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Forum Name: Pediatric Topics

Question: 4 yo with chronic loose stool and failure to thrive


 joelle921 - Tue Sep 13, 2005 2:32 pm

A quick history :
My 4 1/2 yo son has had chronic loose stool almost since birth - it is
very acidic and malodorous. He is also quite small for his age (he's
37" and 29#). His faternal twin brother eats about the same amount of
food and is 5" and 8# bigger - even tho they were the same size a birth.
It seems like everything that goes in comes out too fast and isn't being
properly absorbed. We are giving him Lactese drops in his milk in case
it's lactose intolerance - but it seems to have no effect. He is
allergic to peanuts but all other allergy tests are negative.

Our Ped Gastro doctor has run a number of tests over the past 18 months
to try to diagnose what is happening. Including Fecal Fat, Stool
Reduction tests, Celiac Blood, Stool Parasites etc, Sweat test, Upper GI
Barium test and last week an endoscopic small bowel biopsy (which was
only tested for Celiac). No breath or urine tests have been performed
and while blood was collected - I'm not sure what was tested

Other than showing signs of GERD and inflamed esophagus (Prevacid was
prescribed) - everything has been negative. Since the biopsy returned
negative on celiac the doctors only suggestion was to take the prevacid
for 6 weeks and return then for a weight check. Since appetite isn't an
issue I don't' expect the Preacid to resolve the failure to thrive or
loose stool issues.

Are there any other malabsorbtion tests that can be run against
biopsy slides (there isnt' anymore of the sample left) or in any other way without performing another biopsy?


I'd appreciate any other thoughts or suggestions that you may have
 dsjeya - Tue Sep 13, 2005 10:27 pm

it seems your child is suffering from malabsorbtion due to enzyme deficiency/villai atrophy.Foul odour is due to unabsorbed food in the faeces in which harmful bacteria thrive.
i advice,avoiding milk in any form,biscuits,cake,icecream,horlicks etc.liberal use of soya,porridges with sprouted grams & cerels.Enzyme supplements and lactobacillus intialy help.

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