Please only answer if you are very Exoerienced with GI in pediatrics... Long story short, my son's (13) pediatrician suspected IBD
in my son mainly because of vague GI symptoms like frequent (2 times a day) floating stools, gas
on and off. He was
also concerned because of poor weight gain and slightly delayed puberty. He ordered blood work (a year ago) that checked for things like CRP and other inflammation markers. All were normal. Then he ordered faecal calprotectin test that was elevated as 296.
I decided at that point to make changes in his diet and eliminated gluten and dairy from his diet. He actually gained some weight, but loose stools were still on and off without any obvious explanation. Most of the time the stool was well formed. 3 mo later
we repeated stool studies but added tests for infection along with the repeated calprotectin. Now it went down to 202. Still elevated, but better than it was. His GI wants him to go back on gluten and oerforn endoscopy/colonoscopy on him. My questions: 1.
Is this value high? The value is given in mcg/g and when I try to look at the ranges online, most of them are written as ug/g. Is there a difference? 2. From your clinical experience, would you suspect Crohn or other IBD? If so, is it typical for the value
to go down without any treatment? 3. He has been taking NSAID for the past three months... Could that influence the results? 4. He does have vague GI complaints, but I thought that true IBD would be more severe and. The value would not go down on its own.