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Child passing greenish watery stools, no relief with medication. Cure? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1772 Questions
User:Hello Sir
Doctor:How can I help you today?
User:I have Kid of 10+ Months old from yestarday he has loose motion
User:Yestrday he had 10 times, it is watery, Greenish and aroung 5 to 10 ml each time
User:Yestrday Chatted with doctor XXXXXXX and giving him ORS, Bifilac and Zincovit
Doctor:So did you any improvement?
User:ORS from One XXXXXXX prepared in 100 ml water and gave him small small quantity10-15 times
User:not yet
Doctor:I will ask a few questions to get a better idea of his condition.
User:And mixed one sachaet of bifilac in 50 ml water and gave this quantity 3 times 15-20 ml each time
Doctor:Does he have other symptoms apart from loose motions?
Doctor:Pain in abdomen?
User:He is not crying much, he is normal as usual. But crying very little more than normal.
User:Also Sleeping normally
Doctor:Can you describe his diet?
User:Morning he will have Rice
User:Night gave him 1 Bannana
User:Yestrday, Afternoon and Evening also we gave him Rice instead of Cerlac
Doctor:Milk intake?
User:Breast Feeding only
Doctor:That is good.
Doctor:No bottle feeds?
User:No, but the ORS and Bifilac prepared in separate bottles same is fed to him multiple times
User:No External milk, we have not started yet
Doctor:Does he have any medical concerns in the past?
Doctor:Is his immunization up to date?
User:We cam back from native last tuesday
Doctor:I think he got an infectious diarhea...most probably viral.
User:But last to last week he was crying non stop in native i.e. 7th April, we took to doctor, he gave injection and some other medicines
User:Ok, what is your Suggestion
Doctor:Do you remember the name of the medicines?
User:I think one is colicaid and another to stop him from crying pedicr.. don't remember exactly. I can call my wife and get it if required. But I gave it only once as he got quered after omitting twice and having motion once. After that he was fine.
Doctor:We need to take a few measures to get his motions in control.
User:But before statring this motion problem instead of having motion daily he was having motion two day's once twice
Doctor:It is normal for breast fed babies to go for motions upto even 8 times a day.
Doctor:Since he is on solid foods as well it brings down the motions to 3 or 4 times a day.
Doctor:Since he has green colored stools, I am thinking that he is passing out everything he is eating.
Doctor:Therefore we need to give his intestines a little rest from feeds.
Doctor:I want you to get ORSL that is ready made ORS OR Gatorade.
Doctor:Both are equivalents of ORS and are already prepared.
Doctor:During night time you may give him ORSL only.
Doctor:This will help him with rehydration and give his intestines a little rest.
Doctor:Continue breast feeding during the day.
Doctor:Also give him more of solid food during day.
User:Night he gets up once or Twice and sleeps back after breast feed, is that is fine
Doctor:This will reduce the frequency of stools.
Doctor:Normally that is fine.
Doctor:My instructions are only meant for the time he has diarhea
Doctor:If he does not get better by tomorrow then you need to take him to his pediatrician.
User:I can continue to feedhim the bifilac correct
Doctor:I think an ultrasound of his abdomen should be done to rule out any anatomical causes.
Doctor:Do not give him bifilac now.
Doctor:I need his intestines to rest.
User:Ok, I will stop it
Doctor:Usually parents feed kids when they cry.
Doctor:But during diarhea feed every two hours
Doctor:Other times give him gatorade only
User:So Today feed him only rice and bannana and avoid feeding during day time correct? And continue to give ORS whenever he has loose stool correct?
User:Ok 2 Hours once feeding is fine
Doctor:Actually if you avoid feeding the breast milk letdown may stop
Doctor:Donot feed him through the night
Doctor:During night give him gatorade only
User:Twice is fine, otherwise he will not sleep
Doctor:He will sleep. Kids like gatorade taste.
User:during night
Doctor:They sleep well on it.
Doctor:I also want you to give him thick food during day.
User:ok. What is the quantity of ORSL? And once opened how many days we can continue to use?
Doctor:You may discard it in one day.
User:It doesnot required to be diluted correct
Doctor:It has already been prepared.
Doctor:You just need to open the bottle and give it as such.
User:Ok Fine. We will give now on ORSL and Rice, Bannana and avoid feeding as much as possible. If doesn't quere tommorrow will go to doctor.
Doctor:You can also include cereal
Doctor:Also other foods. He must be hungry from the loose motions.
User:Ceral usually we mix in Lactogen and fedd him, is that is fine or now we have to mix in water?
Doctor:Actually if you can mix it in breast milk it is best.
Doctor:Otherwise mix it in clean water.
Doctor:Clean hygienic food is a must to avoid recurrent infections of gut.
Doctor:Do you have other question?
User:This all started after I gave him musc mellon. Usually he eats it without any issues
Doctor:It is ok to try foods with baby.
Doctor:Was it the first time he was taking melon
Doctor:Since new foods can cause allergies in kids which can present similarly.
User:no, I gave him muliple times. But previously after cutting I use to dip it in hot water and then take out and once cools down I use to feed him. But this time fed him after cleaning with mineral water.
Doctor:ohk Water cleaned with reverse osmosis technique is better than mineral water.
Doctor:It is more clean
User:Also this time her mother had Ground nut sweet roti's
Doctor:That is ok
Doctor:That is not harmful.
Doctor:I think melon was cleaned in mineral water...that caused the symptoms.
Doctor:Since source of mineral water is not reliable.
User:That is correct
User:Ok Thanks doctor will follow your suggestions and if still it continues will take him to Cloudnine hospital
Doctor:Ok good
Doctor:Hope I helped.
User:Yes. Thank you Very much
Doctor:Do you have other question?
User:Is it is fine to start ORSL from evening. Presently wife will continue feeding the preparation she has made from one ORS XXXXXXX
Doctor:Now only you should start.
Doctor:Actually you may be making it in mineral water.
User:Mineral water, that is boiled
User:It is fine correct?
Doctor:Still it is better if you get gatorade or ORSL.
Doctor:Gatorade you can get at any bog store.
User:I will get it while going back home from office
Doctor:ok good
User:Thank you
Doctor:Do you have other question?
User:No thanks
Doctor:You can always login again to chat with a doctor 24/7
Doctor:I will close the chat window now
Doctor:Bye for now.
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