Childhood Diseases

Posted by: Pip | 2010/10/29


11 Month Not Thriving

Hi Dr,
I have posted many times before about my daughter. She was born at 32 and half weeks, has been diagnosed with congenital scoliosis.

The latest problem with her is as follows:
She was diagnosed with tonsilitus 5 weeks ago. This week I took her into the paed and her tonsils are inflamed again (the paed has taken a swab to rule out other causes as she couldn''t see the " pus"  in the tonsil areas). She now weights 6.8kg''s. She was following the growth chart, but obviously not at the correct percentiles, but she seems to now be falling of the curve completely. The paed has ordered two tests of her stools: 1. Occult blood &  2. Eosinophils (or something).
Can you please give me a summary of what each is really testing for (I know she mentioned bleeding in the colon and a protein milk allergy) and what would be the next step in the case of them being either positive or negative.

Sorry for the long post.

Expert's Reply



Obviously when we look at your baby girl's weight of 6.8kg at 11 months this is well below the average of 8.8kg. Correcting her age for her prematurity her weight is still well below the expected of 8kg.She seems to be having problems with tonsillitis which is one issue,but there must be an additional problem. Your paediatrician is testing your baby for 2 forms of cow's milk allergy and/or intolerance. The occult blood test is testing her for any possible bleeding inside her intestines as a result of a condition called 'cow's milk protein intolerance' [note: this is not the more common lactose intolerance]. The test for eosinophils is testing her for a form of milk allergy called 'eosinophilic enterocolitis'.Both of these tests are certainly worthwhile doing and your paediatrician is to be commended for doing them.

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