A thorough history is essential when a pediatric patients presents with bloody diarrhea, and knowing what disease processes commonly affect certain age ranges will also help lead the provider to the proper diagnosis. Questions should be directed according to the patient's age. Some essential questions to ask the parents will entail questions about the amount of blood, the exact color (bright red, dark, tarry, maroon, etc.), how many episodes, how many days, pain, emesis involved, history of straining with bowel movements, abdominal pain, trauma, travel, ill contacts, food consumed, current medications, and any other associated symptoms. Knowing whether the blood is mixed in the stool or dark red blood may suggest a proximal source with some …show more content…
Asking questions about trauma will be appropriate for toddlers, due to the possibility of a foreign object being placed into the anus. Also, potty trained child may ignore the urge to defecate because they are too distracted with other actives and they do not want to leave that activity to go to the bathroom. If this occurs, then chronic constipation can lead to anal fissures that can present as bloody diarrhea, so the blood may actually not entail an actual problem inside the GI tract (Burns, Dunn, Brady, Star, & Glosser, 2013).
The common causes of vomiting can differ in infants, children and adolescents. Vomiting can arise due to GI obstructive and inflammatory etiologies, CNS diseases, pulmonary problems, renal disease, endocrine/metabolic disease, drugs, psychiatric disorders, strep throat, pregnancy, and stress, with the most common cause being of GI origin (Mullen. 2009). Common causes of vomiting involving the GI tract are foreign bodies (coins), hypertrophic pyloric stenosis, intussusception, indirect inguinal hernia, appendicitis, volvulus, and gastroesophageal reflux (GER). With young infants, hypertrophic pyloric stenosis is a common cause of vomiting, which can
| It is caused by a bacteria called shigella bacteria The bacteria are found in faeces and are spread through poor hygiene; for example, by not washing your hands after having diarrhoea
The first most likely diagnosis would be acute gastroenteritis. According to Aftab and Churgay (2012), the patient has acute gastroenteritis is “often defined as the onset of diarrhea in the absence of chronic disease, with or without abdominal pain, fever, nausea, or vomiting”. This 18-month year old patient has had 6 episodes of diarrhea and 4 episodes of vomiting per day that occurred for two days. The patient also has no history of having a chronic disease.
Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per day.
Norovirus are viruses that cause an individual have stomach flu; some key symptoms include vomiting, nausea, diarrhea, and stomach cramping and at other levels there is low grade fever. The illness begins unexpectedly making the person infected feel very sick; the norovirus disease makes the patient very sick and
Adrian is a 32yo, G3 P2002, who is presently 22 weeks 6 days. She was initially seen for a history of Crohn’s disease with significant diarrhea. She has been unable to get into a GI doctor. We were able to make her a GI appointment and upon doing so, we learned that she had 2 other appointments scheduled by your office that she had reportedly “no showed” to; however, once we obtained the appointment for her we could not contact her to give her the appointment date and time and I feel that perhaps this happened from your office as well. At her visit because of her significant Crohn’s flare I started her on prednisone. She was also having extreme anxiety related to the constant diarrhea. I gave her some hydroxyzine. At today’s office visit
The diagnosis of this condition is insinuated by the symptoms of rectal bleeding, abdominal bleeding, and diarrhea. The doctor must rule out other possible causes. Some tests may include a stool test to check for infection, a blood test to reveal what the white blood cell count is, a colonoscopy to examine the rectum and inside of the colon, and a barium enema x-ray. A medical and family history also aids in diagnosis.
No. The records showed that the veteran had ileocolonic Crohn's disease diagnosed by Colonoscopy in September 2014. He was started Remicade infusion on 11/20/2014. It was then discontinued due to Infliximab-related infusion reaction. Humira was started on April 16, 2015.
Coronary artery disease with a stent, which thrombosed and was re-stented, hypertension, hypercholesterolemia, diabetes type 2, poorly controlled, tubular adenoma of the colon, low B12 noncompliant with B12 replacement, adrenal mass, status post cholecystectomy, polycythemia due to smoking, left total knee replacement.
Diarrhoea predominant: Diarrhoea after eating or in the morning, urgent and unable to be avoided.
Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.
• Respond to your child in the same way each time he or she has abdominal pain. Have your child's teachers or caregivers do the same.
According to “Crohn’s Disease,” in order to diagnose a patient with Crohn’s disease a series of tests and an in-depth physical exam may be necessary. Two reasons that blood tests may be done is to look for anemia which could be a sign of intestinal bleeding and to check the patient’s white blood cell count which if elevated is an indication that there is inflammation within the body. The doctor may also do a stool sample test in order to find out if there is any intestinal bleeding or infection.
Great discussion. Besides constipation which is a common complaint as part of GI issue in the pediatric patients I notice that urinary tract infection (UTI) is another common problem with the genitourinary (GU). Most of the time a child comes to the clinic with their parent for GU issues it mostly for UTI. Girls are much more likely to develop bladder infections than boys. “By age 6 year, 3 to 7% of girls and 1 to 2% of boys have had a urinary tract infection” (Weinberg, 2017). The biggest issues regarding UTI in pediatric patients are its complications. When a child has a urinary tract infection, and it is not treated properly, it can lead to a kidney infection. Kidney infections that last a long time or keep coming back can cause damage to
There is a difference between vomiting and spitting up/ gastroesophageal reflux, although the terms are often used interchangeably. Vomiting usually is more force and is larger in amount. Gastroesophageal reflux often occurs with a burp after feeding. It can be hard to tell if an infant is spitting up or vomiting because some infants reflux forcefully or in large amounts. It is the duty of the pediatric
1. Date of birth:____________(MM/DD/YY); 2. Height (m): (i)___________ (ii) ___________ Average __________ 3. Weight (kg): (i)___________ (ii) ___________ Average ___________ BMI (kg/m2) ________ 4.