Conversation: The conversation between human and AI assistant.
[|Human|] I have an 8 year old active, healthy daughter who has frequent abdominal pain usually just prior to or during a bowel movement. However, what concerns me is that the last attack while she was still 7 yrs old (1 month ago) she had what looked to be the first menstrual cylce. However, this cycle or bloody, mucus discharge, only lasted a matter of hours and was over. Despite the discharge, the abdominal pain stopped upon having a bowel movement. Any ideas? Is this normal, abnormal? Should I be worried and take her to see her regular pediatrician?
[|AI|]  Hi. Thanks for your query. Read the history and understood it. The most probable cause of pain in a child -Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy.