Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Factitious Diarrhea in Two Children

Factitious Diarrhea in Two Children Abstract I describe two children with chronic diarrhea who had multiple admissions and numerous nondiagnostic procedures before the correct diagnosis of factitious diarrhea caused by laxative ingestion or diet manipulation by a parent was discovered. Report of Cases.—Case 1.—This was the fifth hospitalization because of vomiting and diarrhea for this 23-month-old female infant. Her mother had four previous miscarriages because of prematurity. The mother and father had separated before the birth of this child, and the child and mother lived alone. By history, the child had unexplained fever and had passed ten to 15 watery stools each day since infancy. The patient was pale and irritable, and her weight and height had fallen from the 50th to the fifth percentile. During this hospitalization, the child had watery, pink-tinged stools that averaged 250 g/day. An extensive evaluation disclosed that the following studies yielded normal findings: complete blood cell (CBC) count, References 1. Read N, Kreus G, Read M, et al: Chronic diarrhea of unknown origin . Gastroenterology 1980;78:264-271. 2. Bockus H, Willard J, Bank J: Melanosis coli: The etiologic significance of the anthracene laxatives: A report of four cases . JAMA 1933;101:1-6.Crossref 3. Morris A, Turnberg L: Surreptitious laxative abuse . Gastroenterology 1977;77:780-786. 4. Burkitt D, Walker A, Painter N: Effect of dietary fibre on stools and transit times and its role in the causation of disease . Lancet 1972; 2:1408-1411.Crossref 5. Lloyd D, Borda I: Food-induced heart burn: Effect of osmolality . Gastroenterology 1981; 80:740-741. 6. Cohen S, Mathis R, Walker W: Chronic nonspecific diarrhea: Role of dietary management in control . Pediatr Res 1978;12:432.Crossref 7. Lloyd-Still J: Chronic diarrhea of childhood and the misuse of elimination diets . J Pediatr 1979;95:10-13.Crossref 8. Fleisher D, Ament M: Diarrhea, red diapers, and child abuse . Clin Pediatr 1977;17:820-824.Crossref 9. Ackerman N, Strobel C: Polle syndrome: Chronic diarrhea in Munchausen's child . Gastroenterology 1981;81:1140-1142. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Factitious Diarrhea in Two Children

American Journal of Diseases of Children , Volume 136 (11) – Nov 1, 1982

Loading next page...
 
/lp/american-medical-association/factitious-diarrhea-in-two-children-cEcQ0X6B6V
Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1982.03970470071019
Publisher site
See Article on Publisher Site

Abstract

Abstract I describe two children with chronic diarrhea who had multiple admissions and numerous nondiagnostic procedures before the correct diagnosis of factitious diarrhea caused by laxative ingestion or diet manipulation by a parent was discovered. Report of Cases.—Case 1.—This was the fifth hospitalization because of vomiting and diarrhea for this 23-month-old female infant. Her mother had four previous miscarriages because of prematurity. The mother and father had separated before the birth of this child, and the child and mother lived alone. By history, the child had unexplained fever and had passed ten to 15 watery stools each day since infancy. The patient was pale and irritable, and her weight and height had fallen from the 50th to the fifth percentile. During this hospitalization, the child had watery, pink-tinged stools that averaged 250 g/day. An extensive evaluation disclosed that the following studies yielded normal findings: complete blood cell (CBC) count, References 1. Read N, Kreus G, Read M, et al: Chronic diarrhea of unknown origin . Gastroenterology 1980;78:264-271. 2. Bockus H, Willard J, Bank J: Melanosis coli: The etiologic significance of the anthracene laxatives: A report of four cases . JAMA 1933;101:1-6.Crossref 3. Morris A, Turnberg L: Surreptitious laxative abuse . Gastroenterology 1977;77:780-786. 4. Burkitt D, Walker A, Painter N: Effect of dietary fibre on stools and transit times and its role in the causation of disease . Lancet 1972; 2:1408-1411.Crossref 5. Lloyd D, Borda I: Food-induced heart burn: Effect of osmolality . Gastroenterology 1981; 80:740-741. 6. Cohen S, Mathis R, Walker W: Chronic nonspecific diarrhea: Role of dietary management in control . Pediatr Res 1978;12:432.Crossref 7. Lloyd-Still J: Chronic diarrhea of childhood and the misuse of elimination diets . J Pediatr 1979;95:10-13.Crossref 8. Fleisher D, Ament M: Diarrhea, red diapers, and child abuse . Clin Pediatr 1977;17:820-824.Crossref 9. Ackerman N, Strobel C: Polle syndrome: Chronic diarrhea in Munchausen's child . Gastroenterology 1981;81:1140-1142.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1982

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month