Conversation: The conversation between human and AI assistant.
[|Human|] My 12 year old son had his gallbladder removed last March of 2010. His relief was temporary. In January of 2011 he started having recurrent chest pain and bilateral upper abd. pain .Upper Endoscopy showed eosinophilic esophagitis which a repeat was done in April after Prilosec and Previcid treatments to show eosinophils were elevated. He was then switche to Nexium and a Patch test is scheduled for this Friday at Danville Medical Center to see what he could be allergic to. The allergy tests done so far showed no food allergies. He continues to have chest discomfort and bilateral side pain in the upper abdomen.A calcium channel blocker called nifedipine 5 mg. po was started one capsule po 15 min before meals which helps with the chest pain but not with the bilaterl sides discomfort.  He is to have an esophageal manometer reading on June 24. His stool is brown, occas. constipated but when he has a bm it is flaky loose with occas thinner stool. What do you think this is???????????
[|AI|]  HI. Thanks for your query and an elucidated history. As pr your history your son who is just 12 years underwent cholecystectomy, and has chest pain and upper abdominal pains. History of medications and endoscopy, eosinophilic esophagitis noted. I would advise the following in such a case.:: Barium study of the esophagus under fluoroscopy control to see whether he has motility disorder. CT scan of the abdomen to see if there is associated pancreatitis, abdominal lymph nodes, any disease affecting the lower part of the lungs or pleura?. Consultation with a Child Psychiatrist should be done just to confirm that he is not suffering from mental ailments. Continue the medicines, Give him foods in multiple small quantities. Please keep me posted about the esophageal manometry reports and the effects of the Psychiatrist consultation, his medicines and all. A course of an antibiotic, metronidazole and antivenins will help.