Digestive Conditions

Digestive problems can severely affect a child’s quality of life. The pain and discomfort your child experiences can prevent him or her from enjoying daily activities. That is why it’s important for your child to receive care from a paediatrician with a multitude of experience in digestive problems.

Dr Bisiwe has the skills and ability to diagnose, treat, and manage digestive disorders in infants, children and teenagers.

Cow's Milk Allergies

Cow’s milk protein intolerance (CMPI) is defined as an abnormal reaction by the body’s immune system to protein found in cow’s milk. The immune system normally protects our bodies from harm caused by bacteria or viruses. In CMPI the immune system reacts unusually to the protein found in cow’s milk. This reaction can cause injury in the stomach and intestines.

Risk factors for developing CMPI include having a parent or sibling with atopic or allergic disease (like asthma, eczema, and seasonal allergies). Breastfeeding seems to protect infants from developing CMPI.

While allergies are fairly common, be sure to schedule an appointment with Dr Bisiwe if you notice the following:

  • Increased tiredness or lethargy
  • Fevers
  • Severe vomiting or diarrhea
  • Problems Feeding
  • Weight loss
  • Blood in the stools


Children between 1 to 4 years of age typically should have a bowel movement once or twice a day, over 90% go at least every other day. However, children that go every other day may be constipated.

Constipation is very common in children of all ages, especially during potty-training and in school-aged children. Of all visits to the pediatrician, 3% are in some way related to constipation. At least 25% of visits to a pediatric gastroenterologist are due to problems with constipation. Millions of prescriptions are written every year for laxatives and stool softeners for children, to make them more comfortable.

If your child struggles with constipation, please schedule an appointment with a medical practitioner as soon as possible. Constipation is extremely uncomfortable, and even painful, for children and typically results in a few embarrassing, involuntary accidents as it goes on. The sooner your child gets relief, the happier they will be.

Reflux & GERD

In babies it’s called spitting up. In older kids, the signs of reflux and GERD can be burping, stomach aches, and heartburn. Most people experience acid reflux sometimes, and it’s usually not a problem. Even infants who spit up frequently are usually perfectly healthy.

However, in some people, reflux happens so frequently and is so severe that it develops into a condition called gastroesophageal reflux disease (GERD). GERD occurs when reflux causes troublesome symptoms or complications such as failure to gain weight, bleeding, respiratory problems or esophagitis.

You can develop GERD at any age. There are some differences between the symptoms, management, and treatment of GERD in infants and GERD in older children and teens. Dr Bisiwe has years of experience and can assist, whether you have an infant, older child, or if you are a teen with GERD. The most important thing to know is that, with proper treatment, kids with GERD can lead normal, active lives.


Diarrhea is one of the most common illnesses in children and a common reason for doctor visits. If diarrhea lasts for less than one week it is considered acute (longer term diarrhea is considered chronic).

Often Diarrhea occurs in several members of a family or a classroom at the same time. The average child under 3 years of age will have 1 to 3 episodes of diarrhea every year, and acute diarrhea accounts for almost 10% of all childhood hospital admissions. Although diarrhea occurs year round, it is more common during the winter months.

Dr Bisiwe has assist with several cases of acute and chronic diarrhea, and has all the tools and knowledge to help your child. Through years of experience, he has tried and trusted methods of treating this common illness and will have your child feeling better in no time.

Abdominal Pain

Acute abdominal pain is a common complaint in childhood, and it can be caused by a wide range of underlying surgical and non-surgical conditions. The most common non-surgical condition is gastroenteritis, while the most common surgical condition is appendicitis. Abdominal pain in children varies with age, associated symptoms, and pain location.

Although acute abdominal pain is usually benign and self-limiting, there are uncommon but life-threatening conditions that require urgent care. Meticulous history taking and physical examinations are essential to determine the cause of acute abdominal pain and to identify children with surgical conditions such as appendicitis.

If your child is complaining of abdominal pain, please schedule an urgent appointment with your paediatrician. Dr Bisiwe has seen many cases involving abdominal pain, and has the experience and knowledge necessary to decipher between urgent cases, such as appendicitis, and less urgent cases that can be treated with medication.