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Mushy smelling stool. Not gaining weight. What does this signify?

Hi there. My 27 month old has had mushy slimy foul smelling nappies since December gone (windows open for 10-15 minutes!). 3 doctors have said nothing wrong, teething nappies, too much fruit etc and a stool sample test came back fine although they couldn t tell me what it was tested for. She has always been of slim petite build but she s not gaining weight very well and she eats like a trooper with a well balanced diet and not much junk at all. Not keen on meat but we replace it with eggs , lentils and beans 2-3 times a week. She is getting self conscious and upset when she needs to go which is upsetting. Sometimes tummy pain and loss of appetite but not that often. No food intolerance s or allergies in family but she does have naevoid hyper thichosis if that could be of any help. Thanks
Asked On : Fri, 14 Sep 2012
Answers:  2 Views:  50
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Pediatrician 's  Response

Thank you for your query on HealthCareMagic.

In my opinion you need not worry about the smelling nappies and if three doctors have examined her and found the stool reports to be normal then, all the more reason, that you should be happy.

You have not mentioned the weight of your child nor the period since when she is not gaining weight. At this age I would be satisfied with a weight gain of aorund 2-3 kg. (4.4-6.6 lb.) per year.

The naevoid hyper trichosis has nothing to do with it.

I hope I have answered your query to your satisfaction.

With regards.
Answered: Tue, 18 Sep 2012
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Pediatrician Dr. Nasir Mohammed's  Response
Hello there,

Foul smelling stools which are arousing anxiety among parents can be tested for disorders of malabsorption. It is a broad spectrum of disorders wherein certain foods may not be absorbed or assimilated properly. This results in foul smelling stools. It needs to be ascertained whether the stools are bulky or there is excessive purging. Since the stool tests have come normal, I presume the disorders have been ruled out.

You can maintain a food log book and make a note of the food items consumed everyday. When there is tummy pain or loss of appetite, make a mention of it in the log book. This will help you pin point those food items which donot suit her. Rest continue the same.
Answered: Wed, 19 Sep 2012
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