Conversation: The conversation between human and AI assistant.
[|Human|] My son is 4 years old. He has been having stomach pains for the last 9 days. I took him the first day to the E.R. because he was curling up in the fetal position and crying with tears. They took an x ray and only saw that he was very constipated. He has been taking a dose of Miralax each day. About 6 days ago, he had a fever that lasted 2-3 days of about 102 degrees. Again he is having pain each day and is hardly eating. He is also having nosebleeds, Im not sure if that is just due to season changes.
[|AI|]  Hi ! Your sons' fever shows that he has got some kind of infection irrespective of the origin of the pain abdomen. In pediatric age group, even simple upper respiratory tract infection can give rise to severe abdominal pain mimicking acute surgical abdomen at times. Nose bleeds could be related to the respiratory tract infection if he has it. Otherwise, one has to go for tests relating to bleeding disorders, and also have to rule out dengue fever. Last but not the least, any surgical abdomen has to be excluded which can be done by clinical and special radiological means. Also, urinary tract infection has to be ruled out by simple urine test. I think you should take him to the treating doctor again if he is not getting relief. Wishing your son a quick recovery.