Question: hello doctor,
my son is 3 years old. he was having formula milk frm 45days till 2.5years , due to this he used to have constipation. particularly after 10months (once he started his solid diet ) . it used to be hard, dry stools. as per his paeditrician, i gave him sorbiline, n agarol too. now the stool is'nt hard , dry but smells badly as well its very sticky. after having agarol, he passes stools freely but almost 5-6 times a day. for the past 2 weeks, he complains of stomach pain (but not every time) and goes for poo. stomach pain just for a few minutes and not unbearable. he remains cool. atleast 5-6 times a day he goes for poo. after every meal(other then dinner) he invariably passes stools. he stays in one place , keeps talking n playing to himself, remains silent n his face n voice slightly changes while he attempts for poo or passing stools. even we try to ask him if he wants to use potty,he says no, but goes for poo in his pants or diapers.
he is potty trained for peeing.
am actually worried. his paed doc says, give fibre diet it will improve as he grows. but am worried about the frequency of stools, stools after meals, smell and sticky nature of stool and importantly why the stomach pains (though it is not every time). i give him packaged juice(tropicana), health supplement(bournvita, boost) with milk, XXXXXXX daily. he has only egg and not other non vegetarian stuff. he once in a week has biriyani(only rice and not the meat) from outside. not fussy abt having vegetables. mostly rice, pulses, diet . wheat, millets twice a week. kindly advice.

thanks Dr. Uma.

i took my son to his paed doc yesterday.. and he after thoroughly examining him said he may not seem to have any serious problem. asked me to continue with XXXXXXX but could stop milk with supplement and cud find out with trial and error. was also opting for fresh fruit juice instead of tropicana.. please advice if tropicana is ok(i am giving him packaged drink coz its better than having no fruit juice at all, my son is fussy abt eating fruits other than apple)

Doctor asked me to give him "flagyl"(composition : each 5ml contains benzoylmetronidazole equivalent to metronidazole 200mg) 4ml twice daily for 3 days in case of giardiasis.

i would like to add he is having iron supplement()for the past 2-3 weeks 5ml daily.
checked his ht and wt yesterday. he is close to 3 feet and arnd 12kgs. he was only 2.2kgs at birth. is this parameter ok for a 3year old. he completes 3 years on 23rd october.

please advice on the above points doctor.

thank u.

thanks once again doctor.

i will do the thyroid test as suggested by you.

i gave flagyl 1.5days(3 times) and then due to travel one day cudnt give and then gave another 1.5days(3 times) and completed 3 days with break.

actually from thursday he is not having milk and bournvita. his stools have stopped smelling and being sticky from friday. and flagyl is given from sunday till tonight.

though the foul smell and stickiness has gone, he still passes motion almost 5-6 times a day, mostly after every meal. but if we happed to go out, he doesnt pass motion for even a day. he didnt complain of stomach ache.
but today after dinner , he pooped and generally i asked if his stomach hurts, he says yes before going for poo. i dont know whether he is talking seriously.

his motion is mostly dark green(is it due to iron tonic).
the iron tonic he is having is "nafia" composition each 5ml contains sodium feradetate 231mg equivalent to 33mg elemental iron

he is having XXXXXXX regularly. even he had juice(tropicana mixed fruit). only milk and bournvita stopped.


please let me know if flagyl is to be continued? the break in giving flagyl will have any effect?

is this iron tonic ok? is poop color is dark green due to iron tonic?

is the stomach ache he says(after i asked) is to be taken seriously?

shall i conclude that milk and bournvita is allergic? i give aavin milk. if i change bournvita to some other health drink without choco will he be okay?
shud i change the milk? please advice

can i give him paneer, butter, ghee? he doesnt take curd and plain milk.

if milk is allergic, then what wud i give for calcium?
his skin around the nails used to peel before giving iron, now it has reduced. is it iron or calcium deficiency?

how come he doesnt poo while he is outside?

please advise doctor.

regards XXXXXXX