<s>[INST] I have a ten year old female that has experienced on and off stomach pains with headache and sore throat at some points.  The stomach pain is more common for her.  I have watched her diet and how much she eats. She was taken to the dr once before and they stated she may be "backed up". She is able to have bowel movements. Any solutions? Could it be related to her body becoming closer to menstration? [/INST] Hi.Thanks for your query and an elucidate history for a 10 year old girl..The commonest cause of pain in abdomen of a girl child who is just 10 years old with a history of sore throat and headache is the tummy tonsils. Yummy tonsils means , the enlarged lymph nodes in the mesentery, the fatty suspensory curtain for the intestine.The develop as a result of infected throat material , reaching via the intestines to the draining lymph nodes. These can be well seen on high resolution ultrasonography and once diagnosed need a careful and continuous evaluation as to how the treatment is being helping for the resolution. Investigations::of blood, urine and stool.Throat swab for gram staining and culture and sensitivity.USG guided FNAC of the lymph nodes if possible.Treatment in the form of a 3 week course of antibiotics and anti-inflammatory medicines may resolve the problem. Ultrasonography would help to confirm or rule out other problems like Appendicitis, diverticulitis and so on ... </s>