Conversation: The conversation between human and AI assistant.
[|Human|] Hello there, my son is 7 and has a long history of food intolerances and allergies. He is anaphylactic to cashew nuts, but is also allergic to other tree nuts. He has allergies to eggs, dairy and wheat as well. He has had severe and ongoing tummy pain for about 3 months now. We have had many investigations. we found that he had giardia which was treated with antibiotic, but there was no improvement. He then had other tests and ultrasound scans of tummy and pelvis which did not show up anything. He then had an x-ray which showed that his entire colon was impacted and he was severely constipated. Our paediatrician told us to give him osmolax 2 scoops, 3 times a day until he had diarrhoea for 4 days and then have a repeat x-ray which we did. He was still impacted. He has just spent 4 days in hospital last week having a bowel washout. He has had another x-ray and is now clear, however he is still sick. There has been no improvement and he is still suffering from the same tummy pain. What should we do next? Concerned Mum
[|AI|]  Hi....the pain due to constipation can be chronic and take a very long time to settle. I do not think you should do anything more regarding investigation as the cause for this chronic pain abdomen is already known. The best way to deal with constipation is prevention rather than treatment. In future, I suggest restricting total milk intake to 300ml per day, eat a full cup of fruits daily especially more of papaya, to Chat Doctor. This is the natural and best way to prevent constipation. Regarding paint may take 2-3 weeks to completely settle and the recurrence of pain can be prevented only by preventing constipation. Regards -