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Dealing with a GP

  • James53
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06 Apr 12 #322032 by James53
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Can anybody offer any advice on dealing with a GP. My son 15 first. Bar 3 days he has been off school since then, on 2 occasions the school sent him home after I sent him to school. The GP originally diagnosed gastroenteritis on the basis of "there is a lot of it about".
He has been extremely ill and even now still has stomach aches.
After 2.5 weeks the GP ordered a stool sample, negative and after 3.5 weeks ordered blood tests, all negative except one test indicated he had had an infected liver but although the readings were high they were now "normal". So not gastroenteritis then.
The doctor said if he is still ill in 10 days bring him back.
The trouble is he will have had no schooling in 6 weeks and in 2 months he has GCSEs.
I think he can wave good bye to any decent results so to say I am pissed off is an understatement at the complete lack of adequate diognosis and treatment.
I guess I can ask for a second opinion but knowing how GPs work I will find the whole family barred.
Do I shrugg this off and accept it or is there anything I can actually do?

  • MissTish1
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06 Apr 12 #322040 by MissTish1
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You are perfectly entitled to seek a second opinion from another GP within your Practice. However, sometimes it is difficult to reach a diagnosis, particularly with stomach complaints. As you said, stool sample was negative, as were bloods when the abnormal liver result returned to normal. In my experience, I would have expected an ultrasound scan to have been ordered by now though, and would hope that the blood works included tests specific for Coeliac Disease. I would also expect a breath test to be done for Helicobacter Pylori. Maybe your GP has these ''next set of tests'' in mind if you take your son back to see him. With medicine it''s often a process of elimination, starting at the very beginning to reach a diagnosis (ie stool sample and bloods), and then ordering more advanced tests if initial tests are negative and the complaint continues.

Bear in mind though that even the more extensive tests could be negative, and that a lot of stomach complaints, particularly those that carry on, are down to stress caused IBS.

Please take your son back to your GP.

  • James53
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11 Apr 12 #323119 by James53
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8 days since the results of the blood test and today he had severe stomach ache and head ache again so I guess it is back to the doctor.
My overwhelming concern is that in a just over a month he will be doing GCSEs and he is not fit to attend school.
Having now seen he had a liver infection I have to say Hepatis A ticks every box except the jaundice. Even having been in Thailand in December and January.
Do I assume that the blood test would have shown up Hep A or not. It seems odd that I have to investigate all the possibilities then get the GP to to check them off.
The last call to NHS direct the nurse mentioned something called stomach migraine, what ever that is.
The nurse seemed concerned that my primary concern was his exams not his health.
Wonderful that having not done much for 5 weeks of me bashing my head against a brick wall the NHS are now saying that my priorities are wrong.

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11 Apr 12 #323122 by MissTish1
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Blood is only tested for what the GP requests. Did you mention the foreign travel to the GP? Stomach migraine is a genuine condition, as are many other things, and it can take time to accurately diagnose stomach complaints, with other tests following on from negative tests. It could be something as simple as IBS, which does tend to be exacerbated during stressful times.

It''s clear you need answers, but try to be patient. I know you''re concerned about the exams, but if needs be your GP could write to the exam board explaining the situation and you son could sit them.at a later date.

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11 Apr 12 #323125 by James53
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I get IBS from time to time so I know it isn''t IBS.
I originally went to the doctor because my son complained about worms in his vomit. This fact was immediately ignored by the GP. I didn''t mention the overseas travel. Should I have. Shouldn''t the doctor have enquired before writing this off as gastro enteritis on the basis of there being a lot of it about.
Just looked up Hep A again and another box is ticked, dark coloured urine.

  • tinkerbell1606
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12 Apr 12 #323170 by tinkerbell1606
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Take him back to the doctor and furnish him with the facts!
Your priority has to be his health, GP cannot be expected to mind read with regard to foreign travel.
Exams can always be done later, health is priceless.
Should there not be any physical reason for his symptoms, somatic symptoms in children ( or young adults) often manifest as stomach and head aches.
I can relate to your concern, hope all works out.
Tink

  • happyagain
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12 Apr 12 #323176 by happyagain
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I agree. Take your son back to the doctors and insist upon more tests and kick up a fuss. Sometimes it''s the one who shouts loudest that gets the most back.
Keep the school fully informed of the situation. I am a head of department in a secondary school and occasionally have to deal with things like this. Firstly, be assured that the school will not want your son to fail either (it will affect their statistics!) and will write to the exam board on his behalf. The school will also have a paper trail from course work, mock exams and the like indicating what kind of grade he should be achieving. In the most extreme cases, these paper trails can be used to award a grade even if the student is unfit to attend exams.

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