Abdominal pain after workouts. Any insights?
Patient: My 16 year old is very active.  She plays tennis, runs, works out, on a regular basis.  You would think after a while she would build stamina, but can not work out without resulting abdominal pain that doubles her over and incapacitates her for hours afterward. She describes them as feeling the same as menstrual cramps. Its very frustrating to her to not be able to keep up with her peers.  Maybe stamina was the wrong word. She has plenty of that.  It's the cramps that stop her before she is done with her workouts.Any insights? Doctor: Hello Thanks for writing to HCM   She needs Proper clinical examination and investigations. Ultrasound of abdomen should be done as it will exclude many conditions. Investigations like routine hemogram should also be done. Further investigations like CT Scan can be done if needed. Treatment depends upon clinical findings and  investigations reports. Get  well soon.   Take Care Dr.Indu Bhushan