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Sibling sick

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Hi!

I wasn't sure how to title this.

My son has been a patient of Dr. G for almost 4 years (and doing great!).

My son was a healthy, easy-dream baby until he was 18 months old. His

tipping point seemed to be a flu vaccination he received the same week he

got rotovirus. He was very sick all the time after that.

His twin sister, OTH, was medically fragile from birth (they were born 14

weeks prematurely). She had trouble breathing, and a lot of trouble eating,

and she's still tiny (7.5 years old and 36 pounds). We learned when she was

26 months that food intolerances were making her so sick, and once we

figured those out, she started to thrive and has been pretty healthy since

they turned 4.

That said, since November, she has had 5 episodes where she complained of

sharp tummy pain, which then turned into vomiting. Three times, she was

diagnosed with strep and took antibiotics. It happened again today - she

woke us at 4 am complaining of pain in her tummy (right around her

belly-button towards the right side), started vomiting an hour later. She

threw up four times. I took her to urgent care because she was still

whimpering that her tummy really hurt. They are supposed to start 2nd grade

on Monday, so I was hoping it was strep again and we could start an

antibiotic and still start school on Monday. As usual, the rapid test was

negative, so they sent it to the lab and it's not due back until Monday. We

came home and her tummy still hurt badly this afternoon. Urgent care

recommended Tylenol, which did nothing for the pain. At 4 pm, I called the

pediatrician (urgent care said to call her ped if she seemed to be getting

worse) and they recommended Motrin. She has been asleep for almost 3 hours

now, following the Motrin. Only once of the 5 episodes did she get diarrhea.

She typically has mild constipation, despite a diet high in

fiber/fruits/veggies.

Any ideas??? The ped wants to follow up this week. He wants to test her for

strep when she is not sick. I did some research online this afternoon and it

sounds a lot like abdominal migraines, but no one on either side of my

family or my husband's has migraines. Does this sound like PANDAS?

Kristy

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