Thanks for writng to us with your health concern.
I have gone through your query with diligence. One good thing is that he has not passed any blood in the stool, so had no bouts of dysentry and hence we can rule out some of the bacterial causes for his problem.
Vague abdominal pain, cramps and foul smelling bouts of diarrhea points more towards malabsorption. He might have lactose intolerance, where a patient will develop such symptoms, on having any dairy products such as milk or cheese. He can also be allergic to certain food items. Commonly in infants and young children, rota virus is the leading cause of viral diarrhea. I will suggest you to get some tests done, since the poor kid has been suffering for a long time :-
1) CBC with ESR
2) Stool Culture : For ova, cysts and parasites
3) Renal Function tests ( RFT ) , LFT
4) Serum electrolytes
5) Rotavirus antigen test
6) CT Abdomen ( it can pick up some inflammatory condition, if present)
Once you get these tests done, the picture will be much clearer. Kindly consult a gastroenterologist to get an appointment for his condition and the tests. Once you're done, kindly upload the reports and we will assist you further.
Patient replied :
Hello again! Sorry for the delaye response, we had a doctors appointment today. It is definitely not the rotavirus because the diarhhea was short lived (only a couple days). The first set of blood work results came back normal indicating there is no virus. I'm waiting on the results of the rest of the blood work as well as the stool sample.
Hello.
Good to hear the first set of blood tests are normal. I still strongly suspect malabsorption. This can be known from the stool test by the presence of fat globules. Reducing substances in stool, if positive can indicate lactose intolerance. The good thing is, this can be managed well by initial restriction of lactose containing foods and other appropriate measures.
So when the test results are available, please do upload the reports.
Looking forward to hearing from you at your convenience.
Thank you.