Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor, My daughter is 10 and I had her in the ER this past thursday with abdominal pain, the ER doctor did an exam and was concerned that the pain was her appendix, however the cat scan was negative, my daughter has been running a low grade fever since then, the doctor admitted her over night for observation saying she did have a swollen gland on the right side of her abdomen and that since she was running a fever and the pain combined, they were concerned that this could turn infectious which in turn affect her appendix. When her normal pediatrician did rounds the following morning she felt that the stomach pain was due to her lactose intollerace and to modify her diet, however I am concerned because she still has the fever and some abdominal pain and her diet has drastically declined over the last few days, I am not sure how to procede from here to handle this, or am I just being overcausious.
[|AI|]  Hi. You are not overcautious, you are right. Thanks for elucidate history and is definitely suggestive that the pain in a 10-year-old child unless proved otherwise in this case is due to the Inflamed lymph nodes on the right side of abdomen. I would advise going for blood tests - CBC for infection (WBC), Typhoid, a course of an antibiotic and anti-inflammatory medicines for 7 days, Review with ultrasonography for size of the lymph nodes. IF same size-for for lymph node biopsy. IF responding to the treatment, continue medicines for three weeks. Also see for ENT - to see if whether has ENT infection, which on swallowing goes to the terminal intestines and affect the payer’s patches, which in turn enlarge the nodes - also called as Tummy Tonsils. No lactose intolerance can give lymph nodes.