Conversation: The conversation between human and AI assistant.
[|Human|] My grandson has an ileostomy. Recently, he had fluid leakage from his belly button. At first it was clear fluid. He was hospitalized in Boston. They did an ultrasound and cat scan but didnt see anything unusual. They gave his high doses of antibiotics and said it was probably a localized infection. Last week it came back only this time it was green fluid coming out of his belly button. After reaching the Boston doctors again, they put him on antibiotics for 10 days. His bellybutton is not infected. It is coming from inside. What could be doing that?
[|AI|]  Hi. Thanks for your query and an elucidated history. The clear history of a clear fluid and then the green fluid from the belly button is suggestive of a condition called patent Uranus or patent vitillo-intestinal duct. This is not easily diagnosed on ultrasonography or even a CT scan. I would advise the following in such a patient :Get the examination of the fluid done-the routine, microscopy, culture and sensitivity. Since the antibiotics are not working, it is better to do an exploratory Laparotomy, see for the underlying cause and get a surgical correction for a permanent cure.