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Mental Health  (Expert Forum)
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14 year old with anorexia associated with abdominal pain
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.

14 year old with anorexia associated with abdominal pain

by slater, Jan 22, 2000 12:00AM
I have a 14 year old who has had abdominal pain for approximately 2 weeks. Associated with the pain is anorexia, severe to moderate upper stomach pain, nausea, no vomiting, no diarrhea, ulcer of the mouth,weight loss of approximately 11 pounds in 2 weeks and extreme fatigue. Diagnostic tests include abdominal ultrasound, liver panel, mono-spot, fasting glucose. All tests have been within negative or within normal ranges. Prilosec and Propulsid have been prescribed twice a day thirty mins before meals. We have not seen any significant change since the medication was prescribed. Any suggestions as to the next course of treatment.

by HFHS MD - RG, Jan 24, 2000 12:00AM
The symptoms she may be psychological in origin. she is not faking this but her mind unconsciously is reacting to her treatment of her anorexia.



Anorexia Nervosa is a chronic disorder. Though this difficult to treat, it is treatable with psychotherapy and antidepressants. Research shows that most anorexics have associated depression and respond well to anitdepressants.



A consultation with a child psychiatrist may benefit you 14 year old.
Member Comments (2)

by jana nielson, Jan 22, 2000 12:00AM
I had similar problems when I was age 10-16.  The doc's tested everything and told me nothing was wrong, but to me the pain was real.  Now at 29 I have finally been diagnosed with general anxiety disorder.  At first I didn't think the doctor was right, but I've been on effexor xr for about 4 months, and my pain, illness, and aneorexia problems are much better!  hope this helps! jana
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