Fragen an den Experten

C. Difficile (Colitis)


Frage

Two years ago our 4-year-old son had a blockage in his bowel. Recently he was in the hospital for 8 days with much pain. They did an upper GI series, endoscopy, CT scan and blood work, which were all negative. He has also had C.Difficile and colitis treated with antibiotics but with no improvement.

  1. Why not a lower GI series?

2. What other tests should be performed?

Antwort unserer Experten


I assume that the pain is cramping with the diarrhea. C. difficile can be hard to treat and certainly can come back. If it doesn't respond to flagyl, we usually treat another cycle. You can also try oral vancomycin, but it is very expensive. We have often used Amphogel to bind the toxin (1/2cc/kg/dose 4 times a daynot by other meds as it will bind them) and either homemade yogurt or lactobacillus capsules to try and alter the flora enough to control the diarrhea and cramps. The prep we use is called Culturelle.

You don't usually want to do a barium enema if there is inflammation of the colon; they should have been able to lookfairly well with the CT scan.

CP/TK 7-13-10

Antwort ist geprüft und gültig für
us

Empfehlung(en)

Pain and Behaviour

R18
As pain can easily remain unrecognised in a child with CdLS, all care providers should be aware of the different manifestations and the possible sources of pain. Specific tools to assess pain are recommended.

Empfehlung(en)

Gastrointestinal Problems

R28
Every new born suspected or proven to have CdLS should be carefully evaluated for signs and symptoms consistent with gastrointestinal malformations.

Rechtlicher Haftungsausschluss

Bitte beachten Sie, dass der Fragen an den Experten Service aus freiwilligen Fachleuten verschiedener Fachgebiete besteht. Die Antworten sind nicht als medizinische, verhaltensbezogene oder pädagogische Beratung zu verstehen. Fragen an den Experten ist kein Ersatz für die Betreuung durch den persönlichen Arzt, Psychologen, Erziehungsberater oder Sozialarbeiter Ihres Kindes.

Haben Sie eine Frage, die Sie gerne stellen möchten?

Eine Frage stellen

Brauchen Sie dringend Hilfe? [Kontaktieren Sie den Institut für Humangenetik, Universität Duisburg-Essen, Universitätsklinikum Essen>>Doc:WaihonaPartners.deDuisburgEssen.WebHome]]!