Question
A 4-year-old girl is experiencing pain in the central upper abdomen (around the stomach area), with tenderness and nausea. Over the past two days, she has also reported a sore throat and reduced appetite, but her bowel movements are normal. She has previously undergone five days of traditional Chinese medicine treatment for gastritis and pediatric indigestion, and a B-ultrasound examination ruled out the possibility of lymphadenopathy. The parents are seeking to determine whether the abdominal pain is due to stomach issues or another condition.
Answer
Based on the provided information, a 4-year-old girl is presenting with upper abdominal pain, nausea, and a sore throat. The child has previously received five days of treatment for gastritis and pediatric indigestion with traditional Chinese medicine and has undergone a B-ultrasound examination, which ruled out the possibility of lymphadenopathy. In the absence of rebound tenderness, the most common cause is spasmodic abdominal pain. However, if there is purulent tonsillitis, it can also be accompanied by abdominal pain. Further examination and observation are recommended to determine the cause of the abdominal pain and provide appropriate treatment.