Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 9, 2025 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for 14yo with Severe Abdominal Pain after Meals

Single Most Likely Diagnosis

  • Functional Dyspepsia: This condition is characterized by recurring episodes of abdominal pain or discomfort in the upper abdomen, often related to eating. It's a common cause of abdominal pain in adolescents and can be exacerbated by meals.

Other Likely Diagnoses

  • Gastroesophageal Reflux Disease (GERD): GERD can cause severe abdominal pain, especially after eating, due to stomach acid flowing back into the esophagus. It's common in adolescents and can be triggered by certain foods.
  • Peptic Ulcer Disease: Although less common in adolescents, peptic ulcers can cause severe abdominal pain that worsens after meals. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) or infection with Helicobacter pylori can contribute to its development.
  • Constipation: Constipation is a common issue in adolescents and can cause significant abdominal pain, especially if the constipation is severe or if there is an associated condition like fecal impaction.

Do Not Miss Diagnoses

  • Appendicitis: Although the pain of appendicitis typically starts near the navel and then moves to the lower right abdomen, it can sometimes present atypically, especially in younger patients. Missing appendicitis can lead to perforation and severe complications.
  • Intussusception: This is a condition where a part of the intestine slides into an adjacent part, potentially cutting off blood flow. It's more common in younger children but can occur in adolescents, especially those with a lead point like a polyp or tumor.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause severe abdominal pain, diarrhea, weight loss, and other symptoms. Early diagnosis is crucial for effective management.
  • Ectopic Pregnancy: In female adolescents, an ectopic pregnancy must be considered, especially if there's a possibility of sexual activity. This condition is life-threatening and requires immediate attention.

Rare Diagnoses

  • Gastric Volvulus: A rare condition where the stomach twists abnormally, cutting off its blood supply. It can cause severe abdominal pain and requires emergency intervention.
  • Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain, usually in the upper abdomen, and can be triggered by gallstones, certain medications, or other rare conditions.
  • Hernias: Although not typically associated with meal-related pain, hernias can cause severe pain if they become incarcerated or strangulated, cutting off blood supply to the trapped intestine.

Related Questions

Is an expiratory pause used when measuring Nasal Inspiratory Flow (NIF)?
What is the management approach for chronic obstructive pulmonary disease (COPD) exacerbation in the Emergency Department (ED)?
Do you use an extra inspiratory pause when measuring negative inspiratory force?
What is the appropriate ER workup for a patient presenting with fatigue, body aches, and a persistent severe headache for 5 days?
What is the treatment for chronic anemia?
What is the recommended dosage and usage of Trazodone (antidepressant) for treating major depressive disorder and insomnia?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.

Ask Question