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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cows Milk Protein Intolerance In Children

Please help I have a 11month old who has been irritable on and off since birth was diagnoses with cows milk protein intolerance and was initially on neocate is now on soya formula. We seem to have periods of goods day lasting no longer then seven days then he becomes irritable for few days refusing food and not sleeping well at night. As a newborn his stool motions were only once a day and I was told this was ok. I have noticed recently that when opening his nappy stool looks soft but when I turn it over there are dark brown hard lumps . He always has stool motion every day some days can have three motions but the next day will have the hard lumps. This morning on the underside were dark hard lumps with soft yellow stools behind. Please help I have been told previously not constipated as passes stools daily. I have now taken photos on my camera to try and show people to get help however went to GP yesterday who told me to give him more water he refuses all fluids except milk and has approx 24oz on good day. He eats two lots of purveyed fruit a day. When he having his irritable days he refuses food. Don t know if relevant but to pass stools he stands up at chair straining. Any ideas what I can do I back at work now and the sleepless nights every few days wearing me down. Thanks in advance for any advice Sophie
Mon, 7 May 2012
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Pediatrician 's  Response
Dear Sophie,

Please correct me if I have misunderstood something wrong. Your 11 month old child is having soya formula and tow lots of purveyed fruit a day. If this is the situation then he needs to have more solid food otherwise he will tend to be constipated and have stools as described by you. A physical examination will confirm if he is having hard stools (also called fecoliths) in the rectum.

Thanks.
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Cows Milk Protein Intolerance In Children

Dear Sophie, Please correct me if I have misunderstood something wrong. Your 11 month old child is having soya formula and tow lots of purveyed fruit a day. If this is the situation then he needs to have more solid food otherwise he will tend to be constipated and have stools as described by you. A physical examination will confirm if he is having hard stools (also called fecoliths) in the rectum. Thanks.