Thankyou so much to everyone for the support and replies, it is such a learning curve - I know from previous issues that as a mum it is necessary to be clued up and a strong advocate to get best treatment. My daughter is a poor eater, in the mornings she isn't hungry, poss grumpy teenager, but also pain and stiffness, what else can be taken as 'stomach protection' as this is something that concerns me but hasn't been mentioned by the docs. We havent had any change to meds - still naproxem and tramadol but have an appointment with a pain team in about 6 weeks time.