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Child has increased pus cells in stool test, gas, yellowish green stool, foul smelling. Safe to give Colimex and gripe water?

My baby boy is of 28 days old. He has been revealed with PUS cell in range 14-16 with E- Coli bateria in stool test . He also seems to have gas. The birth weight was 3.140 kilogram which is around 3.5 + kilogram as measured on 28th jan 2013. The stool is yellowish green with smell in it. The baby is on mostly breast feed but when he been too cranky or crys a lot we give him bottle fed. We have been giving both colimex and gripe water for gas within a gap of few hours. Kindly let me know whether it is safe to give both colimex and gripe water within the gap of hour or shall we restrict to only colime or gripe water. Apart from this he has also medicated with the medicine for infection as detected in stool.
Asked On : Fri, 1 Feb 2013
Answers:  2 Views:  352
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Pediatrician 's  Response
Feb 2013
Thank you for your query,
Continue the medication for E.Coli infecton as prescribed by your doctor.
The cause of E.Coli infection may be the bottle feeding.
So be cautious while feeding with a bottle. Use sterilized bottle for every feed to prevent the infections.
For colic and gas you can use colimex or neopeptine drops as advised by your Pediatrician.
The use of gripe water in gas is not studied scientifically so difficult to comment its use.
Hope i have answered your query.
Answered: Fri, 1 Feb 2013
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

You have not mentioned about the frequency of stools.
Breast fed babies can pass pasty stools. And some kids on formula milk may pass green stools too.

Pus cells in stools is not normal. But E.Coli is a normal bacteria seen in intestines.
Since your baby is on medications already, please complete the entire course as prescribed.

Since weight gain is okay, you need not worry much.

Regarding the feeds- try to put him on exclusive breast feeds till 6 months of age. Formula milk is known to produce these gas problems more. And please stop using bottle. Its going to cause more harm like frequent diarrhea, yeast infections in the mouth and ear infections too. Bottle feeding will in turn reduce the breast milk output. So till 6 months of age, EXCLUSIVE BREAST MILK is the best for your baby.

For the gas problem- Try to burp him after each feeds by giving gentle pats on his back between shoulder blades after each feeds till he belches the air out.
And as a part of routine massage, give these strokes to his tummy- circular strokes around the belly button, strokes in the form of inverted L and inverted U.
You can also apply a warm towel on his tummy when he cries excessively.
With these, the gas problem will definitely come down.

Medications like colimex can be given for few days.
When you give gripe water, be sure its clean and devoid of alcohol.
Medications like colicaid- that contain fennel seed oil and simethicone are safe to be given for a longer time.

Hope I have answered your query.
Wish your baby boy good health.
Happy parenting!
Answered: Fri, 1 Feb 2013
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