Can Pentavalent vaccine cause loose motion?

Hi,

Welcome to icliniq.com.

I see similar cases in my clinic every day.

1. Pentavalent injection (combination of five vaccines: diphtheria, tetanus, whooping cough, hepatitis B, Haemophilus influenzae type b) in a 2 month old baby does not lead to loose stools.

2. A baby can pass five to six stools in a day who is on breast milk. Since there is no fever, an infective cause seems unlikely.

3. In my opinion, there is no need of Ofloxacin-Ornidazole syrup and Racecadotril in baby.

4. If I was your treating doctor, I would have given Enterogermina (Bacillus clausii) ampule once a day for three days (prebiotic) to increase gut immunity and advised you to breastfeed the child regularly.

Hi,

Welcome back to icliniq.com.

I have read your queries in detail.

I think that two or three doses will not do any harm to the baby, because in some infections like respiratory tract infection, pneumonia antibiotics are given to small babies. Antibiotics should be given only when there is a need and not unnecessarily. If given unnecessarily then only it is harmful. But again three to four doses will not be harmful. Secondly, you are saying that child is passing yellow urine with smell. This is because of prebiotic and the enzyme preparation you are giving. So, you should stop these medications as now they are also not required.

1. If child has more stools, then also the urine becomes concentrated and yellow so feeding should be done more regularly.

2. Stop all medications, feed child well.

3. There is no need to worry, in my opinion your child will be alright in 24 hours.

Hi,

Welcome back to icliniq.com.

I have seen the picture (attachment removed to protect patient identity) you have sent.

1. The swelling is about 0.79 to 1.18 inches with redness over it. From the picture it looks like pus collection in the swelling.

2. In my opinion, it needs drainage immediately, because if drainage is not done then it may take long time about 10 to 12 days to heal with antibiotics.

3. You need to go to the pediatrician for physical evaluation of the injection abscess and drainage of the pus.

4. Do not massage over it and do not apply ice.

5. After drainage of pus antibiotic needs to be given like Cefixime for five days and local application of T-Bact (Mupirocin) ointment should be done for 7 days.

6. The due vaccine should be delayed if lesion has not healed till that time.