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Child Having Watery And Curd Like Stools. Given Rotateq Vaccine. Giving Enfamil And Normet. Is It Normal?

Posted on Fri, 17 May 2013

Question: Hi my daughter who is 5 months 18 days old was given rotateq vaccine last evening around 8 p.m and today she had bowl moment for 5 times and for last two times it was little watery and I could see curd like stools. I formula feed her. I give her enfamil gentelease. This her 3 rd dose, her 1st two doses were given in Chicago and her last one was given in India since I have come here for a visit. She was all fine during her 1st two does. Is it normal. When do I take her to emergency and do I give her the syrup normet if this continous?

Answered by Dr. Hema Yadav (36 minutes later)

Hello,
Thanks for posting your query.
Yes ,occasionally rotavirus vaccines ( rotateq) might cause some change in bowel pattern for a couple of days . However it's unlikely if she had no such symptoms during the first two doses.Such loose stools if self resolved in a couple of days could be probably due to the vaccination and do not need any specific treatment .
However if it persists beyond 3 days or more or she has worsening symptoms then you might have to get her evaluated by a paediatrician for specific treatment .
Normet syrup is an antibiotic which is not very preferable in young infants as there are other safer alternatives ( like colistin, cefixime etc).Also antibiotic might not be needed in all cases of diarrhoea where only zinc supplements and probiotics would resolve the symptoms .
So please do not worry and as of now you might wait and watch for self resolution and consult your doctor in case of persistent problem .
Meanwhile make sure to keep your baby well fed and hydrated .
Hope that answers your query.
Wishing her a speedy recovery.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hema Yadav (3 minutes later)

Is it ok if I give her pedialite and if yes how much and how frequently do I give her?

Answered by Dr. Hema Yadav (8 hours later)

Hello,
Thanks for the follow up.
Yes you can give her oral rehydration solution like pedialyte .
Give after every stool , few spoonfuls depending on her intake and hydration.
Make sure she passes clear urine every 2-3 hours.
Hope that answers your query.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hema Yadav (2 hours later)

She finally passed her stools at 9 p.m last night and after that she had her bowl moment around 8 in the morning. In between she drank milk 3 times and morning when she had a milk around 8 thats when she passed her stool. But all through out the night she was not very comfortable. She kept lifting her legs high and passing gas. Now is that normal to pass gas after the vaccine and now that the time gap has increased to 11 hours do I take it as she is recovering?

Answered by Dr. Hema Yadav (3 hours later)

Hello ,
Thanks for the details.
Yes , flatulence and bloating along with disturbed stool pattern might occur after such vaccination .
However since she is not passing frequent loose stools ie diarrhoea I assume she will soon resume her normal bowel pattern .
Yes you could say she is recovering however nothing can be conclusively said before her bowel pattern normalises. If it doesn't and she remains uncomfortable do get her evaluated.
Wishing her good health.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar