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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Urine And Stool?

a 5 year old chil having blood in his urine and stool for atleast 1 month which is of bright red colour, and he also having fever and cough with sputum for 5 to 6 months, he is having treatment but its not seem to be work on long term,, please help me as soon as possible
Thu, 11 Aug 2016
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Pediatrician 's  Response
from history its seem that he had CHRONIC RESPIRATORY DISEASE WITH SECONDARY GASTROINTESTINAL-GENITO URINARY DISEASE.

your child may had fever and cough with sputum for 5-6 months suggestive of PERSISTENT OR PROLONGED COUGH which may have one of the following causes:pneumonia(bacterial,viral,fungal),bronchiectasis,anatomical airway defect,accidental foreign body ingestion,immunodefeciency disorders
but we can not directly jump to conclusion..

history of recurrent infections ,associated symptoms ,past and current drug history need for further evaluation.

if i had such type of patient i would advice for investigation like,
complete blood count,ESR,MT(monteux test if any contact history of Tuberculosis patient),Chest X RAY,Sputum microscopy and culture for gram staining and AFB,USG thorax.
on the basis of report i will decide to do either bronchoscopy,CT scan or Special investigation for Cystic fibrosis or immunodefeciency.

i would start antibiotic short course like third generation cephalosporin and macrolide like azithromycin till i will get all my report. after that i would do further management.

you have mention that your child is currently taking some drug.i would ask for drug history here as certain drug may cause red color urine like Chloroquine,Deferoxamine,Ibuprofen,Ironsorbitol,Metronidazole,Nitrofurantoin,
Phenazopyridine,Phenolphthalein,Phenothiazines,Rifampin,Salicylates,Sulfasalazine.
Another possibility for red color urine and stool suggestive of infections .
i would advice for urine and stool microscopy and culture,stool for OBT and report for it.

i hope you will satisfy with answer but with report and history,we will get the precise diagnosis.
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What Causes Blood In Urine And Stool?

from history its seem that he had CHRONIC RESPIRATORY DISEASE WITH SECONDARY GASTROINTESTINAL-GENITO URINARY DISEASE. your child may had fever and cough with sputum for 5-6 months suggestive of PERSISTENT OR PROLONGED COUGH which may have one of the following causes:pneumonia(bacterial,viral,fungal),bronchiectasis,anatomical airway defect,accidental foreign body ingestion,immunodefeciency disorders but we can not directly jump to conclusion.. history of recurrent infections ,associated symptoms ,past and current drug history need for further evaluation. if i had such type of patient i would advice for investigation like, complete blood count,ESR,MT(monteux test if any contact history of Tuberculosis patient),Chest X RAY,Sputum microscopy and culture for gram staining and AFB,USG thorax. on the basis of report i will decide to do either bronchoscopy,CT scan or Special investigation for Cystic fibrosis or immunodefeciency. i would start antibiotic short course like third generation cephalosporin and macrolide like azithromycin till i will get all my report. after that i would do further management. you have mention that your child is currently taking some drug.i would ask for drug history here as certain drug may cause red color urine like Chloroquine,Deferoxamine,Ibuprofen,Ironsorbitol,Metronidazole,Nitrofurantoin, Phenazopyridine,Phenolphthalein,Phenothiazines,Rifampin,Salicylates,Sulfasalazine. Another possibility for red color urine and stool suggestive of infections . i would advice for urine and stool microscopy and culture,stool for OBT and report for it. i hope you will satisfy with answer but with report and history,we will get the precise diagnosis.