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Toddler's diarrhoea - 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 : 1704 Questions
Doctor :   Hi
User :   Hi
Doctor :   Iam.Dr.XXX
Doctor :   Please post your query
User :   My daughter is constantly falling sick with loose motions
Doctor :   May i know your age?
Doctor :   her
User :   She is 1 year 21 months
Doctor :   Is she having fever?
User :   She is on Prowel
User :   No
Doctor :   since when you noticed these
User :   This is the third episode and last two instances it lasted for abt 1 & half months
Doctor :   ok
User :   This started last week on Tuesday early morning when started vomiting
Doctor :   prowell is a probiotic
User :   correct
Doctor :   which helps to replenish the intestine bacteria
Doctor :   was it noticed after a recent food change?
User :   but she still has loose motions
Doctor :   Does she ahve milk allergy?
Doctor :   ok
User :   no in fact she likes milk..we give her with horlicks
Doctor :   is it like watery stool or semi formed stool?
Doctor :   ok
User :   most of them have been watery stool (abt 5-6 times watery out of 8 yesterday)
Doctor :   is it green in color
User :   I have noticed green color at times
Doctor :   ok
Doctor :   is she taking oral feeds properly
User :   Although she is active and playful, in the last two instances she kept getting weak towards the 3rd week or so
Doctor :   Rotavirus is a virus that causes severe diarrhea. It can also cause vomiting, fever and dehydration. It is the leading cause of diarrhea in infants and young children.
Doctor :   Infection of the gut is the common cause.
Doctor :   A virus is the common cause of infective diarrhoea
Doctor :   Food poisoning (eating food infected with microbes) causes some cases of diarrhoea. Food poisoning is usually caused by a bacterial infection.
User :   ok
Doctor :   Non-infectious causes of acute diarrhoea are uncommon in children. For example, colitis (inflammation of the gut), food intolerance and various rare disorders of the gut.
Doctor :   For most children, diarrhoea will usually be quite mild and will get better within a few days without any treatment other than drinking plenty of fluids.
User :   We started with enuff 10 guess this is to bind the stool flow..
Doctor :   was his toole examination done?
User :   Don't know if we should continue with the same
Doctor :   sorry stool
User :   We did the stool routine on Saturday
Doctor :   enuff is racecadotril
Doctor :   AAAAAAA
User :   correct
Doctor :   used to controll diarrhoea in childrean
User :   Do you suggest to continue with the same medicines?
Doctor :   regular use is contraindicated
User :   Contraindicated would mean/
User :   ?
User :   not good, she has already had 7 sachets.
Doctor :   rotavirus is the most common cause of infective diarrhoea in children. There is an effective vaccine against rotavirus.
Doctor :   not to be used regularly
User :   Can we give her the vaccination now? heard it is to be given before 6 months of age
Doctor :   yeah
User :   ok should we stop enuff10 now or continue till few more days
Doctor :   Headache and hypokalemia have been observed as probable side effects of racecadotril administration
Doctor :   it is to be used only when really required
Doctor :   you need to do an stool examination too
User :   What do you suggest I do now? Continue with Prowel and wait for a few more days, do we do some tests
User :   We did a stool routine test on Saturday, do you want me to do any specific stool test?
Doctor :   he need to be also investigated for coeliac disease
Doctor :   which is a glutenn sensitivity
User :   how do we do that?
Doctor :   Under three years of age specific signs may be: growth failure; diarrhoea; projectile vomiting; abdominal bloating/ distension.
Doctor :   Celiac disease is genetic, meaning it runs in families. Sometimes the disease is triggered-or becomes active for the first time-after surgery, pregnancy, childbirth, viral infection
Doctor :   antibody test needs to be done
User :   we have not seen any of these symptoms
User :   as yet
Doctor :   is she having adequate weight
User :   she is 1 year 21 months - weighs 11.70kgs
Doctor :   so 2 years 9 months
User :   sorry only 21 months
Doctor :   weight is ok
Doctor :   ok
Doctor :   ok
User :   1 year and 9 months
Doctor :   ok
Doctor :   is she given ors solutions
Doctor :   Children should be given 50-100 mL/kg of ORS over a 2- to 4-hour period to replace their estimated fluid deficit, with additional ORS given to replace ongoing losses
User :   so which stool examination do you want me to do. We tried she has not liked the taste..I will get a different flavour today
Doctor :   Fatty foods and foods high in simple sugars should be avoided.
User :   ok gr8 I will do that
Doctor :   ok
User :   Can she have cheese and milk
Doctor :   Fecal leukocytes and stool culture may be helpful in children
Doctor :   yes controlled amount
Doctor :   should have a complete workup, including CBC and blood cultures
User :   What should I mention at the lab for these tests?
Doctor :   anyway she needs to be investigated for Lactose intolerance
Malabsorption syndromes
Irritable bowel syndrome
Doctor :   Blood routine,urine routines
User :   Whoa..thats a big one..
User :   I will do the blood routine and urine routine. Do you want me to also do the stool routine? Pls explain the big name you just gave
Doctor :   But understand
User :   yes
Doctor :   in most cases the toddlers diarrhoea
Doctor :   is without a cause
Doctor :   It is thought that the balance of fluid, fibre, undigested sugars and other undigested foods that reach the large bowel (colon) may be upset in affected children.
Doctor :   This can increase the amount of fluid (water) that is kept in the large bowel rather than being absorbed into the body.
Doctor :   In young children, even a slight increase in fluid left in the large bowel can cause stools to become more frequent and runny than normal.
Doctor :   As the child grows, the large bowel becomes more efficient and the condition goes.
Doctor :   Do not give children too much fruit juice or squash.
Doctor :   A diet with plenty of fibre such as fruit, wholemeal bread and vegetables is best
Doctor :   Toddler's diarrhoea is more common in children who eat a low fat diet.
Doctor :   Toddler's diarrhoea is not serious and will go as the child becomes older
User :   but you mentioned to avoid fatty food
Doctor :   No further tests are usually needed if the child is otherwise well. Symptoms usually go, with or without treatment, by the age of 5-6 years.
Doctor :   i meant more of oily food
Doctor :   milk can be taken normally
User :   Conclusion - should I continue with Prowell for another couple of days alongwith ORS and wait and then consult
Doctor :   yes
User :   gr8..this is really helpful and very educative
Doctor :   but after1 week do get anexamination
Doctor :   and investigate for malabsorption,immunity disorders etc
User :   Ok, so should I continue the medicine - prowell for a week or another 2 days?
User :   This has been a nice interaction - first time, I really thought will check out the facility.
Doctor :   OK
Doctor :   continue it for a week
Doctor :   What i still feel is that it is an toddlers diarrhoea
Doctor :   which is self limiting
Doctor :   but do continue other investigations
Doctor :   childrens intestines are very sensitive to changes in food so it do happens
Doctor :   with sudden food change
Doctor :   Thanks for consulting..................
Doctor :   Any help you need you can login 24/7
Doctor :   Bye for consulting..........
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