What was making her son so sick? A doctor is frustrated by t
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Dr. Harshit Sharma
What was making her son so sick? A doctor is frustrated by the diagnostic process.
On Dec. 1, 2012, Zachary Fox developed a high fever that lasted for several days, his paediatrician diagnosed influenza. Then came a violent spasmodic cough, after which he would vomit. Doctors thought he had bronchitis and prescribed steroids. When the cough continued unabated they suspected pertussis. He began taking antibiotics, but the whooping cough test was negative. In mid-December, after eating a bite of bread at dinner, Zach suddenly complained of severe pain on the right side of his abdomen. He rested for an hour, but the pain worsened. An EGD found nothing. The doctors found a duodenal ulcer - unusual in children - But Zach’s vomiting worsened despite ulcer treatment. A child psychiatrist had been brought in to consult but he couldn’t find a psychological cause. What was causing the condition?

Option 1: Appendicitis

Option 2: Sphincter of Oddi dysfunction

Option 3: Crohn’s disease

Option 4: Rumination
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Dr. V●●●l M●●●●y
Dr. V●●●l M●●●●y Paediatrics
Sphincter of oddi dysfunction
May 29, 2017Like
Dr. H●●●●●t S●●●●a
Dr. H●●●●●t S●●●●a Paediatrics
The answer is sphincter of Oddi dysfunction. When the sphincter of Oddi is not working properly these substances back up, causing intense abdominal pain and vomiting. One telltale clue: transiently elevated enzymes. Tests showed that his liver and pancreatic enzymes, which had been normal, were elevated. After the pain subsided he was sent home; within a few days, the enzyme readings returned to normal. Doctors determined that the swelling on the bile duct was actually a rare choledochal cyst. The problem, which is believed to be present at birth, occurs in roughly one in 150,000 people; doctors decided to monitor it. If left untreated, the cyst can cause serious complications later in life, including cirrhosis of the liver. He underwent ERCP. A few days after the procedure, Zach felt well enough to go sledding. A week later, he began working with a behavioral therapist and a psychologist to overcome his fear of eating, his vomiting, and the receding abdominal pain.... Read more
May 30, 2017Like5
Dr. R●●●●h A●●●●●l
Dr. R●●●●h A●●●●●l Internal Medicine
Sphincter of oddi dysfunction
May 30, 2017Like