What Do Presence Of Pus Cells In Stool Of A Toddler Indicate?

Posted on Wed, 29 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 29 Jun 2016 Answered on

Wed, 20 Jul 2016 Last reviewed on

Question : My son is 2 and half years now.. he suffered from Chronic Diarrhoea and he admitted taken the Endoscopy and Colonoscopy test and found there is a small ulcers in large intestine. he is under treatment from past 4months. however still he is getting pus cells in his stools daily. after this treatment occuring pus cells are increased. before that it will appear sometimes. Biopsy test is normal. could you please advise me the reason, why he is getting pus cells in his stools. also we are not giving milk and milk products to him. we are giving only soya based milk to him. i am very disturbed due to this. could you please advise me

Answered by Dr. Sumanth Amperayani (-4 hours later)

Brief Answer:
I need more information - please get back with answers to my questions

Detailed Answer:
Hi.... I understand your concern. I have a few questions for you. Please answer the questions so that I can guide you better.

Questions:
1. What was his birth weight?
2. What was his weight before this started?
3. What is his current weight?
4. Does he have any other serious infections till now?
5. Is there any family history of irritable bowel disease or inflammatory bowel disease or celiac disease?
6. How is the attaining of developmental milestones?
7. Is the stool oily and floats in the pan?
8. Is there any colour change in the hair or skin?

Will be awaiting your response.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (24 minutes later)

His birth weight is 3.3kg
Before this issue he has 11.6 kg constant.
After this treatment he gained weight 12.3 now
He is not having any other infections till.
This is only issue started from may 2015
Am his mother I had childhood problem same as diarrhoea and abdomen pain till 9 yrs
Startes with diarrhoea and later he got blood in his stools and pus cells. Blood occult once and abdomen pain
Yes his stools looks semi solid with oily and found pus a side
No colour changes in nails and hair
We have taken biopsy test as well. It was normal

Answered by Dr. Sumanth Amperayani (42 minutes later)

Brief Answer:
Looks like inflammatory bowel disease

Detailed Answer:
Hi.... you did not answer about the history of inflammatory bowel disease or celiac disease in the family.

But from what you quote I feel that your son should be worked up for inflammatory bowel disease, especially ulcerative colitis. The ulcers in endoscopy are also suggestive of the same disease. Even though biopsy is normal it should be followed up and at a later stage he might be requiring a second endoscopy and biopsy also.

As of now I suggest you to get a fecal calprotectin test done. If this is positive then it will point out towards the diagnosis of inflammatory bowel disease.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (1 hour later)

Hi sir, thank you very much for your explanation.We dont have inflammatory bowel disease in our family. Sure.we will do the above mentioned test and keep you posted on the status . Thanks for your explanation sir.. now I feel quit happy that he has not severe issue. Could you please let us know. How long it will take to cure

Answered by Dr. Sumanth Amperayani (8 minutes later)

Brief Answer:
It depends on response to treatment

Detailed Answer:
Hi....the duration to get better depends on the response to treatment and the disease activity.

But first of all we need to arrive at the diagnosis.

Please get back to me with the test result.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar