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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Stomach Bloating, Hard Stools, WBCs Passed In Stools. Cure?

I took my baby to his doctor because his stomach has been Bloated for 2 months. He poops 4to 5 times a day, sometimes hard like a ball, other times many chunks of balls. He did a stool exam ande said everything came out normal no infection, virus. Only that white blood cells came out on the stool ?? I m do confused what does my two year old have?? Please help??
Mon, 3 Dec 2012
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Pediatrician,  's  Response
Hi,

Thank you for your query.

I hope I have understood your query correctly:
1. Abdomen bloated for 2 months
2. Passing stool 4-5 times a day - every time they are like "chunks of balls"
3. Occasionally the stools are hard
4. Stool examination shows white blood cells

It is normal to have a few white blood cells per high power field in a normal stool examination. One would worry about the white blood cells if there is diarrhoea.

I am a bit confused with the frequency of 4-5 stools per day and that too like "chunks of balls". It is unusual to pass hard stools so many times unless the child is having difficulty in evacuating them. Hard stools are a sign of constipation and a child can strain to pass them. If this is the case then it is advised that the diet be modified to include a lot of roughage and fluids. If this does not help then a laxative will have to be given. Even if these fail then it would be appropriate to evacuate the hard stools with enema. It is suggested that you discuss this with your doctor so that the appropriate step can be initiated in your son's case.

I hope I have answered your query to your satisfaction.

Wishing your son all the best.

Regards,

RKK
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Small Child, Stomach Bloating, Hard Stools, WBCs Passed In Stools. Cure?

Hi, Thank you for your query. I hope I have understood your query correctly: 1. Abdomen bloated for 2 months 2. Passing stool 4-5 times a day - every time they are like chunks of balls 3. Occasionally the stools are hard 4. Stool examination shows white blood cells It is normal to have a few white blood cells per high power field in a normal stool examination. One would worry about the white blood cells if there is diarrhoea. I am a bit confused with the frequency of 4-5 stools per day and that too like chunks of balls . It is unusual to pass hard stools so many times unless the child is having difficulty in evacuating them. Hard stools are a sign of constipation and a child can strain to pass them. If this is the case then it is advised that the diet be modified to include a lot of roughage and fluids. If this does not help then a laxative will have to be given. Even if these fail then it would be appropriate to evacuate the hard stools with enema. It is suggested that you discuss this with your doctor so that the appropriate step can be initiated in your son s case. I hope I have answered your query to your satisfaction. Wishing your son all the best. Regards, RKK