Chronic diarrhoea in a teenager

A key consideration is whether the boy's gastrointestinal symptoms and growth are pathological, and if so, whether they are related. Since issues around puberty and diarrhoea may be embarrassing for him, it may be better to conduct the consultation without his mother present. Important causes o...

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Bibliographic Details
Published in:BMJ 2008-07, Vol.337 (jul14 1), p.a430-a430
Main Authors: Saxena, Sonia, Mitton, Sally G, Pollok, Richard
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Celiac disease
Chronic Disease
Crohn's disease
Diarrhea
Diarrhea - diagnosis
Diarrhea - etiology
Diarrhea - therapy
Feces - microbiology
Humans
Inflammatory bowel disease
Irritable bowel syndrome
Laxatives
Male
Pain
Physical Examination - methods
Proteins
Referral and Consultation
Salmonella
Thyroid gland
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Summary:A key consideration is whether the boy's gastrointestinal symptoms and growth are pathological, and if so, whether they are related. Since issues around puberty and diarrhoea may be embarrassing for him, it may be better to conduct the consultation without his mother present. Important causes of chronic diarrhoea in children Gastroenteritis Viral (rotavirus, norovirus, adenovirus, etc)-usually acute diarrhoea Bacterial (Campylobacter, Shigella, Salmonella, E coli spp, etc)-usually acute diarrhoea Parasites (Giardia lamblia, Cryptosporidium spp, etc) Inflammatory bowel disease Crohn's disease Ulcerative colitis Coeliac disease (with or without selective IgA deficiency or hypogammaglobulinaemia) Drugs (laxatives, for example) Cows' milk or soya protein enteropathy; disaccharidase deficiencies Endocrine causes (thyrotoxicosis, for example) Irritable bowel syndrome Useful reading Hill ID, Dirks MH, Liptak GS, Colletti RB, Fasano A, Guandalini S, et al.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.39490.625197.BE