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Sep 20, 2017 · RLQ Abdominal Pain in About Kids & Teens

Thanks @kariulrich ,
my daughter was seen by:
Family medicine specialist
GI specialist
Paed GI specialist
rheumatologist
Urologist
nephrologist
General surgeon
but no one knows what is the right diagnosis
the Paediatrician GI specialist insisted on FMF and she should take Colchicine 1 mg*2
I need your help to advise me who is the specialist I should ask.
the only one that I didn’t ask him was Neurologist .

Sep 19, 2017 · RLQ Abdominal Pain in About Kids & Teens

New blood tests results:
Albumin 5 g/dl
ESR 40 mm/h
Platelets 470 000
Leucocytes 9800
Hb 11.5 g/dl
KFT , LFT are normal
Microscopic urine examination:
WBC. 6-8/HPF
RBC 3-5 /HPF
Epith.cell :present
Mucus :present

Sep 19, 2017 · RLQ Abdominal Pain in About Kids & Teens

Thanks
She takes ranitidine 150 once daily
Also flu stomach is ruled out

Sep 19, 2017 · RLQ Abdominal Pain in About Kids & Teens

each attack lasts for 2-3 weeks
one week free except rebound tenderness

Sep 19, 2017 · RLQ Abdominal Pain in About Kids & Teens

i have 12 yrs daughter ,she is suffering from sever pain in iliac fossa ,sever rebound tenderness in it ,fever ,myalgia , joint pain ,nausea & vomiting.
1st diagnose was constipation.but with laxatives no improvement.
2nd diagnose was FMF ,but with colchicine no improvement
appendectomy was done.to rule out appendicitis
meckel’s disease , ileal intussusception & crohn’s were ruled out.
all CT ,MRI ,abdomen u/s and , tests(CBC,KFT,LFT,ESR,CRP),urine analysis & Stool analysis were normal.
only one thing is found :edematous mesentery.
so I need your help for right diagnose .