00:01
A couple of words about
allergic proctocolitis.
00:05
Hematochezia in infancy,
and here, you’re looking
at early neonate
one day to three months
of age is pretty typical.
00:15
Proctocolitis, allergic
type definition.
00:18
Signs and symptoms, there will be
blood in this infant – in the stool.
00:22
Typically, not ill-appearing with
history of milk use or exposure,
that is important.
00:29
Oftentimes, you will find that the
child, the infant, is getting adapted
to the milk that’s being fed, hmm.
00:34
And during this time,
there might be protein
that “infant is not accustomed to."
So all of a sudden
now, the child,
the infant, the neonate
is having a reaction
to the point where you ended up finding
streaks of blood within the stool
and it’s bright red.
00:52
That’s what hematochezia
means, right?
Frank blood in the stool.
00:58
Allergic proctocolitis.
01:01
Diagnosis: history and exam
and may have increased WBCs
and if you think allergic,
then the major WBC that
should come to mind
eos, eosinophils in the stool.
01:17
Management, avoid
the milk formula
and maybe perhaps change,
maternal dietary change,
because you don’t know what exactly
is causing this “allergic reaction”
especially in the stool and the rectum and
in the colon in general in this infant.