Question

Last week, after the child had a bowel movement, they passed a little mucus along with blood strands. After two days, they stopped having bowel movements. On Monday, a routine stool test was normal, but the test did not show hidden blood; only red blood cells were present. Since yesterday evening, the child has been having bowel movements like this again. And before having a bowel movement, they always complain of stomach pain. What’s going on?

Answer

Allergic purpura is one of the common diseases in children, characterized by an acute onset and a weakness in its rapid progression. In pediatric allergic purpura, the onset is particularly acute, and what parents or children often notice first is skin purpura, which mostly recurs on both lower legs and around the ankles. Sometimes it is also accompanied by urticaria. In more severe cases, children may also develop hemorrhagic spots on their upper limbs and chest and back, even large ecchymoses or blood blisters. From the perspective of treating allergic purpura with the cooperation between parents and children, adjusting the diet becomes particularly important. Firstly, it is recommended to provide a diet free of animal proteins, which means a vegetarian diet. The food should not contain chicken, duck, fish, shrimp, milk, or various types of meat.