Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a 14yr old daughter who for the past 2yrs has had a problem no one can seem to solve. If she falls asleep on her tummy when she wakes, she has very bad tummy ache and is sometimes sick, she feels dizzy and has a headache. No matter what we do to try and stop her being able to get onto her tummy, she always seems to find a way, she is missing quite alot of school which is worrying for both of us. She has alot of acid reflux and is on medication for this, but this problem only happens if she wakes up on her tummy, other than this she is fine. Please can you HELP!!
[|AI|]  Hi. Thanks for your query. Read the history about your daughter and understood the problems. The history is quite unique. She gets the pains in the abdomen only if she sleeps on her tummy, feels sick, dizzy, and has headache too. She finds the way in the night to sleep on tummy whatever way you try to make her sleep on her sides or so. Furthermore, she is fine if she is not sleeping n her tummy. With careful study of the history you have provided as above and also of the treatment for acid reflux my thoughts are as follows:-It is difficult to get acid reflux in such a small age unless there is some intra-abdominal problems.-Since the pain comes only if she is sleeping on her tummy, means she has some inflammatory process in the abdomen that touches the very sensitive peritoneum in this particular position. I would suggest her the following:-First clinical evaluation and actual physical examination by a General or Pediatric Surgeon.-CT scan abdomen will be of tremendous help to confirm or rule out appendicitis/ Nickels Diverticulitis, internal hernia and so on. -Routine investigations of the blood, urine and stool. Once the investigations are done, start the following treatment:-A 5-day course of an antibiotic, metronidazole and probiotic. - Medicines against intestinal worms.-Diet changes if a particular food or beverage has been causing or increasing the problems.