I recently took Obadiah in for his 15-mo checkup (at 16 months, lol, a little behind). I was concerned about diarrhea, and had made a note under the "questions/concerns" section of the journal. I flipped back a couple pages and noticed I had made the same note at 9 months. Hmmm. When I thought about it, I remember him struggling with diarrhea around the same time we went to Florida, too (when he was 13 mos).
This particular episode began around the first of August. By the time we went to his appointment, he had been pooping every day between 3-5 times per day. Nearly every single poop was a '6' on the Bristol Stool Scale. I haven't been able to notice a predictable pattern, except that he is not likely to poop when we are away from home. Sometimes his poops are very acidic and leave his bottom very red. I can tell before I even change his diaper--when I pick him up, he will be very stiff and he will cry the second we enter the room where I change his diaper. It's heartbreaking. :(
The first concerning thing the doctor noticed is that he has had poor weight gain over the past 4 months. He didn't lose weight, but he "fell out of his growth curve." Basically he went from being close to the 50% at 9 mos for weight to down to under the 25% by 16 mos. The doctor ordered a stool sample. The stool sample tested negative for giardia and other parasites, but it did show white blood cells present. Based on this information, she is referring us to a pediatric gastroenterologist. That appointment isn't until the end of September, so she said that if he "gets better" in the meantime, we can cancel the appointment.
That part is a little confusing for me. What does "gets better" actually mean? Especially considering my note about diarrhea at 9 months. He may seem to "get better" for a few weeks, only to have this pop back up again later, right? Everyone that I've talked to has encouraged me to keep the appointment regardless. I also plan to keep a detailed diary of what he eats and how he poops, but I didn't think I should keep 6 weeks' worth. :)
I questioned if his issues could be dietary. I don't give him juice, the most common culprit of toddler diarrhea. I learned that a loooooong time ago with my other kids! Speaking of the other kids, they too have had similar poop patterns--a handful of grapes means a poopy diaper within hours. I have always wondered if a fructose
The weird thing is the fact that he doesn't poop away from home. Is this a factor or just a distracting detail? Last week while we were camping he pooped only once each day. We came home Friday around lunch time (after he had already pooped that morning at camp) and guess what? He pooped two more times upon arriving home! How is that that he went Sunday (Sundays we are on the go--to church and other places) through Thursday only pooping once per day, and upon returning home he resumed his "normal" diarrhea schedule? It's something that I plan to make note of in my diary for the G.I. doc.
I'm praying for answers to help our little man. He is such a happy guy with a strong will and, I believe, a high pain tolerance.