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Infant suffering with diarrhea, fever, had blue lips with goosebumps. Taking amoxycilin and calpol for congestion. Cause?

Hi, my 12month old daughter has a raspy chest , and a bad cough which she has had for over 6 weeks now. she has recently been given amoxycilin and calpol , both to be given in 5ml doses 3 and 4 times a day respectively. Since thursday though she has had bad diahorrea and today she seems completely out of sorts and tonight before bed she had a temperature of 38.7 degrees. earlier today she also seemed really cold, with her lips going blue, and she was covered in goosebumps
Asked On : Wed, 27 Jun 2012
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General & Family Physician 's  Response

Welcome to HealthcareMagic forum.

As per your description, there are 2 possibilities:

1. Amoxycillin induced diarrhea. Amoxicillin is commonly associated with diarrhea. You need to stop amox and monitor her progress. If it improves with it, she can be switched to an alternative antibiotic such as cefixime for the rest of her treatment.
2. Diarrhea can be part of new infection. Presence of mild fever with chills is suggestive of it. Goosebumps and darkening of lips is also part of this infection. Repeating evaluation including complete blood count, stool analysis can predict the nature of infection.

The next steps in managing her current problems are as follows:
1. Review with your pediatrician
2. Monitoring her vital signs including temperature
3. Stopping amoxicillin
4. Starting an alternate antibiotic as suggested earlier.
5. Getting blood counts, stool X-ray and chest X-ray (if not done earlier).

The test will help your doctors understand the nature of her problem and treat her better.
Discuss about these with your doctor when you report to him/her.

Hope this helps.

Wishing her a speedy recovery

Answered: Wed, 27 Jun 2012
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