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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Diarrhea. Given Flagyl. Black, Stringy Worms In Stool. Low Appetite

I have a16 mth old baby. She has had severe diarrhea for about five mths. She has gone from the 97th percentile down to the 10th and she has been hospitalized 4 times in 5 mths for dehydration . My doctor has given her flagyle to help with the diarrhea. She has had two diarrhea diapers today and she has what appear to be black stringy worms in her diapers. I have no idea what these are. She has very little appetite and we are doing everything we can to get her to drink.
Tue, 27 Nov 2012
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Pediatrician,  's  Response
Hi

Diarrhea of 5 months duration with weight loss, needs to be addressed seriously.

She has to be investigated for the cause. Malabsorption/ celiac disease/ immunodeficiency/ food allergy etc have to be ruled out. Few blood tests and Stool examination have to be done to rule out these.

If already done, do get back with all reports.
You can give her Flagyl syrup as your doctor would have thought of amoebiasis.
Black worm like thing may be due to the fibre in the diet- as in banana- that is not digested well.

Based on the diagnosis, her diet has to be modified. If she has lactose intolerance, milk has to be avoided. If celiac disease, gluten has to avoided.
If secretory diarrhea, medications like Racegadotril will help.
Probiotics may be of use. Discuss these things with your doctor.

Give her plenty of fluids- like ORS, plain water, vegetable soups, rice based food, curd etc.

Have her investigated and treated accordingly.
Hope my answer helps you
Wish a speedy recovery for your kid.
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Pediatrician,  Dr. E Venkata Ramana's  Response
child should be investigated for this prolonged diarrhoea and weight loss. For worms deworming medication should be take after consulting your regular doctor
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Child Has Diarrhea. Given Flagyl. Black, Stringy Worms In Stool. Low Appetite

Hi Diarrhea of 5 months duration with weight loss, needs to be addressed seriously. She has to be investigated for the cause. Malabsorption/ celiac disease/ immunodeficiency/ food allergy etc have to be ruled out. Few blood tests and Stool examination have to be done to rule out these. If already done, do get back with all reports. You can give her Flagyl syrup as your doctor would have thought of amoebiasis. Black worm like thing may be due to the fibre in the diet- as in banana- that is not digested well. Based on the diagnosis, her diet has to be modified. If she has lactose intolerance, milk has to be avoided. If celiac disease, gluten has to avoided. If secretory diarrhea, medications like Racegadotril will help. Probiotics may be of use. Discuss these things with your doctor. Give her plenty of fluids- like ORS, plain water, vegetable soups, rice based food, curd etc. Have her investigated and treated accordingly. Hope my answer helps you Wish a speedy recovery for your kid.