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What Causes Frequent Diarrhea And Vomiting?
Question: My girl of 6 yrs has frequent diarhea & she vomits as well.The blood test results have shown neutrophil level @ 38 & lymphocyte @ 58.What can be the reason.
Brief Answer:
Additional information required
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
I would like to have additional information about the symptoms before I could give my opinion about.
1. How frequently is she g=having loose motion, are the stools foul smelling/associated with blood. Total duration of symptoms and recurrence
2. Is there any association of symptoms with intake of milk and milk productas?
3. What is the colour of vomiting, is it bilious(yellow in colour) or non bilious( containing only food and gastric contents)
4.What is the total Leucocyte count
5. Is your XXXXXXX gaining weight adequately?
Do get back to me with the details.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Pediatric Surgeon
Additional information required
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
I would like to have additional information about the symptoms before I could give my opinion about.
1. How frequently is she g=having loose motion, are the stools foul smelling/associated with blood. Total duration of symptoms and recurrence
2. Is there any association of symptoms with intake of milk and milk productas?
3. What is the colour of vomiting, is it bilious(yellow in colour) or non bilious( containing only food and gastric contents)
4.What is the total Leucocyte count
5. Is your XXXXXXX gaining weight adequately?
Do get back to me with the details.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Pediatric Surgeon
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Total duration-Intermittently for last 3 weeks
Loose motion- Atleast one day a week.And loose motion for 5 to 10 times on those days.It is foul smelling but no visible blood.No association of symptoms with milk.
Vomit is bilious
Leucocytic - 8000/cu.mm
Erithrocytic- 4.48 millions/cu.mm
Neutophil-38.00%
Lymphocyte-54%
Monocyte-3.0%
Eisinophil-5.0%
Basophil-00.0%
CRP - 12.5
SGOT(AST)- 38 U/L
SGPT(ALT)-41 U/L
HAEMOGLOBIN-12.8 Gm%
Bilirubin total- 0.55 mg/dl
She is lean built.6 yrs 5 months and weighs 18 kgs.She has lost 600 gms in these 3 weeks.
Loose motion- Atleast one day a week.And loose motion for 5 to 10 times on those days.It is foul smelling but no visible blood.No association of symptoms with milk.
Vomit is bilious
Leucocytic - 8000/cu.mm
Erithrocytic- 4.48 millions/cu.mm
Neutophil-38.00%
Lymphocyte-54%
Monocyte-3.0%
Eisinophil-5.0%
Basophil-00.0%
CRP - 12.5
SGOT(AST)- 38 U/L
SGPT(ALT)-41 U/L
HAEMOGLOBIN-12.8 Gm%
Bilirubin total- 0.55 mg/dl
She is lean built.6 yrs 5 months and weighs 18 kgs.She has lost 600 gms in these 3 weeks.
Brief Answer:
Gastroenteritis possibly protozoal infection
Detailed Answer:
Hi
Greetings
As the total Leucocyte count is within normal limit there is no cause for concern. Children around age of 4 to 8 years have reversal of lymphocyte and neutrophil. They have more lymphocyte compared to neutrophils.
The most likely cause of recurrent loose motion could be infective etiology more likely protozoal infection like amoebiasis or giardiasis. There is increased CRP which is an cute phase protein which suggests infection, further collaborating the increased likelihood of infective cause. Rest other investigation are within normal limit.
I would suggest you the following
1. Stool examination: Stool for routine and microscopic examination and reducing substances.
2. Empirical treatment with Metronidazole will be beneficial
3. Ensure high fiber diet
4. Probiotics will be helpful
5. Include curd/yoghurt in the diet.
If tthe vomiting is non bilious no further evaluation is required.
Do get back to me for any further query.
Take Care
Best Regards
Dr Deepak
Gastroenteritis possibly protozoal infection
Detailed Answer:
Hi
Greetings
As the total Leucocyte count is within normal limit there is no cause for concern. Children around age of 4 to 8 years have reversal of lymphocyte and neutrophil. They have more lymphocyte compared to neutrophils.
The most likely cause of recurrent loose motion could be infective etiology more likely protozoal infection like amoebiasis or giardiasis. There is increased CRP which is an cute phase protein which suggests infection, further collaborating the increased likelihood of infective cause. Rest other investigation are within normal limit.
I would suggest you the following
1. Stool examination: Stool for routine and microscopic examination and reducing substances.
2. Empirical treatment with Metronidazole will be beneficial
3. Ensure high fiber diet
4. Probiotics will be helpful
5. Include curd/yoghurt in the diet.
If tthe vomiting is non bilious no further evaluation is required.
Do get back to me for any further query.
Take Care
Best Regards
Dr Deepak
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. Yogesh D
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