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Childhood-diseases

Question
Posted by: m | 2008/01/23

Q.

Meckel's diverticulum

I need an opinion please: (as I value yours!)

Son, 9 months, tested positive for occult blood in stool for 4th time since October last year. Have done gastroenteroscope, colonoscope and pH-study in December. Findings: mild reflux and inflammed esofagus and inflammed (as well as exra long) colon. Have been on Lanzor (half capsule per day) since and stopped breastfeeding, now soya formula.

The Pediatric Surgeon now gives us a choice between an isotope x-ray and laparoscope to try and see if the occult blood is due to Meckel's diverticulum.

What should we choose, in your opinion?

And how serious is it to have occult blood in baby's stool, must we carry on trying to find the source?

Thank you!

Expert's Reply

A.

Paediatrician

Occult blood means that your baby is bleeding somewhere in his gut, usually much higher up than the colon. A Meckels diverticulum is a very common cause of this problem and the paediatric surgeon does need to find out if this is the cause.The isotope scan is the usual way of making the diagnosis.

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