12-year-old complain of recurrent epigastric pain with occasional vomiting since 1 year; otherwise, normal stool analysis is positive for blood and mucus and positive blood occult... 12-year-old complain of recurrent epigastric pain with occasional vomiting since 1 year; otherwise, normal stool analysis is positive for blood and mucus and positive blood occult test. What is the diagnosis? A) Abdominal migraine B) Irritable bowel syndrome C) Inflammatory bowel disease D) Gastritis with peptic ulcer.

Understand the Problem

The question is asking for the diagnosis of a 12-year-old patient experiencing recurrent epigastric pain, vomiting, and positive stool analysis for blood and mucus, along with a positive occult blood test. We need to analyze the symptoms and options provided to determine the most likely diagnosis.

Answer

Inflammatory bowel disease

The final answer is Inflammatory bowel disease.

Answer for screen readers

The final answer is Inflammatory bowel disease.

More Information

In this case, a 12-year-old is experiencing recurrent epigastric pain, occasional vomiting, and has a stool sample positive for blood and mucus, as well as a positive occult blood test. These symptoms are indicative of an inflammatory bowel disease, as blood and mucus in the stool are not typical of conditions like abdominal migraines, irritable bowel syndrome, or gastritis with peptic ulcer.

Tips

A common mistake is to confuse symptoms of inflammatory bowel disease with those of irritable bowel syndrome, which typically does not present with occult blood in the stool.

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