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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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4 yr old with encopresis, managed with miralax, no soiling. Pain around the waist, pale yellow sandy stools. Why ?

4yr old with encopresis , managed with miralax, no soiling for 6 months, goes every day, starting omplaing of pain around whole waist mainly left side. Pain happens with pale yellow stool, sometimes exactly like sand. Between episodes, orange stool. Always well formed, soft no issue passing stool. Bouts of yellow face that lasts for 15 minutes. Pee and stool samples normal, all blood work normal Father has Crohns, she has celiac , severe symptoms from even breathing near gluten so is 100% gluten free no slip ups Why abnormal stool
Wed, 6 Mar 2019
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General Surgeon 's  Response
Hello,

The stool of such consistency with orange sand particles indicates a possible issue with enzyme problems involving the GIT as bile drainage system in form of biliary narrowing or else.

Basic tests of stool microscopy with ultrasound of the abdomen & pelvis is mandatory to proceed ahead.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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