Is diarrhea normal after taking Augmentin syrup in my 4 y/o?

Question

Hi doctor,

I have a 4-year-old child who weighs 27.5 pounds and has been treated for a urinary tract infection (UTI) with phimosis. He started taking Augmentin syrup (7 ml twice daily) and PCM syrup (4 ml four times daily as a painkiller). However, the next day, he had been experiencing loose stools, totaling 8 episodes. Today, he has started having watery stools again, with no mucus or blood.

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

In a child aged three to five years who is being treated with Augmentin (Amoxicillin and Clavulanate), the development of frequent, watery stools without blood or mucus is likely due to antibiotic-associated diarrhea. This is a common side effect of the medication, as it can disrupt normal gut flora.

Key priorities at this time are ensuring hydration and monitoring the child's condition. Continue the antibiotic only if the child is otherwise stable and the urinary tract infection (UTI) symptoms are improving. However, it is important to inform the treating pediatrician, as they may need to adjust the dosage or switch antibiotics.

Start administering an oral rehydration solution (ORS) in small, frequent sips after each loose stool. If advised by a doctor, consider introducing a probiotic, as it may help reduce antibiotic-related diarrhea. You may continue giving paracetamol as needed for pain or fever.

Seek urgent medical attention if the stools become bloody, contain mucus, become very frequent, or if the child develops vomiting, fever, abdominal pain, reduced urine output, lethargy, or if diarrhea persists beyond 48 to 72 hours. In such cases, further evaluation or a change in treatment may be necessary.

I hope this helps with your concerns, and I look forward to your feedback for better patient care.

Thank you.