Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My son has just had knee surgery and returned from hospital yesterday afternoon. He slept well last night but woke up this morning with severe (7/10 pain rate) upper abdominal pain (about a hand span down from nipple line) The pain comes in spasms which last for 7 - 10 minutes and occur every 20 -30 minutes. Medication has been panadol (last dose 27 hours ago) and tramadol (last dose 22 hours ago). He ate normally last night and toileting is normal. Any suggestions/thoughts appreciated.
[|AI|]  Hi. Thanks for your query. Your son has developed severe pain in the upper abdomen days after Knee Surgery, hand-span down the nipple line. Pain comes in spasms lasting for 7 to 10 minutes, and occur every 20 to 30 minutes. Taking Paradox and Tramadol. Ate normally yesterday and toileting is normal. The possible causes are:Acid peptic disease wherein you get gastric or duodenal ulcer or esophagitis. Pancreatitis. I would advise you the following:Start giving him PPI like pantoprazole. Antacid liquids at 3 hourly intervals. Get an Upper GI Endoscopy and CT scan of the abdomen. Clinical evaluation and physical examination by a Doctor, preferably a Gastroenterologist helps more.