Childhood Diseases

Posted by: Anon | 2011/09/29


Tummy problems

Morning Doc

My son is a year old, he had a peg inserted when he was 4 months old due to him not swallowing properly. He went for Vital Stim therapy and started feeding orally when he was 7 months old. The peg was removed when he was 9 months old. His diet consists of protein, vegetables, pediasure milk and every second day pears or a full cream yoghurt.
A few weeks after the peg was removed he would cry and pull himself stiff when he had to make a poo and he’ s tummy would go out frequently in one day, but it would be a liitle poo, the frequent pooing has caused him bum to get little blisters that would bleed and has caused him alot of pain.
His poo at the moment is loose and is dark brown in colour.
I have used every bum cream you can get, from nystatin, bepanthen, zinc &  castor, sudocrem even using scheriproct but nothing seems to help.
My concern is that could the peg have affected his bowel because when the Dr removed the peg he just pulled it out &  said the hole would close on its own, which did close.
I have taken him to 2 peadiatricians but they both say he is not constipated and the one prescribed pegicol and the other reuteri drops which he gets everyday .

Expert's Reply



It is difficult to be sure about what is causing your son's problem. He seems to have a problem digesting food normally. This may be caused by lactose intolerance or to an actual milk allergy. Lactose intolerance is more likely and it would be best to try him on a lactose free formula such as NAN or S26 LF or a soya formula such as Isomil2.If you decide to put him on Isomil this would be helpful if his problem is really that of cow's milk allergy.It would be best to stop the Reuteri drops which may be aggravating his frequent stools and nappy rash.He should not be on Pegicol if he has frequent stools.If you are going to try him on a soya formula he should also be off all dairy products.If this advice does not help your son he should be seen by a paediatric gastroenterologist.

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