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What Causes Blood And Mucous In Stool?
Question: Hello Doctor,
This is for my daughter Baby Mehek. She is now 2 months old and already on the 4th course of antibiotics for blood stain and mucus in her blood.
Antibiotics she had were Sporydex, OFM, Valamycin and Taxim O. Still the stool is watery and has blood stain. Surprisingly the stool culture report always came out sterile despite multiple tests. Mucus can be observed throughout motion and blood stain disappears for first couple of days after antibiotics is started and again reappears.
Due to gaseous distention ultrasound scan for abdomen was not conclusive. Only we were assured that internal organs are fine.
We are all worried for her. My pediatrician suggested that she might have to undergo endoscopy to rule out polyps and some other conditions(I could not understand clearly due to my limited knowledge)
Please advise on what needs to be done. I a eager to get a second opinion for her. We are planning a visit to pediatric gastroenterologist, but the appointment is for Tuesday.
Eagerly awaiting your answer.
Brief Answer:
To consider possibility of milk allergy
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Namasthe
Dear XXXX,
Being a parent myself, I can understand your concern and apprehensions.
Let me first reassure you, there is no cause for concern, things can be taken care off.
Thanks for providing the history and reports, the mystery of persistent Microscopic blood in stools and mucous can definitely be sorted out.
All the reports show persistent Blood and mucous in stools, Before embarking on Endoscopy, I would still like to consider the following medical/surgical possibility as cause for the presentation
1. Milk allergy/Allergic Proctocolitis: This is more likely especially if the baby is not on exclusive breast feeding. As your baby is 2 months old, I would like to know if the baby is on exclusive breast feeding or top feed is also being given.
2. Anal fissure: I assume it has been ruled out as cause of symptoms by examination of anal opening
3. Meckel's Diverticulum: Chronic bleeding from meckel's diverticulum( its a outpouching of small intestine ), inflammation of which can produce blood an mucous in stool
4. Malrotation and Intestinal Duplication Cyst: I would suggest you to discuss these possibility with your Physician, preferably Pediatric Surgeon.
Before embarking in on Endoscopy, I would suggest you to discuss the above findings with your Pediatrician, I would also suggest following investigation
1. Stool examination for Eosinophils: More number is likely to be due to allergic Proctitis(Inflammation of rectum) possibily due to milk protein allergy
2. Meckel's Nuclear Scan
3. Repeat Ultrasound scan to rule out malrotation and duplication
4. SOS Upper gastrointestinal Contrast scan
In the meantime if there is no distension of abdomen, baby is accepting feeds well, weiht gain is adequate then there seems to be no cause for much concern, things can be investigated and taken care off.
Do write to me if you need any further assistance, will be glad to assist you.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Pediatric Surgeon
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. Chakravarthy Mazumdar
Answered by
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