Concerns About Orange Floating Oil in Stool of 4-Year-Old Child - Pediatrics

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A four-year-old child has orange-red floating oil in their stool?


Hello: My child has been on medication from November 13 to November 24.
Initially, she had a fever of 38 degrees Celsius and mouth sores.
The doctor diagnosed her with gingivostomatitis.
During a follow-up on November 16, the prescribed treatment showed no improvement.
On November 18, the doctor indicated it was enterovirus pharyngitis, and after taking the prescribed medication, she recovered well.
She continued the medication until November 22.
After stopping the medication on November 25, I noticed that my child has orange-red floating oil in her gas or stool.
Could this be due to excessive medication causing liver damage or intestinal inflammation? Should I take her for a consultation? This condition has persisted for two consecutive days.
I would greatly appreciate your response.
Thank you very much.

Youxin de Mami, 30~39 year old female. Ask Date: 2006/11/26

Dr. Wang Jiayi reply Pediatrics


Dear Concerned Mom: Orange-red stool may be due to food coloring, medication, or blood, among other causes.
The presence of floating oil can result from incomplete digestion.
It is advisable for your child to see a pediatric gastroenterologist for an evaluation.
The Pediatrics Department at Hualien Hospital cares about you.

Reply Date: 2006/11/26

More Info


The presence of orange floating oil in the stool of your 4-year-old child can be concerning, especially following a recent illness and medication regimen. Based on the information provided, it is essential to consider several factors that could contribute to this symptom.

Firstly, the orange color in the stool could be attributed to dietary factors, particularly if your child has consumed foods that are high in beta-carotene, such as carrots, sweet potatoes, or certain fruits. Additionally, some medications can cause changes in stool color or consistency, and if your child was on antibiotics or other medications, this could potentially lead to gastrointestinal disturbances, including changes in stool appearance.

The presence of floating oil in the stool often indicates malabsorption, which means that the body is not adequately absorbing fats from the diet. This can occur due to various reasons, including pancreatic insufficiency, bile salt deficiency, or intestinal infections. Given your child's recent diagnosis of enterovirus and the symptoms of oral ulcers and fever, it is possible that the gastrointestinal tract may still be recovering from the viral infection, which can lead to temporary malabsorption issues.

Regarding your concerns about liver damage due to medication, while it is true that some medications can affect liver function, this is typically accompanied by other symptoms such as jaundice (yellowing of the skin and eyes), dark urine, or abdominal pain. If your child is otherwise feeling well and does not exhibit these symptoms, it may be less likely that liver damage is the cause of the orange floating oil.

It is important to monitor your child's overall health. If the orange floating oil persists, or if you notice any additional symptoms such as abdominal pain, diarrhea, vomiting, or changes in appetite, it would be prudent to consult a pediatric gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, dietary history, and possibly laboratory tests or imaging studies to determine the underlying cause of the symptoms.

In conclusion, while the orange floating oil in your child's stool could be related to dietary factors or residual effects from the recent illness, it is essential to remain vigilant. If the symptoms continue or worsen, seeking medical advice is the best course of action to ensure your child's health and well-being. It is always better to err on the side of caution when it comes to the health of your child.

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