Guest guest Posted May 27, 2006 Report Share Posted May 27, 2006 > What confounds and confuses me is that my son, and it seems some > others too, have similar abdominal pain, but different. For years, > has had what we thought was " extreme " GERD, reflux. Sometimes > his abdominal pain is substernal chest pain, sometimes vomiting, > sometimes pain across his entire rib cage. In the past six months it > is much worse and more frequent. In past Ranitidine helped (unless he > ate really fatty food - then he would just vomit). Now he requires > daily Prilosec and still has intermittent symptoms. At times is on > twice daily Prilosec. His GI thinks it is esophageal spasm. Joanne, To me 's symptoms sound like pancreatitis - that is because I've had blocked bile ducts result in pancreatitis and the vomiting, pain across the entire abdomen were my symptoms. 's doctor heard those symptoms and thought GERD. For adolescent boys GERD may be the cause 99% of the time and differential testing for other causes may not be worthwhile unless GERD treatment doesn't work. But it seems that Ranitidine / Prilosec treatment is not effective so there may be something other than GERD going on. I assume that has had blood tests done during or shortly after episodes, and had his esophagus scoped out to check for GERD damage. All test should have confirmed GERD since that treatment is still ongoing. The question then becomes were there any other possible causes for his symptoms that were ruled out or brought into scope because of the results. That is where your trusty specialist come in who can spot other things going on that may be masked by another condition. (And where I am of no use because I look at symptoms through the lens of my experience). Tim R P.S. Sorry about the repeat post earlier, I hit the wrong key while changing the subject (and before adding anything to the message). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 I agree to consider Pancreatitis ...see my other post on this today... Barbara in MD > > What confounds and confuses me is that my son, and it seems some > > others too, have similar abdominal pain, but different. For years, > > has had what we thought was " extreme " GERD, reflux. Sometimes > > his abdominal pain is substernal chest pain, sometimes vomiting, > > sometimes pain across his entire rib cage. In the past six months it > > is much worse and more frequent. In past Ranitidine helped (unless he > > ate really fatty food - then he would just vomit). Now he requires > > daily Prilosec and still has intermittent symptoms. At times is on > > twice daily Prilosec. His GI thinks it is esophageal spasm. > > Joanne, > To me 's symptoms sound like pancreatitis - that is because I've > had blocked bile ducts result in pancreatitis and the vomiting, pain > across the entire abdomen were my symptoms. 's doctor heard those > symptoms and thought GERD. For adolescent boys GERD may be the cause > 99% of the time and differential testing for other causes may not be > worthwhile unless GERD treatment doesn't work. But it seems that > Ranitidine / Prilosec treatment is not effective so there may be > something other than GERD going on. I assume that has had blood > tests done during or shortly after episodes, and had his esophagus > scoped out to check for GERD damage. All test should have confirmed > GERD since that treatment is still ongoing. The question then becomes > were there any other possible causes for his symptoms that were ruled > out or brought into scope because of the results. That is where your > trusty specialist come in who can spot other things going on that may > be masked by another condition. (And where I am of no use because I > look at symptoms through the lens of my experience). > > Tim R > > P.S. Sorry about the repeat post earlier, I hit the wrong key while > changing the subject (and before adding anything to the message). > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2006 Report Share Posted May 29, 2006 I agree to consider Pancreatitis ...see my other post on this today... Barbara in MD > > What confounds and confuses me is that my son, and it seems some > > others too, have similar abdominal pain, but different. For years, > > has had what we thought was " extreme " GERD, reflux. Sometimes > > his abdominal pain is substernal chest pain, sometimes vomiting, > > sometimes pain across his entire rib cage. In the past six months it > > is much worse and more frequent. In past Ranitidine helped (unless he > > ate really fatty food - then he would just vomit). Now he requires > > daily Prilosec and still has intermittent symptoms. At times is on > > twice daily Prilosec. His GI thinks it is esophageal spasm. > > Joanne, > To me 's symptoms sound like pancreatitis - that is because I've > had blocked bile ducts result in pancreatitis and the vomiting, pain > across the entire abdomen were my symptoms. 's doctor heard those > symptoms and thought GERD. For adolescent boys GERD may be the cause > 99% of the time and differential testing for other causes may not be > worthwhile unless GERD treatment doesn't work. But it seems that > Ranitidine / Prilosec treatment is not effective so there may be > something other than GERD going on. I assume that has had blood > tests done during or shortly after episodes, and had his esophagus > scoped out to check for GERD damage. All test should have confirmed > GERD since that treatment is still ongoing. The question then becomes > were there any other possible causes for his symptoms that were ruled > out or brought into scope because of the results. That is where your > trusty specialist come in who can spot other things going on that may > be masked by another condition. (And where I am of no use because I > look at symptoms through the lens of my experience). > > Tim R > > P.S. Sorry about the repeat post earlier, I hit the wrong key while > changing the subject (and before adding anything to the message). > Quote Link to comment Share on other sites More sharing options...
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