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Infant having Gastroenteritis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
Doctor :   Hi
User :   Hello
User :   I have a question
User :   My 9 months baby girl is suffering from loose motions. She is given Measles vaccine a week ago. What all food i should give her and what all I should avoid?
Doctor :   Please proceed
Doctor :   ok
User :   i visited paediatrics and she has given some medicines
Doctor :   Can you elaborate a little more.
User :   but i didn't get much details on food
Doctor :   Since when is she having the loose stools?
User :   3 days now
Doctor :   How many episodes of loose stools does she have in a day?
User :   as soon as she take some food she goes
Doctor :   Can you describe the consistency, colour of the stool?
Doctor :   Do you find mucous or blood stains in the stool?
User :   its yellow color waterry
User :   nothing
User :   almost 5-6 times in a day
Doctor :   Is she having associated symptoms such as fever, vomiting?
Doctor :   Is she feeding well?
Doctor :   Is she passing urine normally?
User :   First day she was having mild fever and vommiting also. After i visited paediatrician She is fine with these
Doctor :   Ok
Doctor :   Is she feeding well? and Is she passing urine normally?
User :   yeah... She is passing urine normally
User :   and we are giving her some fruits and rice, moong dal mix and
Doctor :   Ok
User :   ORS
Doctor :   Can you name the medications given to her?
User :   Domscal
Doctor :   Ok
Doctor :   Let me explain to you.
User :   and calpol
User :   yes please
Doctor :   Based on your history, your daughter is suffering from gastroenteritis.
Doctor :   Since you report reduction in the fever and vomiting, her symptoms are gradually improving.
User :   ok
Doctor :   It may take a few more days to completely resolve.
Doctor :   Since dehydration and its complications are the most life threatening implication of recurrent diarrhea,
Doctor :   the best form of diet in these circumstances is liquid diet.
User :   ok
Doctor :   So as far as the diet is concerned, any form of liquid diet is the best.
User :   any fruits?
Doctor :   Liquid diet in the from of gruel/porridge is the best.
Doctor :   You can try rice, lentils and other grain cereals.
User :   ok
Doctor :   Alternatively liquid vermiceli preparations, fruit juices can be given.
Doctor :   Though whole fruits are better nutritious, at this time, it is best that you give her liquids in the form of fruit juice.
Doctor :   Along with these you need to continue with the ORS preparations, as they help in replacing the salts along with water lost in the the diarrhea.
User :   Apple juice , Orange Juice, tender coconut ?
Doctor :   Feed her as much as possible(both ORS and liquid diet), but do not force them.
User :   ok
Doctor :   You can continue the any fruit juice.
Doctor :   In some individuals diary products and milk products can be intolerance,
Doctor :   so watch out for milk and milk products.
Doctor :   If they are inducing loose stools, then preferrably avoid them.
Doctor :   Apart from taking care of the fluid replacement - ORS and liquid diet
User :   yeah.. She is getting uncomfortable while having milk
Doctor :   you also need to watch out for symptoms of dehydration which your doctor would have explained to you.
Doctor :   Have you followed what I have suggested?
User :   yeah definitely...
Doctor :   Before closing, let me remind you of the signs of dehydration.
User :   yes please
Doctor :   They are drowsiness, refusal to feed, reduce tear formation, dry tongue, reduced urination, inactivity.
Doctor :   These are few early and common symptoms of dehydration.
Doctor :   If such symptoms occur, then you need to report back to your doctor.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   ok. And the medicine my paediatrics has given is good one or i should reconsult for another?
Doctor :   Domstal is given to prevent vomiting and calpol is given to reduce fever.
Doctor :   You can stop calpol syrup, if there is no fever.
User :   ok.
Doctor :   Use calpol syrup only if you feel she is having fever.
Doctor :   Along with these 2 syrups
Doctor :   you can also buy bifilac
Doctor :   which are available near your pharmacy.
Doctor :   One has to be mixed with a small bowl of warm water
Doctor :   and fed twice or thrice a day for a day or two.
User :   ok.
User :   Thanks doctor
Doctor :   Use them if it was not suggested by your doctor.
Doctor :   Symptoms are expected to improve in a few days.
User :   Thanks Doctor
Doctor :   If symptoms persists, or if symptoms of dehydration starts or if your child starts vomiting recurrently, then you need to report back to your doctor.
Doctor :   Hope it is clear to you.
User :   yeah
Doctor :   Do you have any other query?
User :   thats all i wanted to ask. Thanks a lot for your help
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Have a nice day!!
User :   Bye
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