My 4 year old daughter has had episodes of sudden onset of severe abdominal pain for about a year now. No one thing provokes it. These episodes only last a few minutes and go away but are severe enough she doubles over with pain. Just to be sure the pain was real, I tried giving her a candy (placebo) stomach pill but it did not work so I feel the pain is real. Her pediatrician doesn't seemed that concerned. Recently the episode of pain are accompanied with sudden onset of fever, often above 103F. She will double over, scream, get a fever, and projectile vomit. After vomiting, the symptoms go away after a few minutes, including the fever. I am not sure what to do. I know these symptoms sound strange but that is just as it really happens. I am a 14 year veteran paramedic/firefighter and I am at a loss. Any info you can give me would be very appreciated.
More than one third of children complain of abdominal pain lasting two weeks or longer. Most likely, the symptoms could be due to either gastric acidity, peptic disease, constipation, intestinal colic, malabsorption syndromes, etc.
Night pain or pain on awakening suggests a peptic origin, while pain that occurs in the evening or during dinner is a feature of constipation. Children often deny heartburn, but other features of peptic disease include early satiety, nausea and the complications of gastroesophageal reflux.
The routine screening laboratory evaluation of abdominal pain in children includes a complete hemogram, ESR, liver enzymes, renal functions, Urinalysis, urine culture, stool test, etc. Based on the other findings, your daughter may need further tests including a stool culture, stool testing for parasites, or giardiasis, serology for H Pylori or amoebae and or a abdominal ultrasound. Carbohydrate breath testing for lactose intolerance can also be done.
You may consult with a pediatrician, who with proper history assessment as well as a physical examination can help in complete evaluation and specific treatment of your child's condition.
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