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Child has watery stool, stool analysis showed WBC. Will it influence her health?

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Practicing since : 1982
Answered : 683 Questions
My baby is 57 days years old. She has watery stool more than 40days. After 10days stool analysis test, 3-30 white blood cell were found in her stool. Only one day had 2 red blood cell,and 2 days no any cell be found in her stool. She growing well and no fever during this period. My questions are if 3-6 WBCs will be found in her stool during one or two months or longer is that influence her health? What kind of influence will happen to her?
Posted Sun, 29 Jul 2012 in Parenting
Answered by Dr. Taher Kagalwala 5 hours later

White blood cells are normal cells of the body; their presence in small quantities in the stool does not mean that there is infection or any other problem. Generally, if more than 10 white cells are seen in the stool, it is significant; most of the times, infection or some form of inflammation causes increased numbers of white cells in stools. When such problems occur, especially if there is a bacterial infection, red blood cells also begin to appear since the bowel lining gets injured and blood emerges into the cavity, to be passed out along with increased white cells and increased water content in the form of diarrhoea or dysenteric stools.

It looks as if your baby had some form of infection or inflammation which is now either subsiding or persisting in a slightly reduced intensity. Could you please share the remaining report of the stool? And what treatment was given? Also, please tell me which kind of milk she is getting and whether she is on breastfeeding also.

I will await these clarifications. Kindly revert. If you have reports which are in English, please scan them and upload them on this question so that I can see them. Otherwise, please get them translated and then upload them. You can use google/translate for this purpose.

Thank you.

With warm regards and wishes for your baby's good health,

- Dr. Taher
Above answer was peer-reviewed by
Follow-up: Child has watery stool, stool analysis showed WBC. Will it influence her health? 12 hours later
Dear Dr. Taher Kagalwala ,
Thank you for your kind help!

I tried upload my report but it failed. I can share result here with you. There are few items in the report:
only white blood cell are around3 to 30(during 16days-June 26=30;june28=30; 9days in early July the WBC are 6,25,4,7,0,3,0,6,4)
The fat are all 0;
red blood cell are 0,but one day on july 3 the RBC is 2;
Only one day we checked more items: all result are 0, there are eggs,intestines mucous membrane cell,macrophage, that's all.

The treatment:June 18-29 she had intestines bacillus bifidus ;combined B subtitles and EFaecium granules

Feeding: breast milk. Only added 100ml milk (per day )on July 6-8.

If you need more information pls let me know. Thanks!

Have nice weekend!
Answered by Dr. Taher Kagalwala 2 hours later

Thank you so much for your patient reply. I think that the treatment she received did not contain any bacteria-killing medicines; the two medicines mentioned by you are "pro-biotics" and will not cause any harm. As I answered earlier, the presence of a few WBCs is not important enough to merit any further tests or treatment. In fact, the stool RBCs have also been insignificant. I would relax if I were you.

There is no need to give that 100 ml of top milk. I am sure you are getting enough breast milk, so I would advise to give only breast milk, but give it every 2 hours, so that the baby never gets dehydrated or weak.

Did you mean that there were eggs and macrophages or there were NO eggs or macrophages? I think you forgot to write the word NO in that sentence. Correct me if I am wrong. If those things were not seen, it is normal, and I cannot think of any other problem.

So, my advice is to stop any treatment. Continue breastfeeding her and try and avoid top feeds completely. Never feed with a bottle as that can carry and transmit infection.

That's all for now. Get back to me if you need more guidance.

Thank you for using this service to address your concerns.

With best wishes ...

Dr. Taher
Above answer was peer-reviewed by
Follow-up: Child has watery stool, stool analysis showed WBC. Will it influence her health? 5 hours later
Dear Dr. Taher,
Thank you for you kind help!

You are right I mean no eggs and no macrophages. Sorry for confused you.

Sorry I forgot to tell you my daughter has diarrhea over one month. Before I given her milkpowder few days ago,she had watery stool around 7-10 times a day, but no dehydration. This few days she had watey stool 3-6 times a day, the stool color more yellow that looks better than before. now she refuse to drink anything with bottle.

Otherwise I started to control my food three weeks ago, no seafood, no bean product, no diary products..., but still has WBCs in her stool.

Thank you for your patient!
Have good weekend,
Answered by Dr. Taher Kagalwala 2 hours later

Thank you once again for your return. I have been thinking about this problem, but it appears more and more that your baby may be simply having what we call "breast feeding stools". In this "condition", the increased gastro-colic reflex causes the baby to pass a bowel while she is feeding at the breast. The stools are generally yellow, with a small water content, but the solid content is in the form of cheesy, small balls that have the smell of curd (yoghurt).

I don't think this is "food allergy" from the mother, so your cutting down on beans and dairy products may not help much. She probably is NORMAL. Is her weight gain adequate? Normal breastfed babies put on about 800-900 grams per month (approx. 25 gm/day), If her weight gain is adequate, just relax. Don't break your head. As she grows, her stooling pattern will change.

That's all, I think.

Take care, and be in touch.

With best wishes for your growing baby ...

Dr. Taher
Above answer was peer-reviewed by
Follow-up: Child has watery stool, stool analysis showed WBC. Will it influence her health? 2 hours later
Dear Dr.Taher,
Thank you very much for your kind reply! :)
I am glad to hear good news from you. Finally I can eat something that I like! :))

My daughter is growing well, her weight increased from 3600g to 5600g during 54days.she looks happy and healthy.

If she need take time to fix this stool problem( has diarrhoea , and has WBC in stool.)by herself, is that means she still can get vaccination against hepatitis B? I posted a new Topicfor this yesterday that you can answer me there.

Thanks again!

Answered by Dr. Taher Kagalwala 4 minutes later

Thank you so much for your reply. Looking at her weight, I am convinced that she is normal. Of course you can take her for all her age-specific vaccines.

Please help me by giving me a review for the answers I have given you.

Thank you.

-Regards and best wishes to you and your family and love to your little one.

Dr. Taher
Above answer was peer-reviewed by
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