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What causes persistent loose motions?

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Posted on Tue, 22 Jul 2014
Question: My grand son 14 mnths old has loose motion since last about 10 days. Stool test shows 4-6 pus cells and undigested food particle. No symptom of dehydration. Child is jolly but not taking food properly. Pl advise what to do ? Doctor has prescribed "NUTROLENE B SURUP" to be given twice daily (5 Ml dose). Should we continue the medicine? If we will increase the dose or make it thrice ? Pl advise .

XXXX
XXXX
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Answered by Dr. Deepak Kishore Kaltari (59 minutes later)
Brief Answer:
Avoid cow milk for a week

Detailed Answer:
Namasthe
Welcome to Healthcare-Magic
Greetings of the day

Dear XXXX

Its very reassuring to know the child is jolly.
If the following criteria are fulfilled there is no cause for concern
1. Absence of blood in stools
2. No signs of dehydration

If there is still increased stool frequency , it will settle down. I would not be worried about stool report. If clinically the baby si doing well then thats okay.


Persistent loose motion could be due to

1. Worsening nutritional status due to loose motion will impair the repairative procedure and further worsening symptoms
2. Presence of pathogenic E coli, which could cause malabsorption
3. Cow milk Protein allergy
4. Development of lactose intolerance( not able to digest milk sugar)
5. Use of prolonged antibiotics

I would advise the following which will definitely be helpful

1. Continue Neutrolin B twice a day: Its a probiotic which restores the normal bacteria of colon and helps reduce symptoms. There is no need of increasing the dosage
2. reduced lactose diet diet: Avoid giving cow milk directly for next 1 week. Many of babies have persistent symptoms due to lack of lactase enzyme which digest lactose sugar of milk.
Curd rice, milk sooji gruel , dalia/lapsi, dhal water, rice ganji , Egg whitecan be used.
3. Zinc supplement: Zn20 suspension will be helpful. Subclinical zinc deficiency can cause prolonged loose motion

One recipe which i would suggest which is highly nutritious and the baby will like is as follows

Ingredients needed: Ghee( 2 spoons), Whole wheat flour ( 2 spoons) , Pista( 50 gms), Cardomom ( 6 in number), Almonds( 50 gms), Khajur( Dried dates 50 gms), water

In a pan pour 2 spoons of ghee, heat it, add 2 spoons of wheat flour (Atta), cook it till golden brown on low flame till its slightly golden in color. Add 2 Cups of water and keep stirring it continuously making a thin water paste( same like sira consistency). To this add powdered mixture of rest of ingredients grinded in mixer ( pista, almond, khajur, cardomom).
Supplement baby breakfast with this recipe, and also can be consumed at night when baby is hungry.

Do keep me updated about the progress. Do get abck to me anytime sir, will be glad to assist you.
Wishing you and your family a very happy and healthy life.

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh
Consultant Pediatric Surgeon



Curd rice is very much beneficial as it is natural probiotic
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

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What causes persistent loose motions?

Brief Answer: Avoid cow milk for a week Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day Dear XXXX Its very reassuring to know the child is jolly. If the following criteria are fulfilled there is no cause for concern 1. Absence of blood in stools 2. No signs of dehydration If there is still increased stool frequency , it will settle down. I would not be worried about stool report. If clinically the baby si doing well then thats okay. Persistent loose motion could be due to 1. Worsening nutritional status due to loose motion will impair the repairative procedure and further worsening symptoms 2. Presence of pathogenic E coli, which could cause malabsorption 3. Cow milk Protein allergy 4. Development of lactose intolerance( not able to digest milk sugar) 5. Use of prolonged antibiotics I would advise the following which will definitely be helpful 1. Continue Neutrolin B twice a day: Its a probiotic which restores the normal bacteria of colon and helps reduce symptoms. There is no need of increasing the dosage 2. reduced lactose diet diet: Avoid giving cow milk directly for next 1 week. Many of babies have persistent symptoms due to lack of lactase enzyme which digest lactose sugar of milk. Curd rice, milk sooji gruel , dalia/lapsi, dhal water, rice ganji , Egg whitecan be used. 3. Zinc supplement: Zn20 suspension will be helpful. Subclinical zinc deficiency can cause prolonged loose motion One recipe which i would suggest which is highly nutritious and the baby will like is as follows Ingredients needed: Ghee( 2 spoons), Whole wheat flour ( 2 spoons) , Pista( 50 gms), Cardomom ( 6 in number), Almonds( 50 gms), Khajur( Dried dates 50 gms), water In a pan pour 2 spoons of ghee, heat it, add 2 spoons of wheat flour (Atta), cook it till golden brown on low flame till its slightly golden in color. Add 2 Cups of water and keep stirring it continuously making a thin water paste( same like sira consistency). To this add powdered mixture of rest of ingredients grinded in mixer ( pista, almond, khajur, cardomom). Supplement baby breakfast with this recipe, and also can be consumed at night when baby is hungry. Do keep me updated about the progress. Do get abck to me anytime sir, will be glad to assist you. Wishing you and your family a very happy and healthy life. Best Regards Dr Deepak Kishore MBBS,MS,MCh Consultant Pediatric Surgeon Curd rice is very much beneficial as it is natural probiotic