Ask the expert

Lower abdominal pain

Question

My 15 year old daughter has complained of lower abdominal pain on her right side for two years on and off, and lately it seems to have become more of a problem. We had ultrasounds done but they show everything is fine. What should we be looking for? Her doctor doesn't have too many ideas what it could be. Please give us some suggestions.

Answer of our experts

Recurrent lower abdominal pain that has persisted for two years should not be anything acute and immediately worrisome (like appendicitis). There are so many organs in the abdomen that it is often hard to sort out what it could be. An ultrasound would have ruled out an abscess, a tumor, a fluid collection and dilated kidneys, but would not always be able to be helpful. Regarding the bowel, it is important to assess that she is having regular bowel movements, to rule out constipation, and to check the stool for blood. Her kidney and urinary tract system could (less likely) be involved, and screening her urine for a chronic urinary tract infection should be done. Finally, her genital system could be involved. I will assume by her age that she has already started menstruation. There is a recurrent abdominal pain that occurs during ovulation (called mittelschmerz) that some women feel; if she is regular this would occur about two weeks after her period started. Ovarian cysts can present with abdominal pain, although an ultrasound should have ruled this out. A pelvic exam should be performed to rule out infection or ovarian mass. This would be the minimal general workup I would recommend. If it persists, potentially she should see a gynecologist or gastroenterologist

TK 7-13-10

Answer is checked and valid for
us
Find other pages that share the same topic as this page Pain and Behaviour Constipation

Recommendation(s)

Pain and Behaviour

R18
As pain can easily remain unrecognised in a child with CdLS, all care providers should be aware of the different manifestations and the possible sources of pain. Specific tools to assess pain are recommended.

Recommendation(s)

Constipation

R31
Constipation is present in almost half of all individuals with CdLS and should be treated as in the general population.

Legal Disclaimer

Please take note that the Ask the Expert service is comprised of volunteer professionals in various areas of focus. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.

 

Do you have a question you would like to ask?

Ask a Question

About the website contents

All of the information on this WebSite is for education purposes only. The place to get specific medical advice, diagnoses, and treatment is your doctor. Use of this site is strictly at your own risk. If you find something that you think needs correction or clarification, please let us know at: 

Send a email: info@cdlsWorld.org