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What Causes Stomach Pain, Frequent Bowel Movements And Poor Weight Gain?
Question: My 8 yr old daughter has stomach pain tested positive for celiac antibodies 2 times but biopsy was negative. Still having bowel movements 10-15 times a day and not gaining weight - had an ultrasound and was told she has slightly enlarged spleen. i keep being told to monitor and return in 3 months this started over a year ago - otherwise very healthy. Any idea what her issue is?
Brief Answer:
celiac disease
Detailed Answer:
DEAR XXXX,
THANKS FOR YOUR CONCERN THROUGH HEALTH CARE MAGIC.
SINCE IT IS ESTABLISHED THAT YOUR DAUGHTER HAS CELIAC ANTIBODIES PRESENT ,THOUGH BIOPSY NEGATIVE , ALL PROBLEM IS BECAUSE OF THE SAME. IT IS ESTABLISHED THAT THE MANAGEMENT IS BY GLUTEN FREE DIET WHICH YOU HAVE ALREADY STARTED. IF THE PROBLEM IS NOT REGRESSING, THERE ARE SOME OTHER FACTORS INVOLVED.
I WILL RECOMMEND TO DELETE THE OATS PARTICULARLY CONTAMINATED ONCE AND OBSERVE. THERE ARE OTHER PROTEINS IN DIFFERENT FOODS WHICH GIVE RISE TO THIS PROBLEM. YOU HAVE TO DELETE THEM ONE BY ONE. EVEN CASEIN AND LACTOSE FOUND IN DIARY PRODUCTS MAY BE THE CAUSATIVE FACTORS. YOUR OBSERVATION IS MORE IMPORTANT TO DETERMINE THE CAUSATIVE AGENT AND DELETE THEM ONE BY ONE.
REGARDING SPLEEN ENLARGEMENT, I WOULD LIKE TO KNOW THE FULL ULTRASOUND EXAMINATION DETAIL. IF IT IS ONLY MILD ENLARGEMENT IT IS NON SPECIFIC. IF THE ENLARGEMENT IS MARKED OR THERE ARE POSITIVE LYMPH NODES IN THE ABDOMEN IT IS A MATTER OF CONCERN. MILD ANEMIA DUE TO CELIAC PROBLEM CAN GIVE RISE TO MILD ENLARGEMENT OF SPLEEN. FOR THIS A BLOOD COUNT IS NEEDED TO DETERMINE THE SEVERITY OF ANEMIA OR ANY OTHER ABNORMALITY IN THE BLOOD RESPONSIBLE FOR SPLEEN ENLARGEMENT.
YOU ARE ADVISED TO CONTINUE WITH THE DIETARY ADVICE GIVEN BY YOUR DOCTOR AND OBSERVE.
TRULY,
DR. J. TICKU
celiac disease
Detailed Answer:
DEAR XXXX,
THANKS FOR YOUR CONCERN THROUGH HEALTH CARE MAGIC.
SINCE IT IS ESTABLISHED THAT YOUR DAUGHTER HAS CELIAC ANTIBODIES PRESENT ,THOUGH BIOPSY NEGATIVE , ALL PROBLEM IS BECAUSE OF THE SAME. IT IS ESTABLISHED THAT THE MANAGEMENT IS BY GLUTEN FREE DIET WHICH YOU HAVE ALREADY STARTED. IF THE PROBLEM IS NOT REGRESSING, THERE ARE SOME OTHER FACTORS INVOLVED.
I WILL RECOMMEND TO DELETE THE OATS PARTICULARLY CONTAMINATED ONCE AND OBSERVE. THERE ARE OTHER PROTEINS IN DIFFERENT FOODS WHICH GIVE RISE TO THIS PROBLEM. YOU HAVE TO DELETE THEM ONE BY ONE. EVEN CASEIN AND LACTOSE FOUND IN DIARY PRODUCTS MAY BE THE CAUSATIVE FACTORS. YOUR OBSERVATION IS MORE IMPORTANT TO DETERMINE THE CAUSATIVE AGENT AND DELETE THEM ONE BY ONE.
REGARDING SPLEEN ENLARGEMENT, I WOULD LIKE TO KNOW THE FULL ULTRASOUND EXAMINATION DETAIL. IF IT IS ONLY MILD ENLARGEMENT IT IS NON SPECIFIC. IF THE ENLARGEMENT IS MARKED OR THERE ARE POSITIVE LYMPH NODES IN THE ABDOMEN IT IS A MATTER OF CONCERN. MILD ANEMIA DUE TO CELIAC PROBLEM CAN GIVE RISE TO MILD ENLARGEMENT OF SPLEEN. FOR THIS A BLOOD COUNT IS NEEDED TO DETERMINE THE SEVERITY OF ANEMIA OR ANY OTHER ABNORMALITY IN THE BLOOD RESPONSIBLE FOR SPLEEN ENLARGEMENT.
YOU ARE ADVISED TO CONTINUE WITH THE DIETARY ADVICE GIVEN BY YOUR DOCTOR AND OBSERVE.
TRULY,
DR. J. TICKU
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
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