<human>: Last Saturday my daughter aged 9 years old, suddenly started complaining of abdomen pain just below ribs. I took her to one Dr. who advised to get done some tests. In DLC  :    Polymorth 69%, Lymphocyte 25%, PCV 38.2%In KFT  : Serum Creatinine 0.28 mg/dl., Serum Uric Acid 2.4 mg/dland rest of the results like USG, KFT, Urine routine & culture.  Please advice.Thanks Kain Ashok
<bot>: HI Main Ashok. Thanks for your query. You have not posted all the reports and looks to be normal, as posted on and as rest of them you have not mentioned. Since the child is just 9 years old, the history can not be very much clear and there is difficulty in getting the appropriate sign too. The causes of pain in abdomen in a 9-year child are as follows :-Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy.