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Do you think he is cutting?
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<blockquote data-quote="seriously" data-source="post: 469322" data-attributes="member: 11920"><p>***too much information WARNING***</p><p></p><p>The doctor needs to look further than a stool sample testing for blood and bacterial infections. If he did not do an actual physical exam including a rectal exam then he needs to do that before physical illness can be ruled out as causing the symptoms.</p><p></p><p>In other words, the doctor needs to do a thorough work up unless he finds that your son is indeed cutting and that explains the blood.</p><p></p><p>Cutting as an explanation for blood in the toilet seems a stretch to me but with difficult child's you never know. </p><p></p><p>I think it is much more likely that your son has a physical health issue that is causing bleeding. Thanks to having a kid with Crohn's Disease I know waaaaaay more about the digestive system and these kinds of issues than I ever wanted to know. Including diagnosis and treatment of serious chronic constipation.</p><p></p><p>Constipation is the most likely cause either because it has caused fissures or because he's developed hemorrhoids (internal or external) and they're bleeding. The fissures you get from constipation are really painful, in case you've never had one, and I would think your teen would be willing to admit to pain if he's having it when he goes. But if your son has been constipated for any length of time a single or even week of treatment is not enough to solve that problem. The longer you've been constipated the harder it is to recover because it stretches out your rectum and that doesn't go back to the right size for up to a year. Just so you know in case it definitely is constipation. Typical treatment is adding Miralax to the diet in large quantities on a daily basis. One way of checking for constipation is taking an xray of his gut which will show large amounts of stool. Unless your son is very overweight, the doctor should also be able to tell by feeling his belly.</p><p></p><p>Other possible causes of bloody stools that I know of include</p><p> </p><p>1) a temporary illness like food poisoning but usually there would be other acute symptoms and/or a positive stool culture</p><p>2) irritation of the lower intestinal tract from introduction of foreign objects</p><p>3) more serious diseases like Inflammatory Bowel Disease (Ulcerative Colitis and Crohn's Disease)</p><p></p><p>I am sure there are other potential causes but these are the most common I believe. Ulcerative Colitis and Crohn's Disease are most often first diagnosed in teens and young adults. So I would not dismiss these symptoms out of hand. If the symptoms are continuing or recurring then the doctor really needs to take them more seriously.</p><p></p><p>Unfortunately, constipation can be a symptom of Crohn's Disease as happened in my son's case. This delayed his diagnosis by almost a year because the typical presentation is severe diarrhea and weight loss. So if the symptoms persist you may have to insist on a referral to pediatric gastroenterologist for a more thorough work up.</p><p></p><p>Hope it's nothing and all's well.</p></blockquote><p></p>
[QUOTE="seriously, post: 469322, member: 11920"] ***too much information WARNING*** The doctor needs to look further than a stool sample testing for blood and bacterial infections. If he did not do an actual physical exam including a rectal exam then he needs to do that before physical illness can be ruled out as causing the symptoms. In other words, the doctor needs to do a thorough work up unless he finds that your son is indeed cutting and that explains the blood. Cutting as an explanation for blood in the toilet seems a stretch to me but with difficult child's you never know. I think it is much more likely that your son has a physical health issue that is causing bleeding. Thanks to having a kid with Crohn's Disease I know waaaaaay more about the digestive system and these kinds of issues than I ever wanted to know. Including diagnosis and treatment of serious chronic constipation. Constipation is the most likely cause either because it has caused fissures or because he's developed hemorrhoids (internal or external) and they're bleeding. The fissures you get from constipation are really painful, in case you've never had one, and I would think your teen would be willing to admit to pain if he's having it when he goes. But if your son has been constipated for any length of time a single or even week of treatment is not enough to solve that problem. The longer you've been constipated the harder it is to recover because it stretches out your rectum and that doesn't go back to the right size for up to a year. Just so you know in case it definitely is constipation. Typical treatment is adding Miralax to the diet in large quantities on a daily basis. One way of checking for constipation is taking an xray of his gut which will show large amounts of stool. Unless your son is very overweight, the doctor should also be able to tell by feeling his belly. Other possible causes of bloody stools that I know of include 1) a temporary illness like food poisoning but usually there would be other acute symptoms and/or a positive stool culture 2) irritation of the lower intestinal tract from introduction of foreign objects 3) more serious diseases like Inflammatory Bowel Disease (Ulcerative Colitis and Crohn's Disease) I am sure there are other potential causes but these are the most common I believe. Ulcerative Colitis and Crohn's Disease are most often first diagnosed in teens and young adults. So I would not dismiss these symptoms out of hand. If the symptoms are continuing or recurring then the doctor really needs to take them more seriously. Unfortunately, constipation can be a symptom of Crohn's Disease as happened in my son's case. This delayed his diagnosis by almost a year because the typical presentation is severe diarrhea and weight loss. So if the symptoms persist you may have to insist on a referral to pediatric gastroenterologist for a more thorough work up. Hope it's nothing and all's well. [/QUOTE]
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