text_1: I have a dilemma.  9-year-old girl status post appendectomy last summer (one year ago).  Two to three months afterward she started complaining of suprapubic abdominal pain at least two times per week.  "I'm trying to now think how do you evaluate this type of pain.  Is it adhesions?  OK, how do I look at constipation, adhesions . . . how to do one thing to get the answer?  Should she have an MRI (magnetic resonance imaging)?"
text_2: Why is she fatigued?