Reference no: EM133760756

Question

Jeremy, a seven year old African-American boy, is brought into his pediatrician's office by his mother. For the past few days Jeremy has been suffering from abdominal pain and diarrhea (which is often explosive) that begins approximately 2 - 5 hours after eating. These incidences seem to occur more rapidly and with a greater degree of severity after breakfast compared to other meals. Jeremy's mother also notes that neither she nor her husband are exhibiting any of these symptoms while consuming the same foods as Jeremy. In talking with Jeremy, the pediatrician notes that the abdominal pain is associated with abdominal cramping and flatulence. Jeremy also states that he would occasionally feel "sick to his stomach" prior to the onset of some of these episodes. When examining Jeremy's medical record, his pediatrician notes that Jeremy's height and weight were slightly less than normal for his age and that he had exhibited similar symptoms approximately 6 months ago. Jeremy is current on all of his immunization and has no previous history of illness. Physical examination indicates that Jeremy was afebrile and normotensive. His respiratory rate was 12 breaths per minute and pulse was strong and regular at 73 beats per minute.