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  • Q&A with Australian Health Practitioners

    What is the general treatment for an 8 year old with appendicoliths?

    Related Topic
    Appendicitis
    My daughter has at least three appendicoliths, swollen mesenteric lymph nodes up to 1cm and sterile pyuria. She is in considerable pain with nausea. What is the best treatment for her?
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    Mr Amro Labib

    Breast Surgeon, Endocrine Surgeon, General Surgeon

    Appendiceal fecolith is a common cause for acute appendicitis which could potentially be a serious problem if it`s left untreated.

    Acute appendicitis is usually an acute surgical emergency and the usual recommended treatment would be a laparoscopic "keyhole" surgery to remove the appendix.

    Seeking an advise from a Speialist Surgeon would be the best way to go.

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    KC Chester

    HealthShare Member

    I should mention that she is had nausea and pain for 9 months now so acute appendicitis is ruled out :/ Doctors refuse to even discuss an appendectomy with me. All tests rule out everything they have tested for. She also has free fluid in the RIL region now. The latest ultrasound showed her appendix had grown from 5.5mm in diameter to 6.3mm but the doctors say that is probably normal measuring differences. It also showed that the appendix is becoming thickened. Doctors refuse to believe there is anything wrong with her appendix.

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    KC Chester

    HealthShare Member

    And sterile pyuria since February.

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    KC Chester

    HealthShare Member

    Can you recommend anyone?

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  • Mr Amro Labib

    Breast Surgeon, Endocrine Surgeon, General Surgeon

    That depends on where you live ?

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    Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general … View Profile

    It sounds like your daughter should have a diagnostic laparoscopy and if I were the surgeon, I would recommend removing the appendix for histological confirmation.  This would also serve to rule out the appendix as a cause for the pain should the appendicoliths actually be causing the pain/ appendicitis. It would also allow for the ovaries, bowel and mesentery to be inspected.

    I would recommend asking your GP to refer you to a General Surgeon either as an emergency through your local public hospital or privately if you would like to choose your own surgeon.  There are many surgeons available who are more than capable of managing a case such as this and they can be found on the directory here on Healthshare.

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