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How to control loose motions in a 1 month old baby?

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How to control loose motions in a 1 month old baby?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 29, 2017
Reviewed AtDecember 18, 2023

Patient's Query

Hello doctor,

I have a one month old boy baby, his mother died during the delivery. We feed him cow's milk, but he is having loose motions. How to control the loose motions?

Answered by Dr. Babu Lal Meena

Hi,

Welcome to icliniq.com.

It is so sad to hear about his mom.

First, we need to clarify whether he has diarrhea, because sometimes, increased frequency of stools due to gastro-colic reflex may be considered as diarrhea. If he has diarrhea, then we need to look at the causes, for example, infection, faulty feeding, etc. Then we can plan the management. So you tell me about the following.

  1. What is the frequency and consistency of the stools?
  2. Does he have a fever? Is there a decrease in feeding?
  3. How do you prepare the feed? Do you maintain hygiene?

For prevention, you need to maintain hygiene.

Revert with more information to a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Patient's Query

Thank you doctor,

When we feed him cow's milk, within minutes he passes stool. The frequency is directly related to the number of feed, say five times a day. And the quantity of the stool is proportionate to the milk. Yesterday he had a fever, but today the fever is mild. We are giving cow's milk by adding some sugar. The color of the stool is green, we give milk with a nipple. The hygiene is not good because we live in a very remote area. Please suggest the treatment and precautions.

Answered by Dr. Babu Lal Meena

Hello,

Welcome back to icliniq.com.

Here, I got the clue to solve the issue.

  1. The whole problem is that added sugar. Nothing should be added to the baby's milk. It causes increased osmolarity and leads to feed intolerance due to decreased absorption.
  2. Babies pass a stool after feed due to gastro-colic reflex, but it should not be watery, and growth should be adequate.
  3. There should be no compromise on the hygiene. Baby should be fed by spoon and not with a bottle. If a bottle is a must, then try to keep 8 to 10 bottles for a day and clean them immediately after feeding. Better to give formula feed, it will be hygienic.
  4. Monitor the baby's weight every week on the same machine, and it will increase the concentration of the caregiver about baby care. And they will be more concerned.
  5. Right now, he does not need antibiotics if feeding is well and activity is good. Monitor the temperature, if there is a fever of more than 100 F, then we need to give antibiotics. Keep in touch with a pediatrician.

For more information consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Babu Lal Meena
Dr. Babu Lal Meena

Medical Gastroenterology

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