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Gastroenteritis but no D&V

(33 Posts)
betternextlife Sat 12-Jul-14 21:11:47

Posting here for traffic.

DD is 14 and has had severe abdominal pain since last Monday. The GP referred us to A&E with suspected appendicitis but she was diagnosed with gastroenteritis although she has no D&V.

The pain does not seem to be getting any better and the paracetamol she was told to take isn't touching it.

Does anyone have any experience of this? I have tried googling, but everything I can find talks about D&V/dehydration so doesn't help.

allisgood1 Sat 12-Jul-14 21:17:21

Id go back to be honest, especially if she's in that much pain. She likely needs further investigations. Hopefully she feels better soon.

Ginplease Sat 12-Jul-14 21:19:38

I had this last year. I was pregnant so couldn't take the usual medication and was given peppermint oil capsules which did help me.

I'd go back for a second opinion and ask for something more than paracetamol.

betternextlife Sat 12-Jul-14 21:26:34

allis We have already been back to the GP but they said there was nothing else that could be prescribed.

Thanks Gin I'll try to get some capsules tomorrow.

Dontlaugh Sat 12-Jul-14 21:29:45

Off the top of my head....
Is pain constant or cramping?
Could it be IBS?
Constipation? When was last time she had a bowel movement?
Possibility of pregnancy? (just querying, don't panic).
Appendicitis? Is pain in one specific area?
I would take her back if no improvement in next 12 hours.
Has she a temperature?

Dontlaugh Sat 12-Jul-14 21:34:42

Also HOW was gastro diagnosis reached?
Am intrigued, if there was no D & V.
And who exactly diagnosed it? As in, what level of dr?

betternextlife Sat 12-Jul-14 21:35:43

Don't Laugh

Pain is constant but gets waves of cramping on top.
GP thought IBS unlikely as sudden acute onset
Constipation? Has had bowel movements since pain began, but not recently probably because not eating
A&E did a routine preg check and was negative
Appendicitis not according to the doctors
No temperature at all

allisgood1 Sat 12-Jul-14 21:36:32

Gallstones?

allisgood1 Sat 12-Jul-14 21:37:26

Gastro doesn't last 6 days either. She should be feeling A LOT better by now

Dontlaugh Sat 12-Jul-14 21:37:36

I'd probably present again with her in A and E, mentioning appendicitis every second sentence.

betternextlife Sat 12-Jul-14 21:39:40

The gastro diagnosis was made by the Specialist Paeds Registrar in A & E. (He did go out and talk to someone else, not sure who).

I think it was because they ruled everything else out.

They needed a poo sample to confirm, but as she had not eaten for days, she has not been able to supply it!

betternextlife Sat 12-Jul-14 21:42:51

I think I will take her back tomorrow if the pain isn't better.

Pain in the wrong place for gallstones I think.

justkeeponsmiling Sat 12-Jul-14 21:44:42

Are you sure the diagnosis was "gastroenteritis" and not "gastritis"?

betternextlife Sat 12-Jul-14 21:47:00

Just definitely gastroenteritis.

It was written on the letter to the GP

OnlyTheWelshCanCwtch Sat 12-Jul-14 21:52:26

Is there any possibility she could be pregnant? I know theres been a negative test, but these can prove wrong.
My 14yo was in with severe abdo pains for 3 days last year and they never found what it was scanned for eptopis, cysts, appendicitis, gall stones etc
They tested for pregnancy every day she was there as they said the results can read differently in a short space of time (there was no chance of pregnancy anyway but they still had to do the test)

Loletta Sat 12-Jul-14 21:56:22

Take her back. I've never hear of gastroenteritis lasting 5 days with no D&V
Good luck

betternextlife Sat 12-Jul-14 21:57:50

I really don't think it is a pregnancy, she has not really had a proper boyfriend. (Although I'm sure many other parent's of 14 year olds have said that when it has been positive.)

I know they ruled out gallstones and appendicitis.

Dontlaugh Sat 12-Jul-14 22:06:08

OP, you are doing all you can. The diagnosis she has is because everything else was ruled out. This approach is fine if subsequent symptoms subside, they haven't, which require a rethink, esp in the absence of a stool sample. Pregnancy has been definitively ruled out, you've said. Appendicitis also, although how, I'm not sure.
Gastro it is, but without stools I would be requiring further investigation.
Lost tampon? (Grasping at straws).

betternextlife Sat 12-Jul-14 22:11:10

I'll see how she is tomorrow and then maybe take her to the walk-in if the pain is just as bad. We haven't been there yet.

smaths Sat 12-Jul-14 22:30:51

I sympathise with your daughter, I had something similar sounding to this about six weeks ago, horrific pain and cramps in my stomach (upper left), but no D&V... I was at the GPs surgery 3 times and on the verge of going to A&E a couple of times, had blood tests and pee tests and all sorts but nothing abnormal showed. The only thing that touched the pain was 30mg co-codamols and that only made at a level where I could function, but was still in terrible pain. The pain was on a par with childbirth (not really sure why I didn't go to A&E, I tend to delay these things thinking that it will pass, not a useful strategy when actually in childbirth, hence a daughter delivered on the bathroom floor with only my husband to catch her). It went away after 10 days and mercifully hasn't returned. Doc could not give any explanation at all other than "probably gastritis." I hope she feels better soon, maybe try a&e again if she isn't as at least they can do x rays and scans

allisgood1 Sat 12-Jul-14 22:33:20

I think if they've ruled out all the obvious they tend to go for "viral" which I think this isn't turning out to be. May be a bacterial infection though so suspect they may do bloods and try antibiotics next. Definitely take her back (or to ooh) of she's no better tomorrow. Did you say she has a fever or no fever?

betternextlife Sat 12-Jul-14 22:39:46

smaths sorry to here you have suffered too. I know what you mean about A&E. We were referred there rather than going direct. The triage nurse was really sniffy about the GP letter though,

allis No fever, so doesn't that mean it is unlikely to be an infection?

morningsarepants Sat 12-Jul-14 22:40:07

I would go back. Did they consider it could be kidney stones?

Pancakeflipper Sat 12-Jul-14 22:42:13

Has she had urine samples done? Wondering if it's a urine infection (do not underestimate the pain) going to a kidney infection?

betternextlife Sat 12-Jul-14 22:45:58

She has a urine sample done and it was clear.

Kidney stones were not mentioned, but then again I don't think they said everything it wasn't, IFYWIM

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