and distension in the center, distension being so much that she is feeling the pain going through left rib . I would advise the following : First of all take to ER as the things look serious or can turn serious as the third space loss can be dangerous as your daughter is just 14 years old and a single large loose motion and / or vomit can make her dehydrate or can go into septicemia. Needs admission, vitals to be checked, intravenous fluids and antibiotics