Suggest treatment for loose motion
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My 11 month baby was born in 32.3 weeks of gestation. Her weight is 9.3 kg. She has watery stools since last night. Since morning she has passed watery stools 8 times out of which 4 times were in the last one hour. We have given her some pomegranate juice and 350 ml of ors water since morning apart from very light food. We gave her one darolac pouch before noon. Today being a sunday all doctors are closed. Please advise what we should do also please advise a threshold beyond which we should rush to a hospital or emergency instead of waiting till tomorrow morning to show the pediatrician. Baby is active and not cranky or drowsy.
Posted Fri, 14 Mar 2014
in Child Health
Answered by Dr. Deepak Kishore Kaltari 1 hour later
Brief Answer:
Continue home based ORS
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear XXXX
Majority of loose motion in children are viral in origin and are self limiting.
All that is required is supportive care to maintain hydration and nutrition to prevent dehydration.
If the child is less than 6 months just continue giving exclusive breast feeding is all that is required.
If the child is more than 6 months home based oral rehydration solution like dal, rice water, coconut water is to be feed using watti and spoon.
If you notice any of the following signs which suggest dehydration you need to consult your Pediatrician at earliest
1. Normal Urine output is 5 to 6 times per day. If it's less than that ir urine is very much concentrated then it suggest dehydration
2. Loss of skin turgor: pinch the skin over forearm and release it . It should immediately go back to normal. Delay in going back suggest dehydration
3. Refusal of feeds
4. Loss of shiny tear film over eyes ; it indicates dehydration
5. Restlessness or lethargic child.
If you notice any of these symptoms do consult your Pediatrician at earliest.
Continue giving home based ORS and continue breast feeding. As the child is nearing 9.3 kg I assume age is around 1 year.
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Pediatric Surgeon
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