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What Causes Diarrhea In Children Despite Being On Medication?

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Posted on Thu, 7 May 2015
Question: My 21 month son having loose motion for 4 days
Doctors have given him ofloxacin & nitazoxanide oral suspension with trimethoprim and sulphamethoxazol oral suspension and sporalac tablet but he is not getting relief
He goes loose motion 5-6 times a day
He is also having iticing in his pennies
We are giving orh at regular interval
We are worried about his regular loose motion which are watery
doctor
Answered by Dr. Sumanth Amperayani (19 minutes later)
Brief Answer:
Viral idiarrhea - suggestions

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics like ofloxacin & nitazoxanide oral suspension with trimethoprim and sulphamethoxazol unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).
Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Sumanth Amperayani (8 hours later)
A Doctor has given him additional bacillus claussii spores suspension with above medicine and a injection(don't have an idea)
Sir I m not getting z&d drops in the local medicine store
The medical store has suggested about RACECADOTRIL oral powder 10 mg (1 gm packet)
Should I give it to my child
doctor
Answered by Dr. Sumanth Amperayani (10 hours later)
Brief Answer:
Don't give racecadotril

Detailed Answer:
Hi....
1. Any zinc suspension with 20mg strength can be used as single daily dose for 14 days.

2. Don't use racecadotril 1g.

3. Don't use antibiotics.

4. You can use bacillus clausii spores.

Regards - Dr. Sumanth
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. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Causes Diarrhea In Children Despite Being On Medication?

Brief Answer: Viral idiarrhea - suggestions Detailed Answer: Hi...Thank you for consulting in Health Care magic. It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics like ofloxacin & nitazoxanide oral suspension with trimethoprim and sulphamethoxazol unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician). Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,