Conversation: The conversation between human and AI assistant.
[|Human|] my cousin is 15 year old male.witChatDoctorplains of mild to moderate chronic pain abdoman.usuaLLY ASSOCIATED WITH ONE OR TWO EPISODES OF VOMITING DAILY SINCE 15 DAYS.INITIALLY IT WAS RELIEVED BY PPI AND NSAID THEREPY,WHICH WAS ON AND OFF.FURTHER THE COMPLAINT OF PAIN IS CONSTANT SINCE LAST THREE DAYS.3 EPISODES OF BLOODY VOMOTING HAS OCCURED IN LAST THREE DAYS,ONCE DAILY.APPROX AMOUNT IS ABOUT 5ML.NO APPARANT LESION IN ENDOSCOPY.NO SIGNIFICANT CT CHEST FINDINGS.LFT AND COAGULATION PROFILE IS NORMAL.USG NORMAL.SERUM LIPASES ARE ELEVATED.
[|AI|]  HI. Thanks for your query. Understood the problem. Pain in abdomen and vomiting for the last 15 days. Now blood in vomiting for three day. I would advise you the following:Stop NSAID-this might have caused vomiting and blood in the vomit. Repeat the upper GI endoscopy. There may be a small tear at the lower esophageal sphincter and can be missed at initial endoscopy. Repeat serum lipase and amylase. There are other reasons that can increase these mildly. Get a proper treatment as per the findings.