What could be the reason behind recurrence of severe abdominal pain, nausea, vomiting and dehydration?
Patient: My son is 27 and been having re-occurring bouts of severe abdominal pain, nausea and vomiting to the point of dehydration.  He has been to the er repeatedly, receiving fluids and having tests periodically. He has no insurance so he has been unable to follow up. And all they do at the er is re-hydrate him and send him home basically. The last ct said that his liver was notable for the presence of periportal lymphedema. Which stated that it could be indicitative of infectious or inflammatory process in the liver. They didn't mention anything about this to us, nor did they say anything about the labs, which several things are flagged as HIGH or LOW. That was 2 days ago, he is back at the er again today. I am extremely concerned. I guess my question is could there be something really wrong here, this has been going on for about 2 years Doctor: Hi, Welcome to Health care magic forum.                         So far it is clear that the liver is effected, with periportal lymphadema.                         Now liver function tests are to be done , to know what is the wrong. S.G.O.T, S.G.P.T, HbSag,SERUM BILIRUBIN, etc are to be done.                        I advise you to consult a gastro enterologist for diagnosis and treatment.                         His habbits are also to be taken into account, like alcohol, smoking, marijuana, etc. and should be avoided.                         Wishing for a quick and complete recovery. Thank you.