My 1-year-old daughter has loose motion for past five days. What can be done?

Hi,

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Going through the history, it suggests that the child is in the treatment of acute gastroenteritis (AGE). Medicines are rightly prescribed. I would suggest no need for vomiting medicine now, as vomiting has stopped. Withhold Arbivit Forte (Cholecalciferol) till loose motions subside. The stool report does not warrant to start on antibiotics as it is near normal report except for reducing substance (attachment removed to protect patient identity). As most of the AGE is viral, where there is no role of antibiotics. Secondly, antibiotics can itself aggravate loose motion (antibiotic-associated diarrhea). The best thing is the child is accepting food/meal, which is a good sign. Though in small quantity, which shall improve over a period.

Do not be in a hurry to look for quick results as the body takes its own time to recover. Make sure the child is passing adequate urine, and the tongue is moist, keep giving fluids and ORS (oral rehydration solution) as adviced by the doctors. AGE usually takes 7 to 10 days to recover. So, do not get tense. You can continue Zinconia (Zinc acetate) total for 14 days, Enterogermina and ORS medicine. You can add Enuff sachet (Racecadotril 10mg) half sachet twice a day for five days. I believe she will improve as she is on right medications and taking the meal. So relax. Meanwhile, no cold drinks or cold water, give lots of lukewarm water or homemade soups.

Hi,

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I am happy to know stool consistency and frequency has reduced (from seven to three times a day), which is a good sign. Pus cell 2 to 3/hpf is normal and expected as per baby's illness. No need for any specific treatment. It shall get normalized over a period of time. Yes, stool culture is important. I expect that there should be no growth in the culture. I am pretty sure she will improve. Just continue what I have suggested. If you feel that the stool frequency has decreased and consistency has improved from liquid to semi-solid, no need for Enuff sachet to start. Do not worry, make sure she is smiling, playing and taking semi-solid to liquid meals throughout the day. Let the mother and you spend more time with her if possible. Positive and happy state of mind and surrounding helps speedy recovery in children.

Hi,

Welcome back to icliniq.com.

Great to know that the stool culture report is good for the baby. It suggests no organisms, so no antibiotic treatment is required (attachment removed to protect patient identity). I am also happy to hear that baby is active and playful. She is in the recovery phase.

Continue the same medications as suggested. You can stop Decolic INF (Dimethicone and Dill oil) if you are continuing. Continue Zinconia for a total of 14 days, even if loose motion stop, it gives more gut immunity. Enterogermina (Bacillus clausii) and ORS, you can continue for two more days. ORS you can give only when the baby is passing loose stool (volume replacement). Give coconut water as much as she likes.