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Watery bowl movements - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   hi
User :   need some help
Doctor :   Hi
Doctor :   Please continue
Doctor :   I can surely help you
User :   i have son who is completing 4 months on 16th
User :   he hs got watery bowl movemtns for a month now
Doctor :   Ok
User :   intialy doc hd put him on antibiotics for three weeks
User :   did not stop i changed the doc then the doc gave him nutribion and z& d
User :   for 7 days
User :   still he hs watery movements 4 times a day
Doctor :   ok
User :   he is also taking simyl powder as am going for work
User :   pls help
Doctor :   Ok
Doctor :   What is the color of the stool?
User :   sometimes yellow that is after the medication
User :   from yest slight green and yellow
Doctor :   Do you see mucus or slimy thing in the stool?
User :   very light
User :   sometimes otherwise watery
Doctor :   ok
Doctor :   Is there any improvement in the texture part
Doctor :   since the start of nutribion
Doctor :   is slightly better
Doctor :   and solid
User :   last week i stopped nutribion
User :   while he was having nutribion stool was yellow slightly solid
Doctor :   Did the doctor ask to?
User :   now he is only on z&d and simyl powder
Doctor :   Ok
Doctor :   Was he born after term
Doctor :   is he pre mature infant?
User :   my due was 25th nov but i delivered on 16th
User :   normal delivery
Doctor :   Ok good
Doctor :   so that means he is term baby
User :   s
Doctor :   What is his birth weight and the current wt
User :   2.38 birth weight
User :   last sat i checkd it was 5.5
Doctor :   Wonderful
Doctor :   that means his growth is fine
Doctor :   Is he able to lift the head up
Doctor :   when put on stomach side?
User :   he hs started rolling now
Doctor :   Very Good, Is he on breast feeds or formula?
User :   breast milk and simyl powder
User :   i leave breast milk in the morning almost 3 ounce
User :   rest of the day he takes simyl powder
User :   but he feels very hungry
User :   and keeps crying
User :   v hv to feed him wiht simyl every 1 1/2 hrs
Doctor :   Ok what are the measures that you take to reduce his hunger then
User :   he is only on simyl powder
User :   v feed him every 1 1/2 hrs
Doctor :   Ok that is fine
User :   6 spoons of water and i spoon of simyl powder
Doctor :   so is he happy with those feeds?
User :   according to doctor
Doctor :   Ok I agree
Doctor :   but is the feed sufficient
Doctor :   to him
Doctor :   Ok fine, do you feel him playful, cheerful
Doctor :   all the time
User :   he is playful
User :   sometimes he becomes pale
Doctor :   fine
User :   v give him ors sometimes
Doctor :   what do you mean by pale
User :   dull
Doctor :   is it just before feeding?
User :   in between
Doctor :   Ok
Doctor :   So you mean you give breast milk only once
Doctor :   and rest of the times on simyl
Doctor :   per day?
User :   nite i feed him thrice
Doctor :   breast feed?
User :   morning 7 am i feed him then i leave for work at 7.30
User :   my mom feeds him breast milk arnd 3 ounce at 9 a.m
User :   i come bak in the evning at 7 and feed him
User :   rest of the day he is on simyl
Doctor :   Ok fine
Doctor :   so you store the milk and feed him
User :   s
Doctor :   at 9 Am
Doctor :   Ok good
Doctor :   are you making sure that the breast milk is properly stored at the temp
Doctor :   in a hygienic container
User :   s
Doctor :   Ok fine
User :   i keep in a strerlised bottle
User :   not in the refrigerator
Doctor :   but it shoudl be stored in the refrigerator
Doctor :   otherwise the nutrients are lost
Doctor :   and not passed on to the baby
Doctor :   which are quite imp
Doctor :   at this age
User :   the problm is i dont hv a refrigertor in the house
User :   i was told by a friend that i can keep breast milk out for 2 to 3 hrs
User :   outside is it true
Doctor :   As far as possible try to feed fresh breast milk
User :   ok
Doctor :   yes till 2 hours it is fine
Doctor :   but not more than that
User :   ok
Doctor :   after that the bacteria start growing
User :   but ples tell me whtehr my son's helath condition is bad or is it ok
Doctor :   and could be responsible for watery stools
Doctor :   as per your explanation your son is doing fine
Doctor :   and stools 4 per day is completely normal
Doctor :   Just look for the consistency
User :   in between when he was almost three months doc had askd me to give naan
User :   from that day he started getting loose stools
User :   i stoped giving him naan
Doctor :   Ok
Doctor :   Fine
Doctor :   might be he is intolerant to naan
User :   how many more days should i continue simyl
User :   can i give him solid foor like nestum rice
Doctor :   did you get any tests done now
Doctor :   Yes
Doctor :   stool for reducing substances are done?
User :   one test ws done 10 days ago
Doctor :   what is that
User :   i dont have the report can let u know tmrw
Doctor :   and do you hav the report now
Doctor :   ok fine
Doctor :   Do you have something to say now before I explain you everything in detail about yoru baby
User :   will i get same doc again tmrw online
User :   no
User :   u can proceed
Doctor :   Ok let me explain what is going with yoru baby
User :   pls...........
Doctor :   I feel he is doing good
Doctor :   with his weight and the growth and development
Doctor :   He is meeting all the mile stones properly
Doctor :   The thing that might went wrong is the introduction of the naan
Doctor :   which his gut in tolerant to
Doctor :   and caused the watery stools
Doctor :   The nutribion is one that got him fine
Doctor :   and you did a good thing that you stopped naan
Doctor :   As far as possible try to give breast milk
Doctor :   which is most important
Doctor :   at this point of time
Doctor :   Try to store the breast milk in ice and give it to him
User :   i can express only 3 ounce in the morning and not more than that
Doctor :   I understand
User :   whch is not sufficent whole day
Doctor :   but you can do it from both the breasts?
Doctor :   Try to empty from both of them
User :   both also i have tried sometimes it will be little more than 3 ounce
User :   thats all
Doctor :   Ok fine
User :   i try to express at least for one hr
User :   but not happening
Doctor :   otherwise you can continue with simyl if he is tolerant
Doctor :   to it
Doctor :   No problem with it
Doctor :   ensure that he gets feed whenever he feels hungry
Doctor :   and regarding the stools
Doctor :   Your baby's stools may regularly change in consistency and colour, too
Doctor :   going from soft and mustard-yellow in colour to yellow with green specks,
Doctor :   and then back again the next day.
Doctor :   This is completely normal.
User :   he is got gas also
Doctor :   Breastfed babies who are not on solids may pass stools four times a day
Doctor :   Gas comes because of improper way of breast feeding technique
Doctor :   You have to practice good technique of breast feeding
Doctor :   and also bottle feeding
Doctor :   I shall tell you the way
User :   pls
Doctor :   You can read it here
Doctor :   WWW.WWWW.WW Doctor :   on our website
Doctor :   You will get a clear cut idea
User :   ok
Doctor :   Now you do not have to worry about the baby
Doctor :   as he is growing well
Doctor :   and the stools are undercontrol
Doctor :   with 4 per day
Doctor :   which is normal
Doctor :   Ok
User :   but doc he was 5.5 15days bk then he reduced to 5.3
User :   and then again he is 5.5
User :   is it ok
Doctor :   He will fluctuate
Doctor :   because of the water going out sometimes
Doctor :   in more of quantity
User :   shd i continue ors
User :   or stop
Doctor :   Keep feeding him properly with a good technique
Doctor :   Ors is not essential
Doctor :   He may give him ORS if he has more water passing out in stool
User :   ok
User :   whn shd i start solid food
Doctor :   check him by pinching his outer skin
Doctor :   if it going back immediately less than 3 sec then he is doing good
Doctor :   on the stomach
Doctor :   Solid food is given after 6 months
Doctor :   Ok
User :   not even ragi now
Doctor :   No need
Doctor :   only breast milk will take care of everything
Doctor :   If breast fed properly he may not need water too
Doctor :   Such is the importance of breast milk
User :   ok
Doctor :   as more he sucks more milk is produced by you
Doctor :   pls make a note of it
Doctor :   Ok did you follow
Doctor :   what I say here
User :   s i did
Doctor :   is there anything else I can help you with
User :   doctor he goes of to sleep when i start feeding him
Doctor :   Please fill the feedback form say done when done
User :   from the day one he is like that
Doctor :   Yes I answer this question while you fill the feedback
Doctor :   Obviously infants sleep at 14 to 16 hours a day
Doctor :   and even more than that
User :   ok
User :   any particular food i shd take
Doctor :   Green leafy vegetables
Doctor :   whole grains
Doctor :   like ragi, wheat
Doctor :   sprouts
Doctor :   if you are non vegeterian
Doctor :   you can take egg and fish
User :   ok doct
Doctor :   anything else
User :   is there a problme in contining simyl till he completes 6 months
Doctor :   usually no problem
User :   or can u suggest some other formula
Doctor :   but keep changing otherwise your baby feels bored
Doctor :   Nestum RICE
Doctor :   Cerelac Wheat 0 - 6 months
User :   but doctor cerelac is only after six months right
Doctor :   0 to 6 months
User :   ok
Doctor :   variety is available
Doctor :   at outlets
User :   how many times shoudl i give nestum rice
User :   and quantity
Doctor :   2 scoops mixed with boiled and cooled water
Doctor :   but to start with give small feeds
Doctor :   only one time
Doctor :   but continue with simyl
Doctor :   for now every feed is started very slowly
Doctor :   one time per day
Doctor :   and then slowly two times per day
User :   ok doc
User :   when can i start juices for him
Doctor :   Do not introduce new foods now
User :   ok
Doctor :   You may consult our doctor after a month
Doctor :   and say how is your baby doing
Doctor :   and you may revise
Doctor :   the diet
Doctor :   measure the weight
User :   thank u so much doctor
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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