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appendectomy in June yet he is in horrible pain?

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My 16 yr old son had an appendectomy on June 9th. His pain seems worse now than before the surgery. The CT scan before surgery showed abdominal inflammation and doctors believed it was appendix. The surgery proved an inflammed but scar tissue wrapped appendix. Has had all the tests (even a capsule endoscopy) from a gastro doc who found everything normal, yet he is in horrible pain and is missing out on school activities. What do we do now?

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replied September 12th, 2011
Appendix and Appendicitis Answer A26792

Welcome to the ehealthforum and I am really glad to help you out. I can understand your concern for the severe abdominal pain that your son is having even after appendectomy.

I suggest you to get a repeat CT abdomen/MRI abdomen done as other causes have to be ruled out. These include adhesion formation in the abdomen, Crohn’s disease, bowel obstruction, irritable bowel syndrome , kidney obstruction or pyelonephritis, psoas abscess and volvolus (twisting of the sigmoid part of the large bowel on itself).

Investigations like ultrasound abdomen, CT abdomen and colonoscopy are required to confirm a diagnosis.My advise is to consult a gastroenterologist and discuss these possibilities with him.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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