First, I want to apologize for the long post. I'm trying to get some idea of what might be going on with my daughter, age 13.
4 weeks ago, she had what was diagnosed as the "stomach flu" consisting of vomiting 4-5x/day for 3 days (1/20-22.). The following Monday (1/26), after feeling perfectly fine for 3 days, she started experiencing severe pain in her upper abdomen, in the center up near her ribcage. PCP ruled out muscle strain (she's a competitive tumbler) and appendicitis. Prescribed Prilosec and ordered abdominal ultrasound. Ultrasound on 1/27. showed minor "sludge" in gall bladder but nothing else (stomach, pancreas, liver, aorta, spleen all fine). Tues (1/27). night, I found her curled up on the floor, in so much pain she couldn't get up. Took her to ER where the check blood counts (all fine). Gave her some Mylanta, ordered a HIDA scan for 1/28. At first, gall bladder wouldn't show on the HIDA scan, but after an injection of Morphine and some hormone (don't remember what) gall bladder appeared. No stones, but some "slight" inflammation detected. All this time, she is still in severe pain, unable to participate in normal activities or eat very well.
PCP referred us to a general surgeon for evaluation. This took place 2/9. After evaluation, surgeon not convinced of a gall bladder issue and referred us to a pediatric gastroenterologist. Saw him 2/13. After several questions, he suggested the problem was not gastro related but rather muscular. I put my daughter back on her regular schedule activity wise, but she was afraid to eat much until today (2/16).
Up to today, she was progressively feeling a bit better. Pain always there but not as severe; able to eat somewhat normally, minus any greasy or fatty foods. On a hunch, I decided to let her eat something a little greasy, partly because she was feeling better and begging, and partly because I wanted to validate my concern that the issue she's having has something to do with her digestive system somewhere. As expected, within about 1 hour of eating lunch, she started complaining that her pain was back. It has progressively gotten worse from there, and she had to quit practice today because all the "jiggly" around was making it worse.
I must also say that about 1 week ago, she started feeling nauseous, ALL THE TIME. I attributed this to her being unable and afraid to eat, but now I'm not so sure. She has had no fever, no vomiting or diarrhea, nothing but pain that wakes her up at night and nausea. I am at a loss as to what to do now. My once highly active teenager is losing weight, losing sleep, and feeling miserable.
Any ideas of what to do next?