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My Boy 6th Years Old, Suffer Constipation And Currently Under

Posted on Thu, 1 Aug 2019

Question: My boy 6th years old, suffer constipation and currently under laxative treatment, lately there was something on his anus... Then he had colonoscopy, doctor said that the rectum mucosa easy to bleed.. And when the end of colonoscopy around 30 cm from anus the doctor find some red circle and take them into biopsi. No polip and no hermorrhoid was found. My boy has no other symptoms except the above explanation and a little constipation (under tappering of the laxative) The biopsy or pa result is chronic colitis with crypta destruction with hyperplasia lymfoid. Then i return to my boy pediatric gastro doctor.. But he saud the result could be wrong and he said the symptoms is not like the result symptom. Need your advice

Follow up: Dr. Sumanth Amperayani (0 minute later)

My boy 6th years old, suffer constipation and currently under laxative treatment, lately there was something on his anus... Then he had colonoscopy, doctor said that the rectum mucosa easy to bleed.. And when the end of colonoscopy around 30 cm from anus the doctor find some red circle and take them into biopsi. No polip and no hermorrhoid was found. My boy has no other symptoms except the above explanation and a little constipation (under tappering of the laxative) The biopsy or pa result is chronic colitis with crypta destruction with hyperplasia lymfoid. Then i return to my boy pediatric gastro doctor.. But he saud the result could be wrong and he said the symptoms is not like the result symptom. Need your advice

Answered by Dr. Sumanth Amperayani (13 minutes later)

Brief Answer:
Need some information please

Detailed Answer:
Hi...Thank you for consulting here. I think your kid is having habitual constipation. I have certain questions and suggestions for you.
The reports are not in English and I am not able to read them.
Questions:
1. Did your kid pass motion or meconium on day one of life?
2. Since how long is the kid constipated?
3. Does the kid have any bleeding along with hard stools?
4. How much milk does the kid consume per day?
5. Does the kid eat fruits and vegetables (fibre diet) appropriately?
6. How much water does he consume per day exclusively?
Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sumanth Amperayani (3 hours later)

1. Yes 2. He constipated since december 2017 and since it he got laxative therapy until now, slowly tempering. 3. Just once and only 2 spot blood. Its happened when the pup so hard and big. 4. He consume the milk around 400 ml per day 5. Yes he always eat papaya everyday 6. Consume water around 1200 ml per day

Follow up: Dr. Sumanth Amperayani (0 minute later)

Follow up: Dr. Sumanth Amperayani (25 minutes later)

Sorry another info my boy had ivaginasi in 2year7months

Follow up: Dr. Sumanth Amperayani (0 minute later)

Sorry another info my boy had ivaginasi in 2year7months

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
We need to rule out Hirschsprung's disease

Detailed Answer:
Thank you for getting back with the requested necessary information.

There are 2 possibilities here -
1. Habitual constipation.
2. Hirschsprung's disease

You should discuss this 2nd possibility with your pediatrician and get him evaluated, please.
I am suggesting because his diet, fruit and water intake is already appropriate.

Best regards
Dr. Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sumanth Amperayani (20 minutes later)

Is it possible of IBD? Because of the biopsy result?

Follow up: Dr. Sumanth Amperayani (0 minute later)

Is it possible of IBD? Because of the biopsy result?

Answered by Dr. Sumanth Amperayani (3 hours later)

Brief Answer:
May not be IBD

Detailed Answer:
Usually IBD presents with diarrhea, rather than constipation please. Hence IBD is unlikely.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Sumanth Amperayani (0 minute later)

Brief Answer:
May not be IBD

Detailed Answer:
Usually IBD presents with diarrhea, rather than constipation please. Hence IBD is unlikely.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sumanth Amperayani (6 hours later)

But why the biopsy said so?. So what is the more accurate that the biopsy meaning? Thank you so much doctor

Follow up: Dr. Sumanth Amperayani (0 minute later)

But why the biopsy said so?. So what is the more accurate that the biopsy meaning? Thank you so much doctor

Answered by Dr. Sumanth Amperayani (10 hours later)

Brief Answer:
Please translate the biopsy result into English

Detailed Answer:
Can you tell me in English what is the final impression in the biopsy result?

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sumanth Amperayani (0 minute later)

Brief Answer:
Please translate the biopsy result into English

Detailed Answer:
Can you tell me in English what is the final impression in the biopsy result?

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sumanth Amperayani (36 minutes later)

Chronic colitis with cripta destruction with hyperplasia limfoid

Follow up: Dr. Sumanth Amperayani (0 minute later)

Chronic colitis with cripta destruction with hyperplasia limfoid

Follow up: Dr. Sumanth Amperayani (1 minute later)

Dear doctor i already write the result in the first question. But i already write the result again... Please need your advice because i am scared to death about my boy condition

Follow up: Dr. Sumanth Amperayani (0 minute later)

Dear doctor i already write the result in the first question. But i already write the result again... Please need your advice because i am scared to death about my boy condition

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Suggestions on chronic colitis

Detailed Answer:
The above description is suggestive of chronic colitis but at the same time this is not hundred percent confirmatory of inflammatory bowel disease or ulcerative colitis.

No need to be scared because in today's medical advancement all the diseases are very much controllable.

May I know what your paediatric gastroenterologist has suggested please?

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sumanth Amperayani (11 hours later)

He thinks it can be ibd or colitis infection... Still confusing... So what are your sugestion doctor?

Follow up: Dr. Sumanth Amperayani (0 minute later)

He thinks it can be ibd or colitis infection... Still confusing... So what are your sugestion doctor?

Answered by Dr. Sumanth Amperayani (25 minutes later)

Brief Answer:
I feel it is only chronic infective colitis

Detailed Answer:
Hello.... I feel that it is only chronic infective colitis but as she has been constipated since a long time, we need to rule out Hirschsprungs disease as I had suggested previously.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sumanth Amperayani (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sumanth Amperayani (44 minutes later)

Noted doctor... Thank you so much for your explanation...

Follow up: Dr. Sumanth Amperayani (0 minute later)

Noted doctor... Thank you so much for your explanation...

Answered by Dr. Sumanth Amperayani (25 hours later)

Brief Answer:
Thank you

Detailed Answer:
I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.
In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sumanth Amperayani (0 minute later)

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj