Posted by: Tanya | 2009/08/10


Recurring stomach pain and fevers

My 7 year old daughter started having recurring stomach pains 3 years ago . She has never had any operations or antibiotics. We (and our paeditrician ) put her stomach pains to " stress migraines "  after a urine test and the fact that we were going through a stressful " living with the monster-in-law period "  .

She was always a fussy eater but has since improved a lot, eating most things except for anything with a sauce. She will only eat raw vegetables such as carrots, peas, beans, and cucumber. She also eats fruit. We do not eat a lot of red meat but do eat eggs and chicken. She is small for her age, weighing only about 17 kg, but then, I only weigh 46 !! She was a very healthy baby, weighing in at 3960g .

I am now living in Langkawi, a small island of Malaysia. We have been in Asia for the past 9 months. Over the past 4 months she has had about 8 fevers, some of them mild, others quite severe. Now she has been complaining about stomach pain everytime she eats for the past month. It comes and goes but now has become worse. And with it comes a low grade fever never peaking 37.5. Although, a week ago it went to 40 . I am at my wits end. We just completed a 3 day course of deworming thinking it may be that.

her pain is above her belly button.

She is having bowel movements, although they are either hard or runny.

The frustrating thing here is that she will have this fever and sore pain for a day, and then the next few days she is up and about and totally fine. Then suddenly, out of the blue, it pops up again.

I had my appendix out when I was 7, due it being riddled with worms.

The hospital here is NOT good, although there is a good one in Penang, a flight or ferry trip away. I would have to stay there for a few days so want to know the following :

1. Do you have an idea of what it could be ?
2. I do not have much faith in the doctors here (according to what local expats say ) but could I ask one for specific tests.
2. If I need to have tests done, what should I ask for ?

I really hope you can help me here as if i was in SA i would take her to the doctor at once.


Expert's Reply



That your daughter has a significant illness is beyond any doubt. She has fever frequentlly and recurrent abdominal pain. There are many possible causes of which abdominal migraine is certainly NOT one. So what is needed is a clear diagnosis. Your daughter should have been investigated while you were still in SA as things are difficult now with you being in a strange country and away from the specialists you know. The paeditricians are known to be excellent in Malaysia as far as I am aware especially in the main cities.It is possible that your daughter has an illness called Malta fever also known as Brucellosis.Ask specifically about this illness. Her urinary system must also be carefully investigated again.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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