Doctors Lounge - Pediatrics Answers
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Forum Name: Pediatric Topics
|neverland - Sun Dec 10, 2006 12:06 am||
I'm 16 and i have had nausea since the beginning of September. It began with mild episodes 1-2 times a week in the morning (no nausea later in the day) now nausea everday and night. I have lost my appetite but I still eat normally but Iam loosing weight. I really enjoy school and force myself to go even though my nausea is getting more intense with each week. I missed three days the other week as I was nauseous all day for these days (i have missed a total of about 10 days). Lately it has been accompanied with a "full" feeling as well as pain in my stomach area and under left/right ribs. My doctor has examined me twice gave nasonex (no difference) then zantac (300 milligrams) which i have been on for a week but it hasn't made any difference. Sometimes my lower abdomen hurts (but this and the other "fullness" and pain started this week and so I hvaen't mentioned this to my doctor. And I am not pregnant, no sexual activity, no boyfriend, no sports, period never has been regular but is getting better (now about every 3 months).What would you suggest?
I also have had severe pain in my knee (not muscle but in my bone) since about september sometimes I can't stand up without grabbing a table or something <--- Havn't told my doctor because i think she would loose sight of my main concern, also i have had leg pain earlier this year (though not as bad) but she never found out anything
|Dr. Chan Lowe - Mon Dec 11, 2006 1:56 pm||
Nausea is a fairly nonspecific symptom. It can be related to many things. Any illness associated with a significant amount of weight loss is concerning and should be evaluated. Your symptoms are not classic for any specific thing at this point; however, there are many possibilities including inflammatory bowel disease and rheumatologic diseases. Some autoimmune disorders can produce symptoms like these as well as the knee pain.
My best advice for you at this point is to be evaluated by a doctor and emphasize your symptoms including the weight loss and the chronicity of your symptoms. If a general evaluation is not revealing of anything specific, you may benefit from evaluation by a GI specialist.
Other info that will be helpful for your doctor will be a family history. Does anyone in the family have GI problems or autoimmune disorders? This may help guide your work up.
Keep us posted of how your doing.
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