Discussions By Condition: I cannot get a diagnosis.

undiagnosed lower right quadrant abdominal pain in 15 yr old girl

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: Anonymous
  • October 25, 2007
  • 08:24 PM

My 15 year old daughter has had right lower quadrant abdominal pain for about 5 weeks. This is the 4th time in the last year she has had this problem. During this time, they have also found - gallbladder problems - was removed one year ago; kidney stones - had lithotripsy 11 months ago; ovarian cysts - last one in July ruptured; and now again the pain is back. It is constant pain, sometimes worse after eating (we have not noticed difference in types of food). She is on a gluten free diet (by choice) - this relieved her migraine headaches. She is on birth control pills for the cysts. She is also taking high blood pressure medicine. Within the past 5 weeks she has had bloodwork done 4 times, x-ray, ultrasound, CT scan, endoscopy, colonoscopy. Has been seen by pediatrician's, nephrologist, gynecologist, gastroenterologist and psychiatrist. We have been told that it is not psychosamatic. All tests have been negative so far. (although we have been told that her lymph nodes are slightly swollen and bloodwork 2 weeks ago showed slightly elevated inflammation). The gastroenterologist is scheduling a video capsule endoscopy. He states if this comes back normal, will have her treated for chronic pain. She is not able to go to school. Chronic appendicitis was mentioned - but most of her doctor's will not even consider this...... and we were told that a surgeon will not take the appendix without concrete evidence. Can anyone help?

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4 Replies:

  • I had this for a while and I was diagnosed with Polycystic Ovarian Syndrome and Endometriosis. Does she menstruate without birth control pills? Also, does it seem like her lower abdomen is fatty, like it's protecting the organs in that region? Perhaps a laporscopy would identify something also. Have they tested her liver also? Just some thoughts...
    carli_justin 8 Replies
    • October 26, 2007
    • 04:25 PM
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  • Yes, she does menstruate without birth control pills. Her lower abdomen is fatty. We did bring up the thought of endometrosis, but her GYN said no. Her GYN also stated that her problems were not GYN related. The only testing done for the liver would have been blood work. They have also tested for the adrenal glands. I was going to suggest the laproscopy. Thanks!
    Anonymous 42789 Replies
    • October 26, 2007
    • 04:47 PM
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  • lol... I've heard the gyn say it's not "gyn-related". Then they did a laparoscopy and were like "Oh! Look at her endometriosis. Guess we better do a D&C too!"Have them try an ultrasound (pelvic) and see what they find. I'd also suggest a different gyn. I've been through 4 before I found one that believed my symptoms.
    carli_justin 8 Replies
    • October 26, 2007
    • 05:02 PM
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  • Ok.....she had a pelvic ultrasound at the beginning (about 5 weeks ago) - put they were ruling out an ovarian cyst. I will suggest another along with the laproscopy. Thanks for your suggestions!
    Anonymous 42789 Replies
    • October 29, 2007
    • 03:15 PM
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