<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here...My 10 year old daughter continues to suffer from stomach pain and nausea and our Doctor has suggested that she may have Gastroparesis. We are concerned that this illness has continued for four months and now wondering if there may be other issues. Do you have  any suggestions/recommendations as to what our daughter may have? [/INST] HI. Thanks for your query. The causes of pain in abdomen in a child for 4 months can not be Gastroparesis and there are no great reasons to have Gastroparesis in such a young age. The causes of nausea are anything that is not normal in stomach. The causes of pain in a child can be as follows::-Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy. </s>