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Baby cries while passing urine and has watery stools, breast fed. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can i help you ?
User :   Hi.
Doctor :   ok
User :   My nephew is just 15 days old. He cries a lot everytime befor passing urine
Doctor :   Did you see a doctor for the same ?
Doctor :   ok
User :   One he passes urine he stops crying
User :   I think he has some difficulty before passing urine
User :   not yet
Doctor :   May I know about his diet? Is he feeding well?
Doctor :   Ok
Doctor :   Is he the first child?
User :   The same is the case while passing stools
Doctor :   May I know his mode of delivery? Was it normal or cesarean section?
Doctor :   Ok
User :   yes. he is feeding well. He drinks only mother's milk and nothing else
Doctor :   Was there any complications during delivery?
User :   he is the first child
User :   normal
Doctor :   When did he pass urine for the first time and also the stools?
User :   no
Doctor :   Ok
Doctor :   Ok
User :   stools - 4-5 hrs after birth
Doctor :   Thats normal.
User :   urine- 10 hrs after birth
Doctor :   Are there any changes in the urine? like the odour and colour?
Doctor :   Ok
Doctor :   May I know the frequency of urination?
Doctor :   Ok
User :   of late the urine and stools have a small iron smell.
Doctor :   Ok
User :   His mother takes iron tablets in the night
User :   the colour hasn't changed much
Doctor :   Ok
User :   once every two hours he urinates
User :   that is also the frequency at which he feeds
Doctor :   After going through the description provided by you, I feel that he might be suffering with urinary tract infection.
Doctor :   It would be better to see a pediatrician as for examination and as he might require a course of antibiotics.
User :   ok
Doctor :   meanwhile you can follow these measures: Doctor :   1. Maintain hygeine.
Doctor :   Every time he passes urine or stools, clean the area with wet cloth and then with fresh dry cloth.
Doctor :   2. Apply talc powder over the area expect the penis to avoid infection from the surroundings.
Doctor :   3. Always use fresh cloths or diapers everytime you change.
User :   ok
Doctor :   Regarding stools, it common to see the child straining while passing stools as the abdominal muscles are not completely developed.
Doctor :   The muscles would develop by 6 months of his age.
Doctor :   You can also give COLIC AID syp after consulting your doctor for his pain.
Doctor :   Continue feeding him as he demands.
User :   ok
Doctor :   Did you follow my suggestions?
User :   ok
Doctor :   Are there any more queries for me to help you with?
User :   yes doctor
User :   Is it ok if he passes stools for more than 10 times a day
Doctor :   Yes, normally child passes stools every time he feeds. So, its normal and there is no need to worry on this.
Doctor :   Yes, considering he feeds atleast 10 times a day in the gap of two hours.
User :   he passes stools 10-12 times a day
Doctor :   After passing stools, he goes to sleep.
Doctor :   It is due to gastro colic reflex normally seen in new born child.
User :   ok.
Doctor :   In this every time the child feeds the motility of the gut increases producing stools.
Doctor :   Yes, that too happens normally.
User :   Not really doctor. he sleeps after feeding and not generally after passing stools
Doctor :   Are there any more queries for me to help you with?
Doctor :   OK
User :   the motion is watery and looks like spoilt milk
Doctor :   This is usually seen in gut infection.
Doctor :   Please ask the mother to maintain good hygeine in the feeding area.
Doctor :   Ask her to wipe of the area with fresh dry cloth after every feed.
Doctor :   To change the clothes atleast twice a day.
Doctor :   And prefer wearing cotton clothes.
User :   ok doctor
User :   is it abnormal to have watery motion?
Doctor :   yes, considering the stools to be of normal consistency after birth, it signifies of any gut infection.
Doctor :   If the stools are of watery consistency since birth then he might be having mother's milk allergy know as lactose intolerance.
Doctor :   No, it would be semi solid.
User :   should it be solid, normally?
Doctor :   Are there any more queries for me?
User :   ok
Doctor :   Thanks for consulting me.
Doctor :   Take care
User :   ok doctor. thank you for answering my queries
Doctor :   Bye for now.
User :   I hace no more queries
User :   bye
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