How old is the child?
Is the pain constant? Or just after meals? Shortly after meals or hours after meals?
Where in the abdomen is the pain localized (if it's localized)?
Have any blood tests been done? Blood tests for liver enzymes, pancreatic enzymes, ESR, CRP, in addition to the standard CBC with differential and metabolic panels.
Any IBD in the family? Any other 'autoimmune' type diseases (RA, lupus, MS, psoriasis, etc)?
You mentioned x-rays. What about ct scans? Any done?
She's an 8 yr old very active girl.
Pain is in the AM (moderate), usually about
an 1.5 hours after waking (6:30) shes ready to try to eat. Around 10am or so she seems pretty good until around 5-6pm. If I ask her how shes feeling 10-5 she says "kinda good, but my stomach is woozy"...in describing "woozy" it sounds like nausea. Lunch usually goes pretty good but she stops eating when her stomach starts hurting. In evening, usually during supper it gets severe and stays that way until she falls asleep. It's taking her 1-2 hours to fall asleep & to be perfectly honest it seems like she just wears out. Shes in pain throughout the night (I can hear her grunting & panting in pain) but is sleeping through the night.
She circles from her belly button up to her breast bone when asked where it hurts. Also says at night it feels like shes going to puke but never does, her esophagus and chest area become painful during this time as well.
Blood tests listed have been done as well as a CT & 2 ultrasounds at the beginning of July (they were thinking it was her appendix). Ultrasound showed inflamed lymph nodes in belly & she was diagnosed with mesenteric lymphadenitis on July 1st, in the ER on July 5th (CT confirmed appendix looked good), at a Ped GI July 17th who diagnosed her with chronic constipation, did 2 clean outs, 1 enema (blockage discovered in rectum) & just this week the colonoscopy & endoscope.
Husband/dad has diverticulitis & "IBS", his side of the family has digestive issues. My side has RA, no lupus or MS & distant family has psoriasis.
Any thoughts wait and see? Also, any advice on pain management? Heating pad, peppermint tea & elevation are all being used.