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    Is Normet syrup advisable for loose motion in a child?

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Posted on Thu, 20 Jul 2017 in Child Health
Question: Hi , my kid is 2.5 months old . She is having loose cement colour stools with small yellow particles in it for the past one month. Doctor prescribed 15 drops of Normet twice a day and i-lac sachets 1 XXXXXXX per day. Please advise if Normet is safe for 2 and half months kid . Do I need worry about the cement colour of the stool?. Also is the dosage of 15 drops of Normet twice a day is safe?
doctor
Answered by Dr. Diptanshu Das 31 minutes later
Brief Answer:
Get the stool tested. Let me know if the baby is exclusively breast fed

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. Let me tell you that for a baby of this age, it is normal to pass stool several times a day or even after each feed. Alternatively the child may pass stool once in 10 days and that is normal too. Unless the stool is hard and pellet like, you need not grow concerned. It is also normal to pass green stool or a combination of yellow stool. Prior to answering your question I need to ask you whether the child is exclusively breast fed or whether she is formula fed. Only then I will be able to tell if the colour is a cause for concern. If she is on breast milk you have no reason to worry. If she is on formula feeds you need to get her stool tested (routine microscopy) to check for infection. Unless there is blood in stool antibiotics like Normet are usually not needed. I would therefore not suggest you not to give Normet to the child. In any case, to be able to suggest the right dose I would need to know the body weight of the child.

I will await your response.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Diptanshu Das 31 minutes later
Hi Doctor , my baby weight is 5.25 kgs. She is exclusively formula fed . She passes stool only once in a day and the colour is of gray mixed with some yellow particles on some days and on some days it is purely gray colour. I have attached her stool report. Please verify and advise. Thanks.
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
30mg/dose is the right dose for your child

Detailed Answer:
Thanks for writing back and for attaching the report. The stool report indicates presence of pus cells +++ indicating presence of infection. It would be a good idea to give Normet Syrup (100mg/5ml) 3ml thrice daily [30mg/dose]. You would have to check the concentration in case of Normet Drops. The requisite dose for your child is 30mg/dose. Check with your pediatrician.

Other than this, I would insist on exclusive breast feeding. 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.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Diptanshu Das 38 minutes later
Thanks doctor for the detailed explanation. I have attached the Normet concentration details. can you please suggest the dosage now. Also please suggest how long do I need to use this medicine. Can I ignore the gray colour of the stool . Or is this still a matter of concern.
doctor
Answered by Dr. Diptanshu Das 45 minutes later
Brief Answer:
5ml twice daily

Detailed Answer:
Thanks for writing back. The mentioned syrup is not same as Normet Drops. However, the same can be given. 5ml twice daily is to be given for 5 days.

You can ignore the gray color of stool but for a proper answer I would need to know whether the child is exclusively breast fed. If not, switching back to breast milk should resolve the problem. Details already provided in last communication.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3821 Questions

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