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What Causes Diarrhea With Blood And Mucous?

Posted on Thu, 6 Feb 2014

Question: My daughter is passing motion 3-4 times, kind of paste. It started 5 months ago with the infection. 20/08/2013: Diarrhoea, Travelling with flight, Taxim-O, Z&D, Enterogermina 27/08/2013: WBC-10-12, Mucus, RBC found Z&D, Enterogermina, Metrogyl, Ultrasound normal, Urine routine normal 7/09/2013: Septran, Z&D, Econorm for 1 week 22/09/2013: WBC, Mucus 23/09/2013: Homoeopathy didn't suite 19/10/2013: Nizonide, after this she was fine, LFT Normal, TTGA Normal, Serum cretinine normal, no dairy products (to test cow's milk allergy), restricted diet 9/11/2013: Without dairy product she got diarrhoea, Econorm (Thrice a day loose stool, for 1 week) helped & she was fine after this. 15/12/2013: Again Diarrhoea (we gave Ostocalcium for 3 days, not very sure if this triggered it, otherwise she was on controlled diet) 2/01/2014: No protozoic infection found. So every time if we are giving Econorm XXXXXXX it is controlling the diarhhoea. WHat may be the root cause of this? Is there something to worry about? What is the natural sources of Saccharomyces boulardii, is there any side effect of this probiotic?

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer: Possibility of Amebiasis to be considered Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Mr XXXXXXX XXXXXXX Many of the diarrhea episodes in children are self limiting and are usually caused by Rota-Virus. Antibiotics are only indicated in diarrhea in presence of blood or mucous. Most commonest cause for blood or mucous in stool is amebiasis. (caused by protozoa Entamoeba Histolytica). In children it is assumed that presence of blood in stools is due to Amoebiasis even in the absence of protozoa in stool sample( sessitivity of detection in stool sample for amebiasis is low, three day consecutive stool sample may be required for diagnosis). In the presence of blood or mucous antibiotic directed against Amebiasis is beneficia. Metronidazole is drug of choice. In my clinical practice, children presenting with recurrent diarrhea, empirical treatment( without definite diagnosis) has also proved effective. Curds/Yoghurt is natural probiotic. It contains lactobacillus and is quite beneficial in management of diarrhea in children. I would suggest to try a course of Metronidazole antibiotic for 7- 10 days. I hope it will definitely help. 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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (1 hour later)

Hello Doctor, Blood in the stool was there only in the beginning i.e. 5 months back. It was cured with Metrogyl only. But there is no blood & mucous in the stool for last 4 months. Only thing is she is passing motion 3-4 times with paste like consistency. And it is reduced to 1-2 motions with solid consistency when she is on Econorm 1-2 XXXXXXX daily (saccharomyces boulardii). No other probiotic like Enterogermina is suiting her. Her number of motions also increase if she is travelling somewhere, like we went 300 Km from our place & returned in 1 day but still she got the same motion issue. What is the natural source of saccharomyces boulardii? And if Econorm is harming her anyway? Thanks, Praveen XXXXXXX

Answered by Dr. Deepak Kishore Kaltari (4 hours later)

Brief Answer: Econorm is safe probiotic Detailed Answer: Hi Greetings Dear Mr XXXXXXX The natural source of saccharomyces boulardii is Yoghurt/ curd. Some of the children develop diarrhea following change in water and food especially while travelling. Maintaining clean hand , clean water and clean container will be very helpful. Also would suggest to use consistent source of water. Taking zinc supplements during acute episode of diarrhea is also recommended( zinc deficiency is known to cause recurrent diarrhoea) . It has to be taken for 14 days. Many of the multivitamin supplements contain zinc and will be beneficial. Econorm is safe probiotic and does not cause any harm. Take care Best Regards Dr Deepak Kishore Consultant Pediatric Surgeon

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar