[/QUOTE]He has been a little constipated, has had a few small BMs, nothing exciting, no diarrhea, no fever. This is not the first time this has happened. Tommy has actually complained of stomach pain ever since I can remember[QUOTE]
What advice has your pediatrician given you re this ongoing stomach pain?
Sounds like he needs a workup by a pediatric gastrologist since long term problem. Misdiagnose can lead to costly, nonwarented treatment.
I have learned that in about 10-15 % boys, rapid growth spurts indicating hormonal changes can starting as young as age ,9 can cause a multitude of problems.
Starting at age 12, my oldest son kept c/o off and on of vague stomach aches, bone aches and constant headache. Dr Maddy, our pediatrican finally decided that after 6 months tx with Tylenol, pecpid, TLC, and negative labs it was time to send to specialists. He had gained 30 lbs over this time-prior was at 25%levels on growth charts, now at 90%. Pediatric neulogist DX migraines after 2 visits, & negative CAT Scan. She stated 10-12% boys develop migraines. Went on Diet: no caffiene,no chocolate, high carbohydrates every 3 hrs, fatty snack at bedtime, juicebox to bed to drink upon awakening prior to getting OOB due to hypoglycemia from cortisol producion; and Tylenol qid, Benadryl at HS,some improvemnt then added AMdose as migraines continued. Within a month migranes resolved and weaned off benedrylover next 6 weeks. He has learned that rare chocolate treatis ok, but caffiene triggers migrane within few hrs.
Stomach ache, "racing strip" in underwear continued along with c/o stomach constantly upset. Grandmom had hiatal hernia. Saw pediatric gastrologist: stool cultures negative, review of diet, no problems with milk products. DX: gastritis--otc Pepcid changed to RX BID--1 year still problematic everytime weaned off med. Endoscopy showed chronic gastritis. Added slant pillow and RX now Prilosec---symptom free within one month.
Last Nov,now age 15, calls me at work that he lost color in vision "room went to black and white when he stood up." Told him to push fluids, probably dehydrated from gym class. Happened 2 more times that week, Stat opthmologist consult: DX-occular migranes! Next week neurologist visit found him hypotenssive, + tilt test:hypovolemic from another growth spurt. Increased salt intake, Gatorade every 3 hours, carbo snack mid afternoon. Symptom free within 2 weeks. I am not an overactive person, tend to brush off most kid complains,but knew that something just wasn't right. Son self regulates diet,checks food labels and is back to no complaints most days. Brother turned 12 in August, and is going through rapid wt gain, minor aches "growing pains" and has had a few headaches but nothing like the year long conplaint of "I'm just not feeling well" of oldest.
Both are happy, well ajusted, active in sports and community activities.
I'm telling you this for despite 20 years of nursing,mostly adults, caring for kids seven years atsummer camps,and having 4 older nephews, I never realized how much growth spurts/hormones can affect boys!
Let us know how things turn out.