Could foul smelling stools with undigested food due to malabsorption in a 17 month old?
Patient: My 17 month old son had GERD and several food intolerances that we are exploring with the help of a naturopath (I m in Canada, so we ve been on a waiting list to see a pediatrician) - we believe Dairy is a major factor, his naturopath also suggested we pull all refined sugar out of his diet and only sweeten his food with actual fruit; additionally we see ongoing stomach pain (twisting torso, screaming in short bursts, still cannot lay flat on his back, is only calmed in a warm bath or when I rub his tummy) on a regular basis. While the one test we ve done thus far doesn t indicate the following foods, we suspect oats, eggs, nuts are also still contributors to his ongoing discomfort. Joey is not gaining in weight or length significantly - certainly not since I weaned him at 13 months old. He still looks small in the same pajamas he wore at 8 months old, and he still weighs only around 20lbs. I finally got my husband to look at his poop last night and he s extremely stressed as Joey (my son) poops 4-5 times per day some days, the stools are always very foul smelling, they always contain these funny white granules and large amounts of undigested food. Is it possible we re not looking in the right direction? Our physicians seem to follow our lead in exploring what s bothering my son, so no testing has been done on him to my ongoing dismay. Is it possible there s some sort of malabsorption issue and not all these allergies/intolerances? Doctor: Thank you glfor following up, your baby has malabsorbtion,caused by dysbiosis of intestine. It is really pity that you don't check your baby . I suggest you should give next baby's analysis:- stool culture for flora and sensitivity to a tibiotics- stool analysis-stool for ova and cyst-blood analysis- urine analysis   I would suggest to give your baby next treatment:1. For prophylaxis or for treatment-albendazol(zentel)10 ml once 3days in bed time2.Probiotic: Econorm(saccharomyces)1 sashe 2 times 3days3.Probiotics: Enterogermina 1 sashe 2times 10 days,then bifilac(darolac)1 capsule 1 time during 1 month4.Enzyme syrup during 1 month for good abbsorbtion of food .5.If your child were not allergic to vitamins i would prescribe him zinkovit 5 ml 1 time 1 month   I will be in touch to follow his progress.    Your sincerely,     Dr.Svetlana Shrivastva