Conversation: The conversation between human and AI assistant.
[|Human|] I took my 4 year old son to the ER today due to rlq abd pain, fever, vomiting. His WBC were 18.6 and the appendix could not be visualized on the u/s. The md diagnosed him with mesenteric adenitis and sent us home however I m concerned that an acute appendicitis may have been missed because of the inability to actually visualize the appendix. No ct scan was done. Looking for a second opinion.
[|AI|]  From your narration it is quite clear that your son is suffering from intestinal infection. For this you can give him syrup nor-metrogyl or syrup O2 5 ml twice daily with syrup Cyclops or spy febrex-plus 5 ml twice daily for abdominal pain and fever with syrup vomiting or syrup ondansetron 5 ml twice daily for vomiting. If episodes of vomiting are more than you have to take care for the HY Chat Doctor.