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What Does This Stool Test Report Indicate?

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Posted on Tue, 5 Jan 2016
Question: Hi I am XXXX,

My son of age 4 is having loose motions and sticky green stool for last one week... His stool report (Routine) ( microscopic observation) shows 200-250 / hpf ... RBC 50-60 /hpf and Macrophages 1-2/hpf... What does this indicate...???

plz advice...

Thnx
doctor
Answered by Dr. Deepak Patel (28 minutes later)
Brief Answer:
Dysentry (bacterial or amoebic)

Detailed Answer:
Hi,
Welcome to HCM.
I have read your question in detail and I know that you are very concerned about your child but don't worry about.

By what you quote it seems that your child probably has got dysentry (bacterial or amoebic)
Since, there are pus cells and RBC in stool, it suggests that infection in intestine of child is very much.
Since, you have already given zifi, we have to change the antibiotic which acts against both bacterial and amoebic infection.
If I was your treating doctor, I would have given
- Syrup zenflox plus (ofloxacin +nitozoxanide) for 5 days
- enterogermina ampule once a day to increase gut immunity
- syrup albendazole for deworming

I would have also done liver function test, platelet count and pt/pttk to rule out other cause of blood in stools.
Since, medicine in children are given according to weight, I cannot prescribe the exact dosage of drugs without weight.
Review back with exact weight of child.

I hope this will help you.
Take care.
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. Sonia Raina
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Answered by
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Dr. Deepak Patel

Pediatrician

Practicing since :2000

Answered : 1304 Questions

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What Does This Stool Test Report Indicate?

Brief Answer: Dysentry (bacterial or amoebic) Detailed Answer: Hi, Welcome to HCM. I have read your question in detail and I know that you are very concerned about your child but don't worry about. By what you quote it seems that your child probably has got dysentry (bacterial or amoebic) Since, there are pus cells and RBC in stool, it suggests that infection in intestine of child is very much. Since, you have already given zifi, we have to change the antibiotic which acts against both bacterial and amoebic infection. If I was your treating doctor, I would have given - Syrup zenflox plus (ofloxacin +nitozoxanide) for 5 days - enterogermina ampule once a day to increase gut immunity - syrup albendazole for deworming I would have also done liver function test, platelet count and pt/pttk to rule out other cause of blood in stools. Since, medicine in children are given according to weight, I cannot prescribe the exact dosage of drugs without weight. Review back with exact weight of child. I hope this will help you. Take care.