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Child has soft and green stools. Done stool test. Prescribed Cefixime. Want second opinion

Hi, My baby girl is 4 days from being 6 months old and is currently doing green soft mucoid stools for over 7 days now. It seems to alternate from slimy to very frothy/watery with green specs of debri in the stool too. The entire ordeal started when my child had a very bad chesty cough which led to wheezing in the chest. Ambrox Hydrochloride and Cefaclor was prescribed for 7 days. We noticed that after mixing the Cefaclor powder with clean water, the mixture didn t look like the normal light yellow colour that it usually is (i.e.since we ve used it before), instead it was a darker yellow colour which was visually unusual because the powder was well within it s expiry date. Anyway we didn t think too much of it and started giving the baby the medicines..however after 3 days of the medication her stool started becoming green and slimy, could it have been because of the Cefaclor might have been contaminated/damaged? due to excessive heat conditions when it was stored as a powder in the pharmacy..we don t know. Anyway the above 2 medications were given for the full 7 days. By the end of the 7th day the wheezing had calmed and chesty cough reduced quite considerably but she developed a fever and there was no stoppage of the soft green mucoid poo. She s being a bit fussy eating but is eating alrightish and we kept her hydrated. We went to the Paedetrician again recently and told him the situation and this time he prescribed Cefixime and paracetamol suspension and a stool examination. After a further 4 days of this medication the fever has gone and chesty cough disappeared also. Only today did we receive this stool analysis, and we re still worried that ther s no stoppage of this green smelly slimy/sometime frothy stool as it s been over 7 days now on a trot. The Stool examination report is as follows: PHYSICAL EXAMINATION RESULTS: 1) Stool Colour and Consistency - Green and Soft 2) Mucus - Present(+) 3) Blood - Nil 4) Helminths - Nil CHEMICAL EXAMINATION RESULTS: 5) Reaction - Acidic 6) Occult Blood Test - Not Done 7) Reducing substance - Not Done MICROSCOPIC EXAMINATION RESULTS: 8) Pus Cells - 2-4/HPF 9) Fat Globules - Present(++) 10) Vegetable Cells - Present(+) 11) Protozoa of (E.Histolytica, E.Coli , Giardia lamblia) - Nil 12) Cysts of (E.Histolytica, E.Coli,Giardia lamblia) - Nil 13) Ova of (Ankylostoma Duodenale, Ascaris Lumbricoides , Trichuris Trichura) - Nil 14) Larva of (Strong. Stercoralis) - Nil 15) RBC - Nil 16) Macrophage - Nil 17) Epithelial Cells - Nil 18) Starch Granules - Nil 19) Muscle Fibre - Nil 20) Yeast/Candida - Nil We re a bit worried about some of the Positive results in particular the Pus Cells and Fat Globules. From the examination above how serious is her situation and what would be the right course of action in terms of medication because we could do with a second or even third opinion. Your help much appreciated, Maruf.
Asked On : Sun, 28 Oct 2012
Answers:  1 Views:  317
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Pediatrician, Neonatology 's  Response
The stool report is OK, the amount of pus cells and fat globules are within normal range.
Greenish stool is sometimes normal in infant and nothing to worry for that.
It could be due to antibiotic therapy,as antibiotics also kill the gut bacteria those help in digesting food.
Just monitor the stool regularly for presence of blood (danger sign).
And keep the child free from milk / milk products for few weeks as temporary lactose intolerance due to absence of gut bacteria may be the reason. Prebiotics / Probiotics may help in that case. However, dont use any medicine without consulting your doctor.
Answered: Mon, 29 Oct 2012
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