This is regarding my five year old son who has never suffered any bowel issues in the past. About 7-8 weeks ago before school one morning, he began going to the toilet around 10 times, each time passing bowel motions. So I initially thought it might be a nervous stomach. But then it began to progress to him going around 10 times when he came home as well and when I dropped him off at school I would have to leave him on the toilet. Our whole life seemed to revolve of him hopping on and off the toilet.
After two weeks of this not easing up, I took him to the doctors who thought it might be constipation. He advised a disimpaction routine with Movical, 8 sachets a day. So eventually we got to the point of pooing brown water. We moved him down to the maintenance dose and he started to be unable to go to the toilet again. Was again advised to restart the disimpaction routine as maybe he hadn't done it for long enough. Again, he pooed brown water. The main thing that is concerning me is that he is complaining of groin pain. When I took him to the doctors last I asked him to check him over and he said he could see an inguinal bulge when he coughed, but assured me it was nothing to worry about. The advice was to just give him lots of sympathy. Now we are back down to four doses of Movicol a day and he is passing pea-sized amounts of poo again. I asked if he could have a scan for the groin pain, but was told there wasn't such a thing. What would you suggest?
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hello has he had any tests done?
No, he hasn't had any tests done. I wish they would though.
there are a number of conditions that need to be ruled out
i see you are typing, i will wait for your message
its no use if we both type at the same time or we will just be cross chatting
I was just going to add he had an umbillicial hernia when he was a baby, although I am not sure if that is of any relevance to now.
i will complete my answer now, please hold on till i complete it
you may then ask any questions that you have
the umbilical hernia is not significant here
but there are a number of possibilities
stool impaction is one possiblity as your doctor suggested
but with the medicines he has ben taking this would be more or less ruled out
there are other possibilities that need to be ruled out
Infections: Viral or bacterial infections can cause this. Viral infections would usually not last this long. Organisms which can cause such prolonged diarrhoea are C. difficile, and protozoa such as giardiasis. A stool examination is necessary to detect the cause of the infection. You should ask your doctors whether these have been tested for.
Malabsorption: malabsorption syndromes like coeliac disease may cause this.
gluten enteropathy - a sensitivity to gluten in wheat products
Inflammatory bowel disease: This includes Crohn's disease and Ulcerative colitis. Various tests including biopsy may be needed to establish this.
Diverticular disease: diseases of the intestine like diverticular disease may cause chronic diarrhoea.
the first three are more important for a child
note down these causes and ask your doctor about them
tests should be done for this and these conditions should be ruled out
it is important to have these ruled out
by noting them down you will be able to get a better informed discussion from your doctor
hope this leads to a solution for him
any further questions?
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do you have any further questions?
Yes, my main worry is that he has a hernia. If my son is experiencing groin pain and the doctor saw that he has an inguinal bulge on the side he is complaining, do you think more tests should be done on that?
well inguinal hernia is more of a clinical diagnosis
if the hernia is big to the point that it can cause diarrhea or any other intestinal symptoms it would be quite obvious clinically
the doctor would not miss it
no tests as such are required for diagnosing an inguinal hernia, it can be done clinically
i do not think there is inguinal hernia as it would be diagnosed clinically
but of course discuss this with your doctor also
Ok thank you, XXXXX XXXXX my main concern is that he has noted a bulge in that area. Hopefully this will be my last question, but is it possible to get a bulge there then whilst coughing if no hernia is present?
in children sometimes the muscles are a bit weak
a bulge may be a precursor of a hernia, but usually it will not progress to a full hernia
as the muscles strengthen the bulge will disappear
inguinal hernias are usually congenital in children
it would havebeen diagnosed at the time of theumbilical hernia
in this case i do not think it is an acutal hernia
but ask your doctor also
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So would you advise taking him back on Monday then to the GP?
yes thats right
go back to the GP
ask about the conditions I mentioned and discuss them
not of course that they are all likely
but discussing them will help get you an informed opinion
OK thanks ever so much for your help. I will note down what you have suggested. Have a good day.
also doctors also sometimes need a bit of prodding to takea case seriously!
glad to help
i am sure it will work out
Ok thanks - will do now. Bye xx