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Are green diarrhea and pus cells in stool signs of bacterial infection?

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Posted on Fri, 13 May 2016
Question: Hi, my 6 month old baby is having loose motions green in colour for the last 2 weeks. Stool test showed pus cells 4-6. Antibiotics didn't help and no improvement.
Is it a sign of bacterial infection? Then why didnt the antibiotics help?
doctor
Answered by Dr. Sumanth Amperayani (34 minutes later)
Brief Answer:
Looks like viral diarrhea - antibiotics wont work for viral illness

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days or sometimes even 2 weeks to completely get better.

MOST IMPORTANT THING - Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics unless there is blood in the motion.

Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea and prolong the duration of diarrhea.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).

Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (11 minutes later)
Thanks for your response. If it's not bacterial infection then what do the pus cells (4-6) in the stool test indicate? Report attached.
doctor
Answered by Dr. Sumanth Amperayani (4 minutes later)
Brief Answer:
That stool report is normal

Detailed Answer:
Hi...The stool report is normal. Pus cells in the stools is a normal finding. it doesn't mean that it is bacterial infection. Bacterial diarrhea will have blood in the stools and green watery diarrhea is not suggestive for bacterial diarrhea.

Regards- Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumanth Amperayani (5 minutes later)
Ok thanks doctor. I have not been able to start solid food yet as he is having stomach upset. Do you think I can start now? If yes, what can I give?
Also, can we go ahead with 6th month vaccination at this point? It's pending from Mar 1st due to his health issue.
doctor
Answered by Dr. Sumanth Amperayani (45 minutes later)
Brief Answer:
Complimentary feeding at six months - you can give semisolid foods

Detailed Answer:
Hi...You can give semi solid foods. You can go ahead with 6 months vaccination and this diarrhea is not a contraindication for vaccination.

At this age you can start giving Cerelac stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid.
Other home-made food options will be -
1. Daal and rice well cooked and made into a porridge along with ghee
2. Boiled apple or banana and mashed into a paste.
3. Any made cereal porridge preparation with additional ghee added.
Remember certain principles like -
1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhoea, we will know what to avoid.
2. Add vegetables and fruits made into a paste surely to avoid constipation.
3. Do not add too much sugar as it may cause diarrhoea.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

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

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8316 Questions

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Are green diarrhea and pus cells in stool signs of bacterial infection?

Brief Answer: Looks like viral diarrhea - antibiotics wont work for viral illness Detailed Answer: Hi...Thank you for consulting in Health Care magic. It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days or sometimes even 2 weeks to completely get better. MOST IMPORTANT THING - Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea and prolong the duration of diarrhea. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician). Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,