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Suggest treatment for loose stool and stomach pain in child

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Posted on Tue, 19 May 2015
Question: My 7 +yrs old son having loose motion since yesterday ( 2-3 times a day) . I have given bacygyl N 10ml dose twice a day . He was also having stomac pain & hnce given Mucane gel 9 10ml dose) alongwith Junior lanzol.( Earlier Doctor prescrchibed these medicines for this problem )
Pl let me know how many days to be continued with these medicines n whether these are right medicine for this symptoms .
doctor
Answered by Dr. Pradeep Kumar Jain (45 minutes later)
Brief Answer:
You can continue it for 4-5 days.

Detailed Answer:
Hello

Thanks for the query

The bacygyl N contains norfloxacin and metronidazole and it is used in infective diarrhea.The common cause of loose motion in this age is food poisoning and this combination of antibiotic covers well, the organism causing diarrhea.
5 ml of bacygyl N contains 100 mg of norfloxacin and the dose of norfloxacin is 10-15 mg/kg/day. The average weight of a child of 7 years is around 20 kgs so 10 ml twice a day(200 mg/day i.e. 10mg/kg/day) is adequate.
Stoamch pain is usually due to intestinal spasm and for this drotaverin or dicyclomine works well.This is a prescription medicine and please get it prescribed by a physician.
I would like to continue the junior lanzole to combat gastritis if any.
Most of the time these medications need to be given for 4-5 days.
The main aim of management in loose stool is to give plenty of fluids(ORS) to prevent dehydration.
Giving probiotic and zinc helps in early recovery.
Observe for the signs of dehydration like lethrgy/irritability or decrease urinary frequency.If you notice any of this consult your doctor immediately.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (17 minutes later)
Thanks lot for quick response Doc. saab .
Forgot to tell that the loose stool is having mucus .

will Bacygyl also work for this also ? Minimum how many days to be given ( twice a day )?

Should I not give Mucane gel whenever he is having stomac pain ?
I am also giving Vizylac alongwith these medicine ?
What should be the diet ( food) during this time ?

Pl advice

doctor
Answered by Dr. Pradeep Kumar Jain (3 hours later)
Brief Answer:
details below

Detailed Answer:
Thanks for the follow up.
Presence of mucus in stool can be due to protozoal infection,the metronidazole covers these organism well.I would like to give the medicine at least for 5 days.
Vizylac contains probiotic.Addition of zinc will help in early recovery.
As you are already giving junior lanzole I dont think mucaine gel is needed.
There is transient loss of inner absorptive layer of gut during diarrhea or dysentery.Due to this reason high fiber diet,high protein diet(thick dal,meat,egg,chicken) , fat (ghee,oil)and lactose containing foods(milk) should be avoided.Avoid high sugar containing juice and carbonated beverages as it increases flatulence.Giving rice with curd,khichdi,banana,mashed potato is good to be given.
I hope this answers your query.
If you have any more query I shall be happy to help you.If you don't have any doubt please close the discussion and rate it.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (12 hours later)
Thanks for guiding me Dr. XXXXXXX .
Kindly let me know

1. Sometimes my son telling that he is having stomac pain . What medicine should I give n how many times & dose & days ? Junior Landzol or Mucane gel ?

2. How much time it would take for my son to recover fully ?

3. Can I give Glucose water during this time

4. What medication should I give him to improve his digestion power & also body defence mechanism as He falls in sick frequently ( throat infection , cough n cold , cold allergy , indigestion , loss of appetite ) . his weight is near to 24kg ? is it ok at this age ?

5. from when should I start giving proper meal (protein n fat diet ) ?

Best rgds
doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
Details below

Detailed Answer:
Welcome again in the follow up

1)In case of occasional stomach pain I would like to give Dicyclomine(colicaid/coiad) or drotaverine(Drotin) as and when required.Most of the time the pain is due to transient spasm of the intestine and these medicine works well in this condition.Both of these are prescription medicine and get it prescribed by a pediatrician.If pain is severe or persistent get him clinically evaluated by a pediatrician rather than treating yourself.

2)In case of dysentery the usual time for recovery is 3-7 days.

3) Pure glucose water is not recommended in case of loose stools as this may cause electrolyte imbalance. Better to give ORS with plain water in between.

4)The average weight of a child of 7 years old is about 20 kg.I won't be overly worried regarding nutrition if the weight is 24 kgs.Children are prone to recurrent illness infective or allergic.If these illnesses need hospital admission or there is improper growth investigation should be done to find out any immunodeficiency.There are medications available to increase the appetite but its side effect outweighs the benefit.So I don't recommend appetite stimulant.
Papaya is a good fruit to increase the appetite(it contains papain enzyme).

5) Once his bowel pattern become regular you can start the normal diet.

I hope this answers your query.
Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2063 Questions

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Suggest treatment for loose stool and stomach pain in child

Brief Answer: You can continue it for 4-5 days. Detailed Answer: Hello Thanks for the query The bacygyl N contains norfloxacin and metronidazole and it is used in infective diarrhea.The common cause of loose motion in this age is food poisoning and this combination of antibiotic covers well, the organism causing diarrhea. 5 ml of bacygyl N contains 100 mg of norfloxacin and the dose of norfloxacin is 10-15 mg/kg/day. The average weight of a child of 7 years is around 20 kgs so 10 ml twice a day(200 mg/day i.e. 10mg/kg/day) is adequate. Stoamch pain is usually due to intestinal spasm and for this drotaverin or dicyclomine works well.This is a prescription medicine and please get it prescribed by a physician. I would like to continue the junior lanzole to combat gastritis if any. Most of the time these medications need to be given for 4-5 days. The main aim of management in loose stool is to give plenty of fluids(ORS) to prevent dehydration. Giving probiotic and zinc helps in early recovery. Observe for the signs of dehydration like lethrgy/irritability or decrease urinary frequency.If you notice any of this consult your doctor immediately. Regards