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Hello Doc My Son Is 50 Days Old He Has

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Posted on Fri, 15 May 2020
Question: Hello Doc

My son is 50 days old he has the below problems from quite sometime
Colic pain
Severe pain while passing gas
Not feedind sucking well
Vomitting at times projectile ( twice or thrice in a day) from past 10 days
Nausea feeling
He burps after 30 min of feeding

He is on formula and bread milk he is on aptamil formula
Medicines he is currently on
Junior lanzol from 8 days
Colicaid sos
Nutri D
Neopeptine
My concern is we got the urine and stool culture report done and it says that the colony count is more than 100000 I have attached the reports as well also it says ehcherichis coli
I
Doc has recommended to start him on antibiotics through IV which is amikacin for 5 days
Can you please advice if this is necessary as in this crisis I don’t want to admit my child.

Please need your expert advice here

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Follow up: Dr. Diptanshu Das (0 minute later)
Hello Doc

My son is 50 days old he has the below problems from quite sometime
Colic pain
Severe pain while passing gas
Not feedind sucking well
Vomitting at times projectile ( twice or thrice in a day) from past 10 days
Nausea feeling
He burps after 30 min of feeding

He is on formula and bread milk he is on aptamil formula
Medicines he is currently on
Junior lanzol from 8 days
Colicaid sos
Nutri D
Neopeptine
My concern is we got the urine and stool culture report done and it says that the colony count is more than 100000 I have attached the reports as well also it says ehcherichis coli
I
Doc has recommended to start him on antibiotics through IV which is amikacin for 5 days
Can you please advice if this is necessary as in this crisis I don’t want to admit my child.

Please need your expert advice here

doctor
Answered by Dr. Diptanshu Das (30 minutes later)
Brief Answer:
Try switching back to breastfeeding

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and understand your concerns. Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Vomiting and colics are likely outcomes. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay.

Babies often get colics especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The sound of burp does not matter. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief. You can otherwise give Coliaid Drops when needed.

Urinary tract infection is a likely cause of colic and a colony count greater than 100000 in urine necessiates treatment with IV antibiotics. Unfortunately I do not find the report attached. The stool culture does not matter. There is bacteria in everybody's stool.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
Try switching back to breastfeeding

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and understand your concerns. Let me emphasize on the fact that breast milk is the best possible milk for a baby and there can be no alternatives for the same. Most formula milks are cow milk based and hence difficult to digest. Moreover they make the child more prone to complications and infections. Vomiting and colics are likely outcomes. Mother's breast milk is produced on the demand of the baby. Hungrier the baby, more vigorous is the suck. More is the suck, more is the amount of breast milk produced. Giving formula automatically reduces the demand of the baby and thereby the production of breast milk. All you need to do is to switch back to exclusive breast feeding and the production will increase automatically. All you need to do is to monitor the urine output. If the frequency is more than 6 times in 24 hours, you would know that the amount of feeding is adequate. If the amount of passage of urine is less or if the child is lethargic you would need to take the child to a doctor without delay.

Babies often get colics especially when on formula feeds. In such a case switching back to breast milk should provide relief. You should burp the baby for at least 15-20 mins after each feed. All you need to do is to hold the baby head end elevated for this duration. The sound of burp does not matter. The extra air taken causes distention and hence colics. Proper burping will ensure its escape and the milk will not regurgitate back from the stomach to the food pipe, thus providing relief. You can otherwise give Coliaid Drops when needed.

Urinary tract infection is a likely cause of colic and a colony count greater than 100000 in urine necessiates treatment with IV antibiotics. Unfortunately I do not find the report attached. The stool culture does not matter. There is bacteria in everybody's stool.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das (2 hours later)
Hi, I have provided some attachments. Please review them.
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Follow up: Dr. Diptanshu Das (0 minute later)
Hi, I have provided some attachments. Please review them.
default
Follow up: Dr. Diptanshu Das (0 minute later)
Hi, I have provided some attachments. Please review them.
default
Follow up: Dr. Diptanshu Das (0 minute later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Diptanshu Das (18 minutes later)
Brief Answer:
IV Antibiotic suggested

Detailed Answer:
Thanks for the attachment. Although, there seems to be sensitivity to amoxycillin clavulinic acid (oral), the oral absorption in children of this age can be erratic and therefore IV treatment with piperacillin tazobactum or meropenem should be good. I would not prefer amikacin.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
IV Antibiotic suggested

Detailed Answer:
Thanks for the attachment. Although, there seems to be sensitivity to amoxycillin clavulinic acid (oral), the oral absorption in children of this age can be erratic and therefore IV treatment with piperacillin tazobactum or meropenem should be good. I would not prefer amikacin.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das (48 hours later)
Hi doc

We did the ultrasound done to rule out if there is my pyloric stenosis but the report seems ok I am attaching the same for your reference too... my son is still vomitting a lot after every feed and it’s more like projectile vomitting also I want to ask his bun and serum creatine report was done and the values are
Serum creatine is 0.20 for which the normal range is 0.20 to 0.40
And blood urea nitrogen is 5 and the normal range is 5 to 18

Both are less and in the upper limits so I want to know what does this mean he has problem with kidneys ?? He is 50 days old

Please advice
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Follow up: Dr. Diptanshu Das (0 minute later)
Hi doc

We did the ultrasound done to rule out if there is my pyloric stenosis but the report seems ok I am attaching the same for your reference too... my son is still vomitting a lot after every feed and it’s more like projectile vomitting also I want to ask his bun and serum creatine report was done and the values are
Serum creatine is 0.20 for which the normal range is 0.20 to 0.40
And blood urea nitrogen is 5 and the normal range is 5 to 18

Both are less and in the upper limits so I want to know what does this mean he has problem with kidneys ?? He is 50 days old

Please advice
doctor
Answered by Dr. Diptanshu Das (7 hours later)
Brief Answer:
No need to worry

Detailed Answer:
Thanks for sharing the ultrasound report. A normal ultrasound does not rule out problems. However, there is no reason to worry.

No need to worry about the mentioned blood reports.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
No need to worry

Detailed Answer:
Thanks for sharing the ultrasound report. A normal ultrasound does not rule out problems. However, there is no reason to worry.

No need to worry about the mentioned blood reports.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Diptanshu Das (2 days later)
Doc what all
Tests needs to be done for GERD can you pls advice

My son is still vomitting and he does not sleep the entire day almost he is awake for 15 hours at a stretch with naps of 15 min in between. May be the acid reflux arousal are not letting him sleep... can you please advice
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Follow up: Dr. Diptanshu Das (0 minute later)
Doc what all
Tests needs to be done for GERD can you pls advice

My son is still vomitting and he does not sleep the entire day almost he is awake for 15 hours at a stretch with naps of 15 min in between. May be the acid reflux arousal are not letting him sleep... can you please advice
doctor
Answered by Dr. Diptanshu Das (7 hours later)
Brief Answer:
Testing not needed. Examination essential.

Detailed Answer:
Tests for GERD (Upper GI Endoscopy) are not recommended for a child of this age. A clinical evaluation of the child is essential.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Diptanshu Das (0 minute later)
Brief Answer:
Testing not needed. Examination essential.

Detailed Answer:
Tests for GERD (Upper GI Endoscopy) are not recommended for a child of this age. A clinical evaluation of the child is essential.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Hello Doc My Son Is 50 Days Old He Has

Hello Doc My son is 50 days old he has the below problems from quite sometime Colic pain Severe pain while passing gas Not feedind sucking well Vomitting at times projectile ( twice or thrice in a day) from past 10 days Nausea feeling He burps after 30 min of feeding He is on formula and bread milk he is on aptamil formula Medicines he is currently on Junior lanzol from 8 days Colicaid sos Nutri D Neopeptine My concern is we got the urine and stool culture report done and it says that the colony count is more than 100000 I have attached the reports as well also it says ehcherichis coli I Doc has recommended to start him on antibiotics through IV which is amikacin for 5 days Can you please advice if this is necessary as in this crisis I don’t want to admit my child. Please need your expert advice here