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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Baby Suffering From Black Stools And Constipation

i have a 10months old daughter and she is getting black stools and she has constipation also, we went to several doctors her blood test reports are normal, stool test reports are normal we are not give any iron syrups but from past 15days she is have constipation and dicharging black stools, her intake of food is also very much reduced now and she is a bit shevering. i need to know the reason pls let me know the details
Mon, 6 Nov 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history about your 10 month old daughter and understood your concerns.
Black stool are indicative of bleeding somewhere in the intestinal tract and is very difficult to locate in a small child. Since you are not giving any iron syrup the cause is most probably bleeding.
Stool tests for occult blood needs to be done and blood counts repeated to see whether there is fall in hemoglobin, also needed is to do coagulation studies and platelet count.
If anything specific is found one should get a proper treatment.
If there is no blood in the stool tests then the probable reason can be that the stool has bacterial infection by dark pigment producing bacteria and many a times a dark stool is mistaken for malena.
Get a consultation of a Pediatric surgeon as pediatric upper GI Endoscopy and colonoscopy may be available and be done to rule out any problems giving black stools.
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Suggest Treatment For Baby Suffering From Black Stools And Constipation

Hi. Thanks for your query. Noted the history about your 10 month old daughter and understood your concerns. Black stool are indicative of bleeding somewhere in the intestinal tract and is very difficult to locate in a small child. Since you are not giving any iron syrup the cause is most probably bleeding. Stool tests for occult blood needs to be done and blood counts repeated to see whether there is fall in hemoglobin, also needed is to do coagulation studies and platelet count. If anything specific is found one should get a proper treatment. If there is no blood in the stool tests then the probable reason can be that the stool has bacterial infection by dark pigment producing bacteria and many a times a dark stool is mistaken for malena. Get a consultation of a Pediatric surgeon as pediatric upper GI Endoscopy and colonoscopy may be available and be done to rule out any problems giving black stools.