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Pain in abdomen alleviated on passing gas. APPENDICITIS?

Resolved Question:

My 6 year old son complained of abdominal pain Thursday around 2pm
He eventually passed gas and pain alleviated
I brought him to gp who palpated his stomach and confirmed gas
No pain Friday
Saturdaynight complained again
Passed gas went to bed
Woke up2 hours later
Sat on toilet pain passed
Nothing came out
Can this be appendicitis
No fever
Belly not swollen
And pain not consistent at all played all day today swam biked etc
To note child fell off bike afternoon
On tummy
Small bruise
I assume unrelated


Category: Pediatrician

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Category: ICU/ Critical Care Specialist
Dr. Saptharishi L G is online now

Expert:  Dr. Saptharishi L G replied 4 Days.

Dear Parent,
I can understand your concerns. Abdominal pain in children can be absolutely non-specific. There are numerous causes of abdominal pain. Raging from the most benign to the outright life-threatening. So not all abdominal pain is appendicitis.
Where is the abdominal pain? Is it upper, middle or lower abdominal? Is it in the middle or on either side?
Does he have any nausea or vomiting?
Does he have any worms in stool?
Does he complain of abdominal dissension or pain during stool passage?
When did he fall off the bike? This afternoon? An she has been having abdominal pain even before trauma?
With answers to the above questions, I may be able to help you.
Regards
Dr. Saptharishi L G


Patient replied :

His abdominal pain he says is middle stomach he started pain once Thursday before falling off bike and I took him to Dr who palpated stomach said it was gas
he had no pain since until sat night
he went bathroom it went away
then two hours later woke up with pain
wejt bathroom nothing came out and he was better
no nausea no vomiting no other symptoms
pain comes and goes not often
No worms he complains pain until he passes stool


this am no pain


Expert:  Dr. Saptharishi L G replied 3 Days.

Dear parent,
Thank you for answering my queries. Really appreciate it.
Your child's abdominal pain does not appear to be a reason for worry. Most children report on and off peri umbilical ( around the umbilicus, middle of their tummy) pain without a specific cause.
You can give him a course of ant-helminthic drugs. This will deworm his food pipe. Many children of this age may harbor worms in their food pipe.
Give him 10 ml of Syrup Bendex once at bedtime. Repeat the dose 2 weeks later.
If the pain recurs, you may have to consult a paediatric gastroenterologist.


Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
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