Discussions By Condition: Gastrointestinal conditions

Green diarrhoea with traces of visible blood

Posted In: Gastrointestinal conditions 3 Replies
  • Posted By: Anonymous
  • September 9, 2006
  • 01:01 PM

My one year old male child (weight 7 Kg) has had an history of chronic diarrhoea right from when he was 2 month old. At the age of 7 months, the stools turneed greener and occassionally traces of blood started appearing in the stool. The child was still playful and hence oral treatment with furazolidine was given, followed by routine antibiotics and probiotics but the symptoms persisted. On his first birthday he was febrile and irritable refusing to take food. Hence he was hospitalized and was administered conservative IV fluid amd electrolytes along with ceftrioxone(IV) and amikacin for 7 days and was discharged. After two days he again became febrile and irritable with 13 motions in a day.Hence, he was admitted once again and an USG examination was performed. The USG showed a 1.1 cm colocolnic intusuception which remained the same on next day when USG was repeated. Hence lapratomy was performed and intusucception was scorrected and caecum was fixed without any apoptosis no necrosis, tubercles etc were seen. A seemingly innocent appendix was removed and was sent for histopath. The section was found to show tubercular appendicitis and was confirmed with resection done in another lab. Postoperatively the child is highly irritable but not febrile and no vomitting. The stools are green with traces of blood seen occasionally.

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3 Replies:

  • He was treated with ciprofloxacin IV, Metronidazole IV, amikacin IV, and vancomycin orally in the postoperative period for approx 10 days postoperatively
    Anonymous 42789 Replies
    • September 9, 2006
    • 01:04 PM
    • 0
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  • My one year old male child (weight 7 Kg) has had an history of chronic diarrhoea right from when he was 2 month old. At the age of 7 months, the stools turneed greener and occassionally traces of blood started appearing in the stool. The child was still playful and hence oral treatment with furazolidine was given, followed by routine antibiotics and probiotics but the symptoms persisted. On his first birthday he was febrile and irritable refusing to take food. Hence he was hospitalized and was administered conservative IV fluid amd electrolytes along with ceftrioxone(IV) and amikacin for 7 days and was discharged. After two days he again became febrile and irritable with 13 motions in a day.Hence, he was admitted once again and an USG examination was performed. The USG showed a 1.1 cm colocolnic intusuception which remained the same on next day when USG was repeated. Hence lapratomy was performed and intusucception was scorrected and caecum was fixed without any apoptosis no necrosis, tubercles etc were seen. A seemingly innocent appendix was removed and was sent for histopath. The section was found to show tubercular appendicitis and was confirmed with resection done in another lab. Postoperatively the child is highly irritable but not febrile and no vomitting. The stools are green with traces of blood seen occasionally. Can anybody help us with the diagnosis? The blood stains are still there. and it is fresh blood. The gastroenterologist believes that he may have polyps and wants to do colonoscopy
    Anonymous 42789 Replies
    • September 22, 2006
    • 02:02 PM
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  • I would get the colonscopy done. It sounds like IBD to me..
    Anonymous 42789 Replies
    • September 23, 2006
    • 04:22 PM
    • 0
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