Conversation: The conversation between human and AI assistant.
[|Human|] my son has really foul smelling stools. What could be the issue besides possibly lactose intolerance & celiac disease? He is 7 years old. He had a upper GI endoscopy done a few years ago and at that time he was diagnosed with eosinophilic esophagitis and they also mentioned that he had lower than average lactase levels. His dairy intake is not excessive. He has a glass of milk in the morning or afternoon and occasionally pizza. I m concerned because although he has no other symptoms such as stomach discomfort or gas or bloating, his stools are really malodorous to the point where we have to have him change his underwear and shorts often for no other apparent reason. Please advise. Thank you!
[|AI|]  The foul smelling stools could be due to overgrowth of certain bacteria in his intestines. A course of metronidazole thrice daily for 5 days should be helpful. Also give him plenty of curd. You may skip the glass of milk in the morning and give other nutritive food items instead. The primary manifestation of lactose intolerance would be bloating and abdominal distention which your child does not have. In case of celiac disease, failure to grow properly and frequency of stool are generally present.