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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Bowel Movement,fatigue, Abdominal Pain, Decreased Appetite, Upper Bowel Test Normal,colonoscopy

My 7 yro has frequent, urgent BM s 8-10 times per day, with little control (ie, soiling in pants) not diarrhea in consistency but has strong metallic odor . She has fatigue, abdominal pain, decreased appetite and has tested negative for Celiac , could she be gluten intolerant? Sx. have been occurring for 3 months now; upper GI/bowel test was normal and dr. wants to do to colonoscopy next.
Fri, 28 Mar 2014
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Emergency Medicine Specialist 's  Response
This needs investigations.
1) stool examination again for (blood mucus, amoebiasis and intestinal worms)and occult blood.
2) stool culture and sensitivity test for the bacterial infection.
3)Later colonoscopy....

This could turn out to be a simple gram negative infection.
Gluten allergy also has to be ruled out and so also irritable bowel syndrome.
Some times anxiety in anticipatory form can also add to all this happening.

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Frequent Bowel Movement,fatigue, Abdominal Pain, Decreased Appetite, Upper Bowel Test Normal,colonoscopy

This needs investigations. 1) stool examination again for (blood mucus, amoebiasis and intestinal worms)and occult blood. 2) stool culture and sensitivity test for the bacterial infection. 3)Later colonoscopy.... This could turn out to be a simple gram negative infection. Gluten allergy also has to be ruled out and so also irritable bowel syndrome. Some times anxiety in anticipatory form can also add to all this happening.