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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Abdominal Pain In A Child Before Passing Stool Indicate Crohn S?

My 4 year old son has never been for a normal poo. Flare ups of abdominal pain in agony then the next minute its gone. Very swollen tummy since he was a baby .always mess in his pants. Sticky messy mess! Been on movicol for 9 months, it gave him extreme diorreah but back to sticky mess again ans cant control his poo. Celiac test came back negative (normal) do you think this is crohns??? Thankyou
Fri, 12 Dec 2014
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Pediatrician, Pulmonology ,  's  Response
Hi.... I understand your concern. I have a few questions and will suggest few possibilities.
Questions:
1. What was the birth weight and what is the current weight?
2. How is the attaining of developmental milestones?
3. Is the stool oily and floats in the pan?
4. Is there any colour change in the hair or skin?
5. Is there any history of recurrent serious infections?
Possibilities:
1. Chronic diarrhoea - ? Fat malabsorption
2. Micro Nutrient deficiency
3. Immunodeficiency either primary or acquired.

Regards - Dr. Sumanth
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Does Abdominal Pain In A Child Before Passing Stool Indicate Crohn S?

Hi.... I understand your concern. I have a few questions and will suggest few possibilities. Questions: 1. What was the birth weight and what is the current weight? 2. How is the attaining of developmental milestones? 3. Is the stool oily and floats in the pan? 4. Is there any colour change in the hair or skin? 5. Is there any history of recurrent serious infections? Possibilities: 1. Chronic diarrhoea - ? Fat malabsorption 2. Micro Nutrient deficiency 3. Immunodeficiency either primary or acquired. Regards - Dr. Sumanth