Hello XXXXXXX
Thanks for posting your query .
I assume that you are breastfeeding your child . If yes then a diarrhoea in a breastfed child is very unusual and is best treated after confirming the diagnosis .
The present treatment ie rinifol syrup is a probiotic and is usually given for treatment of diarrhoea .
However I would like to know a few more details like ,
1. Wether the baby was given anything other than breastmilk like water , honey, gripe water , formula milk,any sweet ( prasad) etc in the last few days.
2. If there is any history of bottle feeding or pacifier use or travel outside home .
3. If the baby has been given any medicines or vaccination recently .
4. If mother has had any recent change in diet or started any medication.
If there is any such source of infection as asked above then it's more likely an infectious diarrhoea which might need treatment with antibiotics .
At present the baby's condition doesn't seem worrisome but if even after 3 days of starting rinifol there is no improvement then it's best to get a stool routine and culture test done and start appropriate antibiotics .
Meanwhile at present you may ask your doctor for prescription of zinc supplements ( 20 mg / day eg zinconia or z& d drops) to further help in faster resolution of diarrhoea.
The most important thing you can do is to prevent dehydration by frequent breastfeeding on demand ( even 1-2 hourly if needed).
Also do watch for signs of dehydration like decreased or absent urination, sunken eyes, dry mouth, irritability , fever. In case such signs are seen consult your doctor promptly.
Please do not worry as if mother is stressed it can affect the milk output and distress the baby.remember that most infant diarrhoeas are self resolving and with appropriate therapy your baby should be absolutely fine within a week.
Hope I have answered your query.
Awaiting your response,
Regards

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Hello ,
Thanks for the follow up .
Considering the details you have provided it seems that your baby could just be having a side effect of the medications you had given her couple of days back.Atarax can cause drowsiness and motinorm can cause frequent stools. Though the medications were taken till last Saturday and presently there should be no such effect like drowsiness, yet the loose stools might take a couple of days to resolve.So first and foremost do not give anything except breast milk not even gripe water to the baby.Continue Rinifol and if required zinc drops as per your doctors advice.
If the baby cries due to gaseous distension ask your doctor for prescription of colic aid or colimex drops .
You can apply any local zinc based ointment like siloderm or rashfree if there is any redness in anal (diaper) area .
If still the stools do not return to normal after 3 days get a stool test done and consult your doctor for prescription of antibiotic if required.
As of now you can wait and watch and it will mostly resolve in a couple of days.
Continue feeding 2 hourly or on demand.
Hope I have answered your query.
Kindly accept my answer if you have no further queries.
Regards

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Hello,
Thanks for the follow up.
Please do not hesitate to ask follow up queries.
It's my pleasure to clear your doubts.
Yes , you can give both as advised.
Walamycin is a mild and safe antibiotic for infant diarrhoea given as thrice daily dose .
Rinifol usually is given as 2.5 ml twice daily as it contains multivitamin and probiotics .
I agree that the treatment seems appropriate for the present condition of your baby and your baby should be absolutely fine after 3-5 days.
Another advice I would like to give you is to vaccinate your child adequately with IAP recommended vaccination schedule .
Do discuss it with your pediatrician at the next routine follow up.
Hope I have answered your query.
Kindly accept my answer if you have no further queries.
Regards

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