Childhood Diseases

Question
Posted by: Edie | 2012-06-04

Q.

3 yr old

Hallo Prof

I have written numerous times about my son. My 3 yr old has the sick cillia syndrome diagnosis on the table (which is yet to be confirmed and not accepted by most of the doctors we go to). I also wrote previously about the ‘ hypospadia’ . This was confirmed by his paediatrician and we went to a urologist last week who said that she is not concerned about the second hole at all. I told her that he continuously says that he has pain in his pubic area and she said that she thinks it has more to do with his intestines, because of the cillia. I’ m not sure what to do with this. He doesn’ t seem to be constipated, but should I maybe give him duphulac or something else, to see if it makes a difference?

Another thing is, he has been complaining about several different pains the last couple of weeks. Then it is his eyes, his head, his chest, his back, his legs, his penis, his tummy (not all at the same time). I took him to the paed only weeks ago who said he can’ t pick up anything, but he might have a virus (he was very lethargic at that time). On the one hand I want to take him back, because I def don’ t want to miss anything, but on the other hand, I don’ t know whether he is so used to going to the doctor that he is starting to be a bit of a hypochondriac?? That he thinks it is as it should be and that is who he is. I don’ t want to encourage him in taking him to the doctor for no reason, but I also don’ t want to ignore his complaints. Please advise.

Thank You

Expert's Reply

A.

Paediatrician

It is really difficult to give you a definite answer about your son without being able to see him. It is unusual for a child of this age to have complaints about pain and discomfort with no real cause.Young children are not usually hypochondriacs.It really would be a good starting point to confirm or discard the diagnosis of immotile cilia syndrome. You need to take your son to an experienced paediatric pulmonologist. If you are in the Gauteng area I can recommend Dr Andre Van Niekerk at the Clinton Clinic in Alberton or Prof Robin Green at the Steve Biko Academic hospital in Pretoria.

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