A member asked:

16 yr old female with recurrent rlq pain / tenderness. ct, sono, endoscopy wnl. associated with menses, associated headache. family hx of migraine ?

12 doctors weighed in across 2 answers
Dr. Deborah Ungerleider answered

Specializes in Pediatrics

Possible abdominal: migraine? Any aura? Evaluate dietary triggers. Consider neurology consult. Some usual treatments for common migraines work for this.

Answered 1/13/2018

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Dr. Cornelius Oleary answered

Specializes in Urgent Care

EndometriosisExterna: 16 year old young lady with recurrent abd symptoms associated with menses must be worked up for endometriosis with OB/GYN. Studies show 5.5 million women in the USA have endometriosis which is 10-15 percent of the US population. Differential includes: Chronic appendicitis (but CT neg) Ovarian cysts/tumors (CT neg) Diverticulitis (CT neg) Pelvic Inflammatory Disease (workup for STDs?) UTI

Answered 11/27/2017

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