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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What May Be The Cause Of Fever,cough And Loose Stools?

Hello sir, my son is 8 months old. he had loose stools with slight blood discharge 15 days back and has stopped and now he has fever not exceeding 99.5 F with runny nose and vomits after having food and also he has cough since 1 week. What may be the cause?
Tue, 21 Apr 2015
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Pediatrician 's  Response
Most often loose motions in children is caused due to certain viral infections but presence of some amount of blood could indicate a bacterial infection that might need treatment with antibiotics. I would insist you to get a routine microscopy of stool done. If the results indicate increased pus cell count, it could indicate a bacterial infection and could require to be treated with antibiotics like Ofloxacin. But in case pus cell count is normal, there is no need to give antibiotics and there is less to worry about. Giving ORS (oral rehydration solution) to prevent dehydration and giving paracetamol to bring down the temperature if it exceeds 100°F, is more important. Some antiallergic like cetirizine will help in controlling the cough and runny nose. You may also give some amount of yogurt/curd as it contains beneficial bacteria.
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What May Be The Cause Of Fever,cough And Loose Stools?

Most often loose motions in children is caused due to certain viral infections but presence of some amount of blood could indicate a bacterial infection that might need treatment with antibiotics. I would insist you to get a routine microscopy of stool done. If the results indicate increased pus cell count, it could indicate a bacterial infection and could require to be treated with antibiotics like Ofloxacin. But in case pus cell count is normal, there is no need to give antibiotics and there is less to worry about. Giving ORS (oral rehydration solution) to prevent dehydration and giving paracetamol to bring down the temperature if it exceeds 100°F, is more important. Some antiallergic like cetirizine will help in controlling the cough and runny nose. You may also give some amount of yogurt/curd as it contains beneficial bacteria.