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What causes diarrhea, weight loss and green stool in infant?

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Posted on Thu, 3 Dec 2015
Question: Hi Doctor.
Please can you help?
My baby has 3 months age.
He is decreasing his weight or he does not gain well weight. He borns with 3.450 kg and until now 3 months and 1 week he only have 5.500 kg.
When he has 2 months he was deagnosed Sepsis and anemie. We stay in the hospital 5 days they give antibiotics and He receive blood. Hemoglobin increase 7.6 to 13.4
Now he started diarreia with poop green colour.
I made the poop culture and the results:
Mucus present
RBC 2-4
Pus cells 15 - 20
Macrophages 1 -3
Ocult blood positive.

What does it mean.?
Thank you.
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Follow up: Dr. Sumanth Amperayani (1 hour later)
my baby is very alergian he don't use usual soaps or creams.

dermatologist said that he has a dry skin with atopic tendencies.
doctor
Answered by Dr. Sumanth Amperayani (37 minutes later)
Brief Answer:
Good weight gain - Don't worry

Detailed Answer:
Hi....first be reassured that your baby's growth is normal. Normally babies lose 10% of birth weight and regain it in the first 10-12 days. If we calculate like this, your baby has gained almost 26-27 grams per day till now. This is an excellent weight gain.

I do not think this is in anyway related to the sepsis and anemia he had previously.

It's normal for babies of this age group to pass green colored motion like this. Unless the baby is very lethargic or dull or not having adequate urine output or green colored vomiting or blood in the motion you need not worry.

The occult blood in stool test report could be due to antibiotic induced or if you had started on cow's milk apart from mother feeds - it could be a cow's milk protein intolerance. I DON'T SUGGEST ANTIBIOTICS BASED ON THIS REPORT AGAIN.

MOST IMPORTANT THING IS THE ACTIVITY OF THE BABY. AN ACTIVE BABY IS A WELL BABY.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8343 Questions

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What causes diarrhea, weight loss and green stool in infant?

my baby is very alergian he don't use usual soaps or creams. dermatologist said that he has a dry skin with atopic tendencies.