Childhood Diseases

Posted by: D | 2009-10-16


refer post 1844 Tummu problems

Hi Doc,

Thanks for all you advice and assistance.
I am still worried about my son who will be 14months tomorrow, its been almost two weeks now that his tummy works everytime he eats, I have taken your advice and its day 3 today dairy free, I have notice that he has a huge one in the mornings and then the amount decreases as the day goes on, still producing 5 dirty diapers a day. I was abit worried yesterday as he produced a dirty diaper and the colour was pasty white (isnt that bile related).
He is slowly starting to lose weight. For dinner(7-8pm) I give him his favourite purity (butternut and Lamb from 10months) and he has a 200ml soya milk(9-10pm) and doesnt make till the next morning, either between 6-7am or 8-9am.

His menu the past three days look like this: 200ml soya milk, rice crispies/weetbix with soya milk, purity for lunch, water and juice throughout the day, rehidrate whenever he makes, toast with a little butter or with alittle golden syrup. and then suppoer and last bottle. I know it sounds a little but he has become a little fussy with his tummy problems. The only thing he is on is the reuteri drops, which I give him once a day (5 drops).

I have noticed the stool has become a little firmer and not so watery and on the odd occasion I have notice his normal stool colour(brown) surrounding the mustardy yellow colour except the one white pasty stool from yesterday. We try to change him as soon as he makes cos with all the dirty diapers his poor little bum is so raw and red and has a little rash (I use fissan paste, can I also use Kamillosan?)
He is active and seems very happy, rather clingy with his dad than normal(but that was from birth) and I noticed a little separation anxiety from him especially when we both leave a room separately that is and obviously again more for his dad.

My question should he been seen to, and tests to be done, and what kind of tests or should we wait the ten days of no dairy out first which ends next friday.

I am still very pissed off with my peadiatrician, she still hasnt called and a week has passed, could you recommend an excellent.... ok realistically a good pediatrician in Cape Town that I can see.

Thanks again for the service you provide and thanks for the time taken to respond.........

Expert's Reply



Thank you, you are welcome. Your son actually seems to be getting better. His bowel appears to berecovering following his recent infection and the temporary lactose intolerance.It is true that white stools are a sign that there is no bile being excreted but he has only had one of these stools. If he starts to pass pale white stools he must be seen by a paediatrician. There are wonderful paediatricians in Cape Town. Dr Deon Smit or Dr Sol Zieff are highly recommended.

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Posted by: D | 2009-10-16

Doc I just had a thought, I was off work for the month of September cos I got infected with Hepatitis A, son stayed at home with me, I wasnt really worried cos my Gp said that he was vaccinated against it, could yesterdays white stool be a sign that I infected him with Hepatitis A, by the way its back to the normal yellowish colour should I get him tested, and if I get him tested, is there medication that he needs as I wasnt on anything, I had to just wait it out, he has no signs like I had, of course I know babies dont show any, so far he has had one white pasty stool - sorry I suddenly made the connection bile and liver and Hepatitis....

once again thanks for your time

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