Hi XXXXXXX

Thanks for posting query.

It appears from your description that your son is now suffering from Respiratory tract infection, which is probably viral, is nature (as lymphocyte count above 80%).

His diarrhea may be due to antibiotics induced but there are chances it could be a gastrointestinal tract infection probably viral in nature. In children their immunity power is lower than adult so infection in any part of the body usually spread to other part. He also needed routine stool examination.

What we physicians are concerned is whether there is dehydration or not.

His medication are perfectly alright just follow some others measures-

1.     Give him plenty of water with ORS.
2.      Blunt diet.
3.     Follow him for development of any warning sign of dehydration-lethargy, irritability, decreased frequency and amount of urination, dry tongue, shrunken eye, pale extremities etc.
4.     Continue all the drugs until further advice by a pediatrician.

I advise you to get him examined by a Pediatrician at the earliest, get the investigation done and managed accordingly.

I give here names of some pediatrician who are good doctor as know them personally.-

1.     Dr Anjan XXXXXXX Apollo Glenegals Hospital, cell +(91)-33-0000.
2.     DR XXXXXXX XXXXXXX Bhattacharyya, BB-188, PNB Sec 1, Salt Lake City, Salt Lake, Kolkata – 0000, Call: +(91)-33-0000.
3.     DR XXXXXXX XXXXXXX Saha, EC 223 , Sector I, City Centre, Salt Lake City, Salt Lake, Kolkata – 0000, Call: +(91)-33-0000.
4.     Dr Kripasindhu Chattopadhyay, Burdwan(but I don’t his address and cell no. but he is a leading private practioner in Burdwan and is a very good doctor)

Hope I have answered your query. If you have any further questions, I will be happy to help.

If you do not have any clarifications, you can close the discussion, rate the answer, and please write a review.

Wish your child a speedy recovery.

Thanks,
Dr Sourav Ganguly

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Hi XXXXXXX

Thanks for your questions.

All antibiotics cause diarrhoeas due to killing of gastrointestinal tract normal commensal but among all antibiotics fluroquinolone (like ofloxacin, ciprofloxacine etc.) are safest. They are almost devoid of this side effect so we prefer the drug in child as well as adult in case of diarrhoea.

Normal lymphocyte count in healthy children should be between 48-60%. So in your child the lymphocyte is high. Neutrophil count is less and it is called relative neutropenia, it means as lymphocyte is very high so peripheral blood smear shows less neutrophil. To know its original value we have to do absolute neutrophil count. I think I can make you understand.

You can continue your child treatment under Dr XXXXXXX as I believe frequent doctor changing harassed a patient so much so don’t do that.

Blunt diet means - avoid oily, spicy, fatty, junk food.

Hope I have answered your query. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion and rate the answer and please write a review.

Wish your child a speedy recovery.

Thanks,
Dr Sourav Ganguly

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Hi XXXXXXX
Thanks for your query.
For giving ORS there is a rule and that depends on weight of your baby and his dehydration status.
In your son’s case now the dose of ORS is 10ml/kg body weight over whole day. For example if his body weight is 6 kg then 60 ml ORS should be given-it is called maintenance dose ORS and can be given till diarrhea stops.
No medicine can improve his lymphocyte count. He actually doesn’t need it. This will become ok once the infection becomes ok. He should be exclusively breast fed. Any kind of supplementary food should be avoided and should only be given under the supervision of a doctor.
There are so many reasons for anemia in children. Common reason are-hook worm infection, thalassemia trait. Do a peripheral blood smear for RBC morphology which will tell us the probable cause of anemia and also examine his stool for occult blood test and ova, parasite, cyst. Based on the diagnosis if proper treatment will be given, then his HB level will normal .Consult Dr Chaudhauri for further opinion.
Hope I have answered your query. If you have any further questions I will be happy to help.
If you do not have any clarifications, you can close the discussion and rate the answer and please write a review.
Wish your child a speedy recovery
Thanks,
Dr Sourav Ganguly

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