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Questions to the gastroenterologist

Questions to the gastroenterologist

Son 1.5 years. And now for several months he has an unpleasant smell from the mouth. Were at the dentist, he said that his son’s teeth are all right, the oral care is good.

What is the reason? What tests need to pass to make a diagnosis?

This is evidence of increased fermentation in the gastrointestinal tract. One of the reasons is the slow passage of food through the digestive tract, since not enough bile and enzymes are produced to digest it.

There may also be food intolerance to some product. Worms and parasites also enhance the putrefactive processes. For the diagnosis, an ultrasound examination of the abdominal organs is done, an examination is made for parasitic helminth infection, a coprogram is given, feces for carbohydrates, feces for dysbacteriosis, general blood and urine tests.

Consultation of a gastroenterologist is required to make the right conclusions and get recommendations.

My daughter is 2 years old, a chair – once in 3-5 days. After coming off “big”, I notice droplets of blood in the anus.

What could it be? Is it possible to make stools more frequent without resorting to medication?

Most likely, the child has anal fissure. To make the stool softer and more frequent, limit the amount of rice, semolina, white flour and sweet products in your daughter’s diet.

Increase the amount of vegetables, fruits, give more liquid, try to develop a reflex bowel emptying every day at the same time of day. Be sure to consult a gastroenterologist or proctologist, as only a specialist should diagnose, select and prescribe treatment after a direct examination of the child.

A curved gallbladder was found in my 3-year-old son on ultrasound. The pediatrician said that these are just the features of the structure, and I worry. Can health problems arise in the future due to such features?

Will there be stagnation of bile? Maybe it is worth taking some preventive measures at least in courses?

Julia, Vladimir

Features of the structure of the gallbladder is not a pathology, but a hereditary form of the organ. The risk of developing the disease occurs if the family has a hereditary predisposition to the development of cholecystitis and the formation of gallstones.

To control the state of the gallbladder, 1 time per year, an abdominal ultrasound scan should be performed. If your baby has abdominal pain¸ contact a gastroenterologist.

The doctor will determine the program of examination and treatment.

Child 4 months. I feed only with a breast, but it is strongly disturbed by gases.

The mother-in-law says that if water is added to the water, there will be less gas. Is this really true?

Marina, Vologda

The cause of increased gas formation in a baby who is breastfed and developing well may be the reaction of the body, including the allergic one, to the products that the mother eats. The second group of causes is gastrointestinal diseases. Addition of such problems are not solved.

To find a specific cause, a feces study is performed — a coprogram — and a feces analysis for carbohydrates. According to their results, a gastroenterologist will help to adjust the mother’s diet or prescribe treatment.

The doctor will also determine if additional studies are needed.

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