Doctors Lounge - Pediatrics Answers
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Forum Name: Pediatric Topics
|HFBRL07 - Sat Aug 07, 2010 9:01 pm||
My daughter is 17 and seeing a pediatric gastro doctor. We have been everywhere and after several negative tests an adult doctor could not figure out what was going on..So he sent us to a pedi GI, she did a colonoscopy on my daughter to rule everything out. We now have a diagnosis of Irritable Bowel Syndrome, My daughter has had flare ups in the past year where she is doubled over in pain and can barely get up, she curls in a ball and basically screams and crys. This is happening as I am writing this, she ended up in the ER the other day but her doctor did not want to give her pain medicine or anything because it interferes with IBS. So the following day when this did not get any better I called crying myself for help, the doctor wanted to speak with my daughter on the phone but she refused because of the pain. I need some tips for dealing with this, what can I do or say to make my daughter feel like Im there? Im so confused and it hurts me just as much to see her in pain knowing I cant help.
|Debbie Miller, RN - Tue Aug 10, 2010 5:34 pm||
I know how difficult it is to watch your child suffer. If your daughter has constipation with her IBS then narcotics would just add to the problem, besides affecting her neurologically.
If she has diarrhea symptoms with her condition, she might benefit from loperamide (Imodium). Other medications may include anticholinergics for cramping, antidepressants (like amitriptyline), or antianxiety agents such as paroxetine (Paxil).
Sometimes psychological therapy or stress management may help with stress that may precipitate her IBS episodes. Other alternative therapy might include dietary changes, if she notices any pattern with her foods. A diary or journal can help to determine such triggers. Regular exercise almost always helps and she should avoid adding any substances such as tobacco or alcohol that could make things worse.
Best wishes for both of you,
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