<s>[INST] My 6 yr old has intermitten pain on her left side above her hip and feels sick of he stomach (upset stomach could be from ibs that she has). She has no visible injury and doesn t remember doing anything to hurt herself, could it be the ibs or just a growing type pain? [/INST] Yes it can be due to her IBS --if the joint movements in her left hip are free and not painful .IBS causes swelling of the wall of the large intestine and this can lead to pain similarly it can cause the blood Welles to swell up causing pain. The right action to be taken at this point is to have a ESR done to see the activity of the disease and consult a pediatric gastroenterologist and a rheumatologist to assess the periods of activity of the disease. Best of luck. </s>