Conversation: The conversation between human and AI assistant.
[|Human|] My 12 yo niece has been complaining of fullness and hardness in her upper abdomen and soreness in the middle abdomen. Also, middle back pain. She says her bowel movements are normal. She vomited after getting to school, but just has mild nausea now. Should she be seen by a phy. or wait until it passes?
[|AI|]  Hi. Thanks for your query. No, you should not wait. The reason being - she has pain in the back-young child with the history of pain in upper abdomen associated with back-ache can be of great importance. I would advise all the blood work including that of lipase and amylase, urgent ultrasonography to see for pancreas in particular is a must. Pancreatitis should be ruled out first. There may be a history of worms in stool. The signs and symptoms in a patient who is only 12 years old are always different from an adult as the muscles and momentum are not fully developed in a child.