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Suggest Treatment For Severe Loose Motion In A Child

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Posted on Thu, 8 Dec 2016
Question: Hello doctor , my baby is 3 and half month old . Since five days she is suffering from loose motions having minimum 10 times a day .But baby is active . We consulted peditrican suggested Reflora plus twice a day for 3 days and clabioz twice a day for 2 days . However but there is no change in passing stool. Plz suggest the way forward. We are worried. Thinking to go for home remedy like sabodhnaa water little bit to her.
doctor
Answered by Dr. Diptanshu Das (31 minutes later)
Brief Answer:
ORS is the mainstay of treatment

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. It seems that your daughter has an episode of gastritis or food poisoning. Reflora Plus has been rightly given. Clabioz is optional. But the mainstay of treatment is breast milk and ORS (oral rehydration solution). Saboodana or any other fluids can be given. Unless the lost salts and fluids are replenished the child would become dehydrated. The urine output needs to be monitored. If the frequency comes down it indicates dehydration and calls for additional supplementation of fluids. But if the child becomes lethargic you would need to take her to a hospital without delay.

You need to be patient. The loose motions may persist for a 3-4 days before it resolves.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das (6 hours later)
Thanks doctor for ur quick reply. Prescribed medication has been finished but condition is same. Baby is active but feeling uneasy everytime while passing the stool. Now started giving sabodhan water little bit.
Meanwhile i would like to provide some additional information here that iam giving breast milk to my baby along with formula milk (lactogen 1).
For 3 and half months she is now 7.8 kgs.
Iam giving this lactogen 1 from her birth onwards. This would caused any problem to my baby as iam giving since few months?

Second from past 4-5 days breast milk production was very very less so i used lactare capsule . This capsule would caused any problem to my baby?
Meanwhile iam planning to start giving her some solids in 5 th month so that she can stopping having formula milk. Plz suggest food that i can start giving to my baby?
doctor
Answered by Dr. Diptanshu Das (19 minutes later)
Brief Answer:
Questions answered one by one

Detailed Answer:
Thanks for writing back. As I have already mentioned, the condition is not likely to improve in a couple of days and all you need to do is to replenish the water and salt lost. As of now I would discourage formula milks like Lactogen 1 although breast milk should essentially be continued.

The weight is fine for age and you need not worry about the same. 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. 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.

So long as you are giving formula milk, Lactare capsules would hardly help. Lactare would not cause any problems for the baby.

Breast milk also takes care of immunity against common ailments like cough and cold, and diarrhea. So, automatically your worries would be reduced.

Although not recommended, you can start semisolids from 5 months of age. It would be better to stop formula as fast as possible. You can start with thick liquids like dal water or fruit juices, gradually move over to semi-solids or mashed foods, and subsequently start with pounded food. Consider your ABCs - applesauce, bananas, and cereal (rice, biscuits dipped in milk, or roti softened with milk/water). Boiled rice and dal with vegetables and give in mashed form. Gradually increase the amount and frequency. Introduce one new food item per week and stick to it at least for the week.

Hopefully that clears your doubts.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (2 days later)
Thanks doctor for valuable suggestions. As of now getting stools got controlled. Meanwhile i stopped giving formula milk and giving my breast milk since 2 days , but getting very less now doctor . Can u please suggest can i give some juices to her ? Most of the people are suggesting raagi malt? Plz guide me doctor to balance her food as my milk is not sufficent to her for timebeing . Luckly my daughter will take anything as she is not bother about taste.
doctor
Answered by Dr. Diptanshu Das (6 hours later)
Brief Answer:
You need to increase your own fluid intake.

Detailed Answer:
Thanks for writing back.

I would still insist you to continue breast milk rather than giving formula milk. Make sure that you drink a glass of milk twice a day, as well as plenty of water to drink.

Fruit juice can be given to her although it increases the probability of increase in frequency of loose stools. Ragi malt can be given.

Let me know how many times the child has passed urine in last 24 hours and I would guide you accordingly.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (29 minutes later)
Thanks for quick reply sir. When she is having both breast milk and formula milk she would have gone 15 times urine per day . Since 2 days as she is having my milk she went 6 times per day . While she is having stools she passed very less urine compared to normal days.
doctor
Answered by Dr. Diptanshu Das (4 minutes later)
Brief Answer:
Breast milk should suffice.

Detailed Answer:
Thanks for the update. Since your child is already passing urine for more than 6-8 times in 24 hours, you may consider your breast milk production to be sufficient and your child does not need additional top up feeds with formula. I would insist you to discontinue it. The production of breast milk would automatically readjust itself.

The stool frequency would gradually come down soon. You have to be patient.

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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Severe Loose Motion In A Child

Brief Answer: ORS is the mainstay of treatment Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. It seems that your daughter has an episode of gastritis or food poisoning. Reflora Plus has been rightly given. Clabioz is optional. But the mainstay of treatment is breast milk and ORS (oral rehydration solution). Saboodana or any other fluids can be given. Unless the lost salts and fluids are replenished the child would become dehydrated. The urine output needs to be monitored. If the frequency comes down it indicates dehydration and calls for additional supplementation of fluids. But if the child becomes lethargic you would need to take her to a hospital without delay. You need to be patient. The loose motions may persist for a 3-4 days before it resolves. Let me know if I could help further. Regards