Hello doctor, My 11 year old son has acute periumbilical abdominal pain after waking up and vomited a couple of times. Before, he used to wake up with mild to moderate pain, but three days back he had severe pain. The pain got relieved half way to the ER, so we came back home. I noticed early the following week that his urine was coke colored, so I took him to our family practitioner. His urine test showed bilirubin. Lab test showed elevated amylase, lipase, and all liver enzymes. The pediatrician did a clean out with Miralax, and after one week the new labs showed all enzymes to be normal, ALT was 61. Ultrasound showed normal liver and pancreas, but gallbladder was showing echogenic foci in the gallbladder lumen, which may represent non-shadowing cholelithiasis or tumefactive sludge. GI specialist is not entirely confident if it is gallbladder stone but is setting him up for surgery. As a mother who had gallstones, this is exactly how I was. I am worried because they are not 100 % sure he passed a stone or has gallbladder problems. He has BMI of 31, and he lost 25 lbs through diet and exercise over the last six months. I am attaching his reports, and I need some mental reassurance.
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