day 6 of hip pain in dd8, what would you do now, any doctors out there?

[piratecat]

I am following on from my other thread on this posted beginning of last week.

DD's hip is STILL awful, but although i havebeen to gp twice and A+E once late last wednesday, and given calpol and ibuprofen it's still hurting.

We are booked for an xray on thurs. I am totally stressed out becuase i have no idea what's causing this , although the visit to a+e (where they sort of looked at me like i was mad) said the following

1. could be bursitis.
2. wasn't infection (which of course is good)

GP number one, said 'might be to do with her clicky hip' but can't tell. I'll get her an appt for orthopedics ( this is end of feckin june)

GP number 2 said, 'it could be inflamed', just give her the anti inflammatories.

On searching around, there is talk of post viral things that can affect hips, knees etc.. DD had a flare up of some sort on her vagina/labia in the preceeding 5 days to this hip thing. Not diagnosed as thrush, or bacterial, but after 2 days they gave her v strong penicillin anyway.

we are oficially pissed off and feeling helpless here.

Gp 2 said if it's not got any worse send her bacl to school on monday. well it's not got any better so what do i do ffs.

sorry am just totally fed up now of seeingher in pain.

pain gets worse on lifting to say get in bed, or in car or up stairs. so have had to carry her alot. Two nights ago the pain was coming like contractions for one hour.

any doctors out there???????

gona keep bumping. thanks

''

bumping for you,sounds horrendous tbh,don't understand why the docs are being so blase.

thanks so much. me neither. i of course want it to be just a thing they will go away. But noone has told me it will yet!!

Do i send her to school ? she can sit ok, but can't walk so well. worried about al this time off. am single mum and just about had enough of the whole thing now.

Not to alarm you, but could be juvenile arthritis? I had it and it started about this age. Can start off as a post-viral thing, or sometimes doesn't seem to have any trigger. If the pain continues the GP should do some blood tests (looking for evidence of inflammation) and refer to a rheumatologist and/or paediatrician.

Are the painkillers you've got helping at all?

not a doctor so feel free to disregard.

ds2 had a limp post viral and it was thought to be inflammation of his synovial fluid in the joint(waits for gp to correct me because I am dredging the back of my brain here)

We were told to go back if it reoccurred and they would xray as urgent.

As a nurse I ould say that if your dd is still in so much pain then you need to go back to A&E or childrens walk in centre if you have one.

they should be investigating this more urgently. Stand your ground and do not leave until they have xrayed her at least. Its been going on for 5 days and she is unable to walk properly - you are not overreacting.
Hth.

Sounds awful

I personally wouldn't send her too school, she sounds too ill to be there, especially if you have been carrying her around a lot.

I would go back to A&E tomorrow and ask for an x-ray rather than have to wait until Thursday. Say it has got much worse if you have to.

Hope she feels better soon

When she went to A& E did they give her a blood test? Is that how they knew it wasn't an infection?

My DD had septic arthritis in her knee after a throat infection, one of the post viral things that you have heard about. It seemed pretty painful and she really couldn't put any weight on it at all (she was only 15 months so couldn't tell us how it felt). I would have thought they must have ruled this out though. Did you tell the doctors about the vaginal infection when you saw them about the hip?

Oh and my DH has just had bursitis in his elbow, also after a viral infection. I think it's easier to diagnose when the joint is near the surface though.

If it is still causing her a lot of pain I would definitely go back to the GP tomorrow, or if they are being useless got to A&E. If there was any chance it could be septic arthritis you would need to get it sorted asap.

do i try for another appt with my gp in the morning first. i can prob getone really quick?

A+ E doc practically sneered at me last week. Also it's 45 min drive up there, and we had to wait 3 hrs latelate nightime.

Was wondering if a visit to gp, would help in pushing us forward in the queue, as she maybe could ring ahead??

do you have an nhs walk-in centre you could visit instead of a&e?

tbh I think if she is still in pain in the morning I would take her back to a&e. and as others have said just stand your ground and say look, this has gone on too long, she can't walk, she is in a lot of pain... find out what it is

i know it's hard to do, i hate any kind of confrontation, but hopefully you'll see a nicer doctor this time!!

no no blood test as she was walking on it ok. this is what happens she walks ok, then she doesn't. we sat in a+e till 1 in the morning. the doctor we saw said it's not hot to touch, there is no infection, no fever (temp was normal)

Is there a peadiatric A&E near you at all? There is a condition called Perthes which does mainly affect boys www.perthes.org.uk It should be checked as soon as possible though.

ni i livei n the sticks, in devon. the nearest place is a hospital 45 mins away.

last wednesday evening i had to ring the dr's on call, who can advise only. Well they are based in a small outpatients thingy in a nearer toown (15 mils away) but only for minor things. that dr said, in your position i would go to a+e. so i did, only to be told there's not really anything wrong.

and was that the consultant or the sho who sneered at you? Sho very good at sneering and no jsckshit usually (the good ones dont sneer!)

Your gp should be able to book an urgent appointment. Just make sure you stress that analgesia isn't working and that dd cant walk well. Dont let them fob you off.

justtread your last post - sounds like you saw a junior dr in a&e. hot to touch is classic sign of cellulitis - infection of fluid in the joint or inflammation wouldn't necessarily show up as hot to touch.

sorry what is a sho?

I'd try your GP again. I've worked in a children's A&E and we always did blood tests on kids with unexplained limps and most got a hip ultrasound or x-ray too. The majority tured out to be transient synovitis which is a sort of post-viral inflammation which just settles down on its own. Maybe your GP could refer your dd direct to a paediatrician rather than A&E?

i am geting pissed off now. yes it was a jnr doctor, who had to go out and ask someone else.

i believe the a+e doctor, reffered us to the paeditrition at the a+e place. the woman who made the appt wasn't sure.

my gp, who i rang friday, said i wil be seeing someone, not just getting an xray. hth?

Senior house officer. Very junior.

Definitely get seen again asap. From what I understand it's hard to diagnose hip problems because the joint is so deep and if it was a junior doctor then something may have been missed.

Is your DD getting worse, or is the pain staying about the same? Is she walking less than a couple of days ago?

so if this was a post viral thing.

dd started a 7 day course of 250mg strength 4X a day antibiotics 9 days ago(friday)when her vulva was till inflamed after three 3 days.

the hip pain started last tues (day 5 of the anitbiotics).

so those days 5,6 and 7 wouldn't have helped this post viral thing then?

What the feck WAS the viral thing that made her labia bright red, they fuond nothing in swap etc..

dd walking around ok today in house. good movement in joint too. but then it flares up.

the factthere was good movement was one thing the doc at hosp said proved it wasn't infected, he said it wold be stiffer?

dd is hypermobile too tho. i thought this was cos of that and it's the hip that clicked when she was born.

they measured her leg length and stuff at a+E.

I wouldn't have thought it was septic arthritis (based on only what I know of when DD had it, I'm no doctor). Because she can walk some of the time, and it doesn't seem to be getting much worse. Also, with DD the joint was swollen and quite hot to the touch.

But if it was, then it would need to be treated with IV antibiotics, and also would need to have the joint drained. So the ABs that she had for the other infection probably wouldn't be strong enough to make much difference.

No idea about the original infection though, sorry!

Yes, DD found it very hard to move/bend her leg, so it sounds as though they have good reasons for not putting it down to infection. But that still gets you no closer to what it is.