Conversation: The conversation between human and AI assistant.
[|Human|] my 14 month old son has been having bouts of constipation and diarrheoa for nearly a year now, his last and current bout of diarrheoa has lasted two weeks, his bottom is red raw to the skin and all I have been given is metanium cream and a thrush cream and been told he has a lazy bowel, I am concerned he might have something wrong with his bowels but no one seems concerned about that and are just treating the sore bottom and not the cause of it. what do you think I should do?
[|AI|]  Hi, It would be more helpful if you can give few more details, like what is his present weight, any history of recurrent fever, and any similar illness in other family members. Because, whenever a child is getting diarrhea and constipation alternatively on a long term basis, we need to rule out primary immunodeficiency. Another possibility is misuse/overuse of laxatives in a child with chronic constipation- in this case we need judicious use of laxatives under medical supervision with regular dose adjustment, followed by tapering. Hope I have answered your question. Let me know if I can assist you further.