Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am asking this for my sister. She has a 2 year old daughter that has seen several doctors and still no relevant answers that help. She has been experiencing abdominal pains, severe fatigue, loss of appetite, loss of weight, and vomiting pretty much every time she eats. They have told my sister that my niece has kidney reflux and she is on medication but nothing is helping at all. My sister and I have done countless amts of research on our own trying to figure this out. My niece has an appointment at U of M hospital in July. Please, can you possibly tell us what things to look for because she is afraid she wont get a good diagnosis on this?
[|AI|]  Hi. Thanks for your query. Read the history of your niece, it is classically increased on eating as per the history you have provided. The abdominal pains, fatigue, loss of weight and appetite, vomiting every time she eats Since you have visited many Doctors, it loos that a proper clinical, physical and radiological evaluation has not been done. The cause can be one of the following considering her age of 2 years. -There can be a congenital problem of the bowel causing stricture, kinking, rotation or so in the small intestines.-This can be easily diagnosed on study of the intestine by gastrograffin study. -Once the diagnosis has been made, there may be a need of surgery, and she may have to undergo one to cure the problems.