My daughter is 10. In May complained of occassional stomach pain. In July had an episode of diarrhea followed by intestinal cramping. Cramping has increased in frequency and severity to the point of becoming incapacitating one or more times per day, accompanied by low-grade fever 99 to 100, mid-line abdominal pain starting under the diaphragm and moving lower as the pain intensifies, sometimes small BM of soft, formed stool. All labs have been normal including VMA, porphyria, 5HIAA, fecal fat and parasites, antibody for sprue, abdominal ultrasound with no gallstones or gallbladder thickening, abdominal CT, endoscopy and colonoscopy, HIDA scan (30% ejection fraction and no obstruction). Treated with an anticholinergic, Imiterex, amytriptiline, lactobacillus, Metamucil and Miralax, and hydrocodone. Usually able to sleep through the night, but has been awakened numerous times by pain. Pain builds in waves and she feels overheated to the point that she will not allow you to touch or even approach her too closely because she can "feel" heat from you body. Differential has included IBS, abdominal migraine, choledyskinesia, familial mediterranean fever and even heavy metal poisoning but no answers yet. Any suggestions would be appreciated. She has become afraid to eat or leave the house.