### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter has been have the severe abdominal pain attacks for well over a year now. (She is 14 years old, weights 80lbs., is 5 1/4 tall.) They come on suddenly and last for hours. With each episode she can experiences the uncontrollable shakes, cold clammy sweats and nausea (sometimes even vomiting). We had blood work done a year ago (two days after the episode), blood work done last week during an episode and repeated blood work four days later. My questions is with the blood work done. These numbers stand out to me and wondering if I should be concerned. My daughter had surgery 7 years ago to remove a benign tumor (chondroblastoma) from her ankle. Now wondering if these episodes can be related. 8-13-13 9-21-14(during an episode). 9-25-14 WBC 4.8 6.6 4.6 Neutrophils. 53.2 85.8 41.9 Lymphocytes. 38.3 7.1 43.5 Monocytes. 5.7 6.1 9.7 Eosinophils. 2.1 .6 4.5 Basophils. .7 .4 .5 Alk phosphatase. 219 310 257 Total bilirubin. .5 1.4 .3 Thanks, Christina

### output:

Hi I did review your concern. Very characteristically there is necrophilia when your daughter has an episode of severe abdominal pain and mild increase in bilirubin too. I would advise you to get a CT scan with contrast of her abdomen to see for any inflammatory lesions causing this. Sometimes angioedema can cause these attacks and lesions like appendicitis can also cause. For this we need to know where exactly she feels pain and has she noticed any changes in her bowel movements, i hope this yellowish you all the best. Thank you for using Chat Doctor !