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[|Human|] My 13 yr old daughter has spent 2 days in hospital eith severe upper abdominal pains. Her scan and bloods were normal and doc has put it down to a viral infection with no further Investigation.she is still in alot of pain and I m not sure what to do Her bowels are working well and she is not due her period What shall I do
[|AI|]  Hi thanks for choosing Chat Doctor for your medical query. I'm sorry but your question is deficient in a lot of information that would have been very helpful for me to answer. You have not mentioned if this was the first episode of pain, or she has past history. You did not mention if she HD any accompanying symptoms like diarrhea, vomiting, blood in stool or vomits, fever, pallor or jaundice. Was her abdomen tender to touch? Has the pain gotten worse, or it has subsided in intensity? Is it only present in the upper abdomen or has it shifted to some other area or extended further? You also did not specify which tests and scans were ordered and came out negative. I can infer that the pain was very severe from the fact that she was hospitalized. Upper abdominal pain can be due to a number of causes she might have pancreatitis, cholecystitis or peptic ulcer. Pancreatic enzyme levels, ultrasound scan and H pylori antigen should be performed to rule out these conditions. As you have mentioned she had work up done at a hospital so I assume she was evaluated for these conditions. If all other tests are normal she may have functional abdominal pain. It is common amongst girls between the ages of 5 years to 14 years. It is because of an altered mechanism for pain perception so that the affected individual is more sensitive to pain. No definitive cause for this pain can be found but that does not mean it's not real. It usually presents in anxious child Chat Doctor.  It is usually accompanied by other symptoms like recurrent diarrhea, constipation and headaches. The usual sites are around the umbilicus and in the upper abdomen. If your child has been worked up fully for all serious condition the best course of action is to reassure her. Try to eliminate stress as much as possible, incorporate soluble fibers in her diet. Probiotics are also helpful. Do not limit her activities due to pain and try not to let her miss school. Talk to her teachers and explain to them the situation. Do not dismiss her pain as nothing, acknowledge its presence but try to make your child see that she has to continue her activities in a normal fashion. Hope my answer helps you if you have any father questions I would be happy to answer.