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Infant passing loose stool, vomiting. Cause and cure? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:hi XXXX here
Doctor:welcome to XXXXXXX
User:thnx doc my baby is three n half month n now she is passing loose stools more than five times a day
Doctor:does she have any nausea, vomiting, etc ?
Doctor:is there any foul smell in the stools ?
User:Actually she is on top feed right from birth I use to feed her NAAN infant formula after two months she is continuously vomiting
User:so from past ffive days hv started lactogen
Doctor:you mean she is vomiting right from birth ?
Doctor:how many days, is she having the loose stools ?
User:no after she completed her two mnths from then
User:from say three days
Doctor:is there any foul smell in the stools ?
Doctor:is it watery type ?
User:sumtimes yes sumtimes no
Doctor:is it greenish, yellowish, rice water like ??
User:its yellow colour
Doctor:is she active during the daytime ?
Doctor:or is she weak , lethargic and irritable ?
User:yes bt she cries before passing stool
Doctor:she might be having a viral infection of the intestines
User:her stool seems like its a milk product coming out
Doctor:for the time being, you can give her oral fluids like ELECTRAL or WHO ORS
Doctor:made with water
Doctor:keep giving her that as long as the stools last
User:bt she is been vaccinated with rotavirus
Doctor:there are a lot of viruses that can cause such infections
User:ready one or powdered form
Doctor:ORS is available in powdered form ,
User:is the powder different for infants
User:how much quantity
Doctor:and u can make it with boiled and cooled water
Doctor:1 packet is made with 1 litre of water
Doctor:each packet has the instructions on it
Doctor:which you can follow without any difficulty
User:and can i try giving her cow s milk?
Doctor:in addition to the ORS , continue to give her the normal feeding, as usual
Doctor:no , do not give her cows milk,
User:Naan or lactogen?
Doctor:Continue NAAN, for now, as she was used to it
User:bt lactogen is sweet n i think she is liking it bt coz of loose motion m worried
Doctor:the cause of the loose motions can be due to change of the feeds too
User:wat abt honey?should i give her that
Doctor:HONEY , should not be given before 1 year age
Doctor:and COWs milk , not to be given until 6 months , unless directed by your doctor
User:after a week she will complete her four months can i start giving her liquid food
Doctor:first consult with your pediatrician, so that he can check her weight for age
Doctor:if she is growing well, then addition of top feeds can be done
Doctor:top feeds like cerelac, mashed rice and banana can then be started
Doctor:I would also advice you to consult your doctor, as soon as possible so that she can be examined
User:right nw i chkd her wgt last time on 21st XXXXXXX it was 5.35
Doctor:she may need medicines to prevent her diarrhea, and other symptoms
User:when she was three mnths
Doctor:what was her birth weight ?
User:3.25kg born on 23rd oct 2011
User:she was born on 36th week of my pregnancy
Doctor:she has a good weight gain rate
Doctor:she can be started on top feeds at the end of 4 months
User:her doc has gone out of india
User:top feeds like the one u mentioned mashed rice etc
Doctor:you will need to consult , any other pediatrician, who can examine her for her diarrhea
User:so should i give her ORS nw without consulting the doc
Doctor:yes, you dont need to see your doctor for the ORS
Doctor:you can start giving it to her ASAP
User:how many time shud i give her tht
Doctor:ANTIBIOTICS, etc need to be given, with a doctors examination
Doctor:when ever she is hungry or awake, or thirsty, you can give her ORS
Doctor:and you can give her after every loose stool
User:still i mean hw many times a day if u can suggest
Doctor:it depends on the amount of diarrhea
Doctor:if she has continuous diarrhea, say 10 to 20 times then the frequency is to be more
Doctor:if it is less than 6 , then the frequency can be reduced
Doctor:you can start with 5o ml of ORS every hour
Doctor:50 - 100 ML of ORS, every hour , can be given
User:ok n i can continue giving her calcium syrup calcimax n nutrition supplement m1mz
Doctor:you can continue all of that
Doctor:I hope u have followed my suggestions
User:yes n one more thng doc her head is becoming shapeless from her bak she does nt sleep on her pillow
Doctor:sorry, i could not follow the term XXXXXXX shapeless"
User:in the sense head shud be round its getting flat frm on her left side
Doctor:has the shape changed drastically, over a short time ?
User:my in laws says she does nt sleep on her pillow thts y its becoming like tht
Doctor:does she sleep on a soft matress ?
Doctor:or a hard surface ?
User:ya bt most of time in her swing
Doctor:in that case, there is no way, that it can affect the head shape or the bone structure
User:ok nw as per ur suggestion vl give her 50ml of ors right
Doctor:if u can send me images , of her head, to YYYY@YYYY with ATTN: Dr. XXXXX in the subject line
Doctor:i can have a look at them and advice u accordingly
User:i can do tht bt it vl b possible late nite is it fine vl u cum online then
Doctor:u can send it anytime you want
Doctor:and i shall view it and reply via mail
User:n wat for the feed bak
User:u need my email id or this one is fine
Doctor:I shall respond to the same mail id, from which u send the pictures
User:ok thnx a tonn doc for ur advice,stay healthy n take care
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