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What Causes Frequent Bowel Movement And Blood In Stool?

Posted on Mon, 16 Mar 2015

Question: Hello dr.
My baby is having motions multiple times in a day and out of that we do see redish in that stool. His loose motions are since last 5 days and since last two days we started
oflux 100, Z&D and one more liquid drop : Entrogen tubes.

Today he had 9 times motions and since evening we can see redish in that.

His current age is 7 moonths and 20 days.

Current medications/tonics:

maculvit'
Uprise D3
Raricap L _have put on hold as per physician since last 4 days .

So can you sadvise what needs to do next?.

Thanks,
XXXX.

Answered by Dr. Diptanshu Das (28 minutes later)

Brief Answer:
It may take a few more days for the stool frequency to come down

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through the details provided by you. In most cases, loose motions in children is caused due to a virus called rotavirus where antibiotics are ineffective. But let me assure that passing stool 10 times a day can be normal in infants and I would not really worry if your child passes stool 9 times a day. All you need to do is to give ORS or Pedialyte to replenish the lost water and salts. Unless the child grows lethargic, I would not get concerned.

Oflox 100 is an antibiotic. When you have started it, please complete the course of 5 days. The loose motions are not likely to stop all of a sudden. It may still take 3-5 days (from the onset) to stop. The other medicines are proper and please continue them.

Be patient. Give ORS and the medicines. It would soon be fine.

Hope that helps.

Regards
Dr. Diptanshu Das

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

Follow up: Dr. Diptanshu Das (39 hours later)

Hello Dr.
My baby is still having loose motions and I can see redish motions..

Today is the 5th day for Oflux 100 and other medicins are as follows.

Held on RARICAP L
Uprise D3
Maculvit

Z$D
Enterogermina and
ORS

please suggest what to do..

Thanks,
XXXX.

Answered by Dr. Diptanshu Das (45 minutes later)

Brief Answer:
Get a stool occult blood test done

Detailed Answer:
Thanks for writing back.

The loose motions can continue for a while and it would not bother me. But what bothers me is the reddish colour of the stools. I would insist you to get a occult blood test of stool done along with a routine microscopy.

Please continue the ORS. If the amount of fluid intake is more than the amount of fluid lost, there should be no cause to worry about.

Regards
Dr. Diptanshu Das

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

Follow up: Dr. Diptanshu Das (1 hour later)

ok. We will do stool test.
Also plz confirm if we should continue Entrogermina to this baby? already 3 doses are completed.

Now, The second baby is also having loose motions with redish color not so much redish but in small amount.

Shall we go ahaed with same treatment to 2nd baby [Twins baby]
oflux 100
ORS
Entrogermina
Z&D ?

age 7 months 22 days and wight is 6.5 kg

Thanks,
XXXX.

Answered by Dr. Diptanshu Das (55 minutes later)

Brief Answer:
Enterogermina can be continued

Detailed Answer:
Thanks for writing back again.

Enterogermina contains beneficial bacteria and can be continued for a few more days.

For the second baby, I would suggest use of the same medicines except for Oflox. Also give ORS. I hope the second one is a twin. You may give the same doses if the weight is close.

Hope that helps.

Regards
Dr. Diptanshu Das

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

Follow up: Dr. Diptanshu Das (27 hours later)

Hello Dr. please find below Stool Examination done for 1st baby [Srujan]
5 days completed with Oflux 100 and other mentioned medicins and still he is having motions.

Physical Examination:
Color : yellowish
consistency : Semi solid
Mucus :: Present
Blood :: absent

Chemical Examination:

PH :: Acidic
Occult Blood :: NEGATIVE
Reducing substances :: Absent

Microscopic Examination:

RBC :: Absent
Pus Cells :: 1 to 2
Ova :: Not detected
Cysts :: Not detected
Veg. Cells /Fibers :: Present
Fat Globules :: Absent
Bacilli :: +
Microphages :: Absent

Please advise what is wrong here in examination and what medications we should give.
Also advise on COW milk if we should continue or hold for while.

Thanks,
XXXX.

Als please advise if we should continue oflux 100 or not?

Thanks

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
If you have started Oflox, please complete the course.

Detailed Answer:
Just responded to your other thread. The reports indicate that there is no blood in the stool and neither does it indicate that there is any bacterial infection. So, basically it confirms my previous suspicion of a viral infection (rotavirus). Antibiotics are not required. All you need to do is to give ORS. Do not bother about the frequency of passage of stools. If the replenishment of fluids through ORS is equal to or more than the amount of salt and water lost through stool, dehydration will not occur. The stool frequency may take some time to come down. You need not worry. Continue the medicines as directed.

Hold cow milk for now. Give some low lactose or lactose free formula like Lolac or Zerolac. You may give plenty of curd however.

If you have started Oflox, please complete the course. Unless you do that, antibiotic resistance may occur to complicate things further. If you have not started it, there is no need to start Oflox.

Hope that helps.

Regards
Dr. Diptanshu Das

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

Follow up: Dr. Diptanshu Das (1 hour later)

Hello Dr.

baby is having fever.. should we go ahead with calpol ?

Also 5 days course for Oflux 100 is completed so stopping this.

Please confirm and advise

Thanks,
XXXX.

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
Paracetamol or Calpol needs to be given.

Detailed Answer:
Thanks for writing back.

You have to control the temperature by use of calpol which contains paracetamol. Tepid sponging can be given. You may stop Oflox since the course of 5 days is being completed. Be patient about the diarrhoea. Watch out for signs of lethargy or reduction in frequency of passage of urine. If these occur, you would need to rush the child to your doctor.

Hope that helps.

Regards
Dr. Diptanshu Das

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

Follow up: Dr. Diptanshu Das (1 hour later)

Hello Dr.
Thanks for the information.. will keep watch oon passage of urine frquency..

Now snice yesterday he started omitting while feed.. mostley when he is about finish his feed then he omits all and after that he starts feeling fresh..

omit frequency: yesterday night, today morning and tonight..

but when we feed him after some time he takes it..

Please advise if we need to start any medicine for omitting.. I remember last time for omitting we were giving ondem.

Please advise..

Thanks,
XXXX.

Answered by Dr. Diptanshu Das (10 minutes later)

Brief Answer:
Ondem should be started. You need not wait.

Detailed Answer:
Thanks for writing back again.

Ondem is right to be given in such a situation. It will help in relieving the vomiting. You may start giving it right from now. Give it thrice a day 15-30 mins before he takes his feed. That will help him in retaining the feeds.

Continue giving ORS.

I would suggest you to get a blood count done. It will help in reassessing the infection.

Regards
Dr. Diptanshu Das

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