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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Baby having mucous in stools, runny stools. On medicines. Suggestions?

my daughter is currently 9 mnths running.she has been having mucus in her stools since she was 6 mnths old.d quantity of d mucus steadily kept on increasing.she passed her stools wit a black jelly like blob along with d normal brown colour.this happened twice.wen shown 2 d doc her stools examination showed she has 25-30 pus cells n occult blood presence was +ve.she was admitted n kept on d following medications for 6 days: neopeptine 8 drops (twice) cyclopam 6 drops (twice) bifilac sachet 2 daily IV :- oflox 20 ml twice daily rantae one third cc isolyte p 500 - 6hrs injection ctri 125 mg once daily after 6 days d stool test showed 4-6 pus cells hence she was discharged. but nonetheless again d mucous steadily increased.this time the stool test was done for ph n sugar n micro. the results are: ph : 7 ; sugar:0.5% ; micro: fat globules ++. no medication was given n d doc asked me to wait it out.she was weighing 7.5 kgs @ 7 mnths n reduced to 6.5 kgs.the frequency of her motions reduced to only one time from 4 times a day.she has started 2 grow her first teeth too. after about 10-12 days after d discharge from d hospital she vomitted twice .she was prescribed vomikind n favlife sachets.now her motions is full of thick mucus n her present prescription is : vitazyme 10 drops twice daily gramogyl suspension 1 tsp twice daily during this course her motions became green in colour and is very runny.the frequency of motions has gone up to 5 times a day. 3 times it is green n 2 times it is normal brown colour. after 4 days of this course she started having blood in her stools.so along with the above 2 medicines oflomac (suspension) was prescribed. now there is no blood but mucous is present n of course the motions r runny. I fear after this course is over my baby will b again back to square one. Pl help. age of d baby as of now: 9 mnths running wgth : 6.5 kg
Fri, 15 Mar 2019
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General Surgeon 's  Response
Hello,

* The issue of your baby sounds to be more in relation with malabsorption syndrome from the intestine problem as of congenital origin, rather than mere infection of intestine or colon.
* Series of evaluations are mandatory to focus where the defect lies as liver enzymes, metabolic pathway or biochemical process as of fat indigestion with fat globules in the stool is striking feature here.
* Kindly consult baby to an expert with experience of such disorders dealing with the enzyme issues of congenital origin.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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