
Hello Doc My Son Is 2 Months Old Have Been

My son is 2 months old have been having lot of gas issues since beginning suffer d from UTI infection as well and for which he was on antibiotics for 7 days amikacin . For gas he has been taking colicaid, neopeptine drops . He also had lot of vomitting issues projectile and spit up of milk for which he was on domestal syrup and junior lanzol tablet...
Now the major concern is he is having lot of noises grumbling and gurgling noise from stomach specially when he drinks milk and otherwise also when we hold him upright for burp and all... and the noise is accompanied by pain or cramps in the abdomen as he completely gets jerk when the noise comes and the pain begins ..... need to know why such abdomen cramps also this pain in the abdomen is affecting his sleep and disturbing his sleep ....
We have done the abdomen ultrasound to rule out pyloric stenosis but scan report is normal.... can you please tell us what investigations shud be done to rule out the gurgling noise and pain in abdomen ..
Also he is refusing to take milk these days not liking to drink at all... cries a lot

My son is 2 months old have been having lot of gas issues since beginning suffer d from UTI infection as well and for which he was on antibiotics for 7 days amikacin . For gas he has been taking colicaid, neopeptine drops . He also had lot of vomitting issues projectile and spit up of milk for which he was on domestal syrup and junior lanzol tablet...
Now the major concern is he is having lot of noises grumbling and gurgling noise from stomach specially when he drinks milk and otherwise also when we hold him upright for burp and all... and the noise is accompanied by pain or cramps in the abdomen as he completely gets jerk when the noise comes and the pain begins ..... need to know why such abdomen cramps also this pain in the abdomen is affecting his sleep and disturbing his sleep ....
We have done the abdomen ultrasound to rule out pyloric stenosis but scan report is normal.... can you please tell us what investigations shud be done to rule out the gurgling noise and pain in abdomen ..
Also he is refusing to take milk these days not liking to drink at all... cries a lot
Colic is common in this age, Formula fed babies have more risk
Detailed Answer:
Hi
Thanks for choosing this platform
I have gone through the query and do understand your concerns.
Regurgitation of feed and mild colic is common in this age.
I wont get overly worried as USG report has ruled out pyloric stenosis which is uncommon but important cause of these kind of symptoms.
Babies on formula feed are at high risk. Most of the formula feed are cow milk based and there can be intolerance to cow milk protein.
I would like to continue the anticolic medicines like colicaid and neopeptine.
At the same time I would request you to switch to exclusive breast feed or if not possible then to a formula milk which is not based on cow milk like soy formula, isomil.
In recent studies probiotic like lactobacillus ruteri has shown good result in babies with abdominal discomfort. Biogaia protectis is the formula which contains l.ruteri. 5 drops of Biogaia daily for 2 months is recommended.
As baby grows this colic symptoms go away.
As baby is on breast feed also I would request you to avoid dairy products and other items which increases flatulence like cabbage,spices,cauliflower,broccoli,lentils in your diet.
Once urinary infection is confirmed in this age IV antibiotics should be given at least for 10-14 days. So I suggest you to discuss about continuation of antibiotics with your doctor.
USG examination is needed in further evaluation of UTI to rule out any congenital urinary disorder. I hope the doctor has ruled out the same in USG which was done for pyloric stenosis.
I hope these measures will help.
Please feel free to ask if you have any more questions.
Wishing for good health of your baby.
Regards

Colic is common in this age, Formula fed babies have more risk
Detailed Answer:
Hi
Thanks for choosing this platform
I have gone through the query and do understand your concerns.
Regurgitation of feed and mild colic is common in this age.
I wont get overly worried as USG report has ruled out pyloric stenosis which is uncommon but important cause of these kind of symptoms.
Babies on formula feed are at high risk. Most of the formula feed are cow milk based and there can be intolerance to cow milk protein.
I would like to continue the anticolic medicines like colicaid and neopeptine.
At the same time I would request you to switch to exclusive breast feed or if not possible then to a formula milk which is not based on cow milk like soy formula, isomil.
In recent studies probiotic like lactobacillus ruteri has shown good result in babies with abdominal discomfort. Biogaia protectis is the formula which contains l.ruteri. 5 drops of Biogaia daily for 2 months is recommended.
As baby grows this colic symptoms go away.
As baby is on breast feed also I would request you to avoid dairy products and other items which increases flatulence like cabbage,spices,cauliflower,broccoli,lentils in your diet.
Once urinary infection is confirmed in this age IV antibiotics should be given at least for 10-14 days. So I suggest you to discuss about continuation of antibiotics with your doctor.
USG examination is needed in further evaluation of UTI to rule out any congenital urinary disorder. I hope the doctor has ruled out the same in USG which was done for pyloric stenosis.
I hope these measures will help.
Please feel free to ask if you have any more questions.
Wishing for good health of your baby.
Regards


So you are saying we should continue protectis for a month or so .
Also now after giving amikacin for 7 days the urine culture was repeated which is normal and says no bacteria
But do you suggest, to continue some antibiotics for sometime ?? Now the doc has suggested oral dose of Sporidex redimix for 1 month 0.5 ml daily is this sufficient ?
Also what was to be checked is USG? Specifically

So you are saying we should continue protectis for a month or so .
Also now after giving amikacin for 7 days the urine culture was repeated which is normal and says no bacteria
But do you suggest, to continue some antibiotics for sometime ?? Now the doc has suggested oral dose of Sporidex redimix for 1 month 0.5 ml daily is this sufficient ?
Also what was to be checked is USG? Specifically
Continue sporidex until imaging is done
Detailed Answer:
Hi
Thanks for follow up
I have gone through the query and do understand your concern.
You are right as Biogaia Protectis needs to be given for 6-8 weeks for colic.
As culture is negative and 7 days of iv antibiotic is completed, no need to continue iv antibiotic.
Sporidex contain cefalexin and is recommended antibiotic in this age for prophylaxis of uti once active infection is treated.
This should be continue until imaging is done.
USG is to be done to see the number, position, size of kidney, any scarring, hydronephrosis, size of ureter(tube connecting bladder and kidney), bladder size/thickness, post void urine etc. Congenital anomalies or vesiureteral reflux can cause uti in early infancy and this should be ruled out by imaging. Ideally DMSA should also be done to see renal scarring.
I would suggest you to discuss this with your treating pediatrician.
I hope this helps.
Please let me know if you have any more doubts.
Thanks and regards

Continue sporidex until imaging is done
Detailed Answer:
Hi
Thanks for follow up
I have gone through the query and do understand your concern.
You are right as Biogaia Protectis needs to be given for 6-8 weeks for colic.
As culture is negative and 7 days of iv antibiotic is completed, no need to continue iv antibiotic.
Sporidex contain cefalexin and is recommended antibiotic in this age for prophylaxis of uti once active infection is treated.
This should be continue until imaging is done.
USG is to be done to see the number, position, size of kidney, any scarring, hydronephrosis, size of ureter(tube connecting bladder and kidney), bladder size/thickness, post void urine etc. Congenital anomalies or vesiureteral reflux can cause uti in early infancy and this should be ruled out by imaging. Ideally DMSA should also be done to see renal scarring.
I would suggest you to discuss this with your treating pediatrician.
I hope this helps.
Please let me know if you have any more doubts.
Thanks and regards



USG can be done early, MCU should also be done if facility is available
Detailed Answer:
Hi
Welcome again
There is no such time line for USG and it can be done now also.
The steps of imaging in children below one year of age for evaluation of uti should be like USG soon after the diagnosis of UTI then MCU after 1 month (not before 2 weeks) followed by DMSA after 2 - 3 months.
MCU which is micturating cystourethrogram to check the vesicoureteric reflux and its severity.
Repeat culture before MCU or DMSA is not the rule but some pediatric nephrologist prefer doing this.
In children below 1 year of age all these three investigations are recommended even if one or two of them comes negative. Antibiotic is continued to prevent recurrence until any underlying abnormality is ruled out. Once investigations are normal it has to be stopped.
UTI symptoms can be fever, frequent urination, crying during micturition, dribbling of urine or frequent vomiting. If you notice any of these please revisit your pediatrician.
I hope this helps.
Thanks and regards

USG can be done early, MCU should also be done if facility is available
Detailed Answer:
Hi
Welcome again
There is no such time line for USG and it can be done now also.
The steps of imaging in children below one year of age for evaluation of uti should be like USG soon after the diagnosis of UTI then MCU after 1 month (not before 2 weeks) followed by DMSA after 2 - 3 months.
MCU which is micturating cystourethrogram to check the vesicoureteric reflux and its severity.
Repeat culture before MCU or DMSA is not the rule but some pediatric nephrologist prefer doing this.
In children below 1 year of age all these three investigations are recommended even if one or two of them comes negative. Antibiotic is continued to prevent recurrence until any underlying abnormality is ruled out. Once investigations are normal it has to be stopped.
UTI symptoms can be fever, frequent urination, crying during micturition, dribbling of urine or frequent vomiting. If you notice any of these please revisit your pediatrician.
I hope this helps.
Thanks and regards


Also he had taken vaccination 2 days back and he had fever for which we gave babygesic paracetamol drops.. every 6 hrs .but all of a sudden he has stopped taking milk he is mostly a bottle fed baby and all of a sudden he is refusing milk... pls help understand the reason behind this. He is crying if we give him bottle. And on breast he already had strike so he was not taking and hence from one month we had introduced bottle... but all of a sudden he is refusing milk
Doc pls guide what could br the reason
He does not have oral thrush we got it checked

Also he had taken vaccination 2 days back and he had fever for which we gave babygesic paracetamol drops.. every 6 hrs .but all of a sudden he has stopped taking milk he is mostly a bottle fed baby and all of a sudden he is refusing milk... pls help understand the reason behind this. He is crying if we give him bottle. And on breast he already had strike so he was not taking and hence from one month we had introduced bottle... but all of a sudden he is refusing milk
Doc pls guide what could br the reason
He does not have oral thrush we got it checked
Most likey transient and will soon resume feeding
Detailed Answer:
Hi
Thanks for follow up
I can understand your concern.Cessation of feeding might be due to pain, mood fluctuation and it is transient. Hopefully she will soon restart taking feeds. Just keep trying. Try both for breast and formula feed.
Although it is highly unlikely to develop any complication related to decreased feeds but still i would suggest you to observe for urine output and general activity. If you find any abnormality please consult your pediatrician.
Regards

Most likey transient and will soon resume feeding
Detailed Answer:
Hi
Thanks for follow up
I can understand your concern.Cessation of feeding might be due to pain, mood fluctuation and it is transient. Hopefully she will soon restart taking feeds. Just keep trying. Try both for breast and formula feed.
Although it is highly unlikely to develop any complication related to decreased feeds but still i would suggest you to observe for urine output and general activity. If you find any abnormality please consult your pediatrician.
Regards


it’s been 5 days now that he is not taking feeds properly like refusing bottle nipple as well as he is a bottle fed baby.
What could be the reason should we get a stool culture done as he is too gasy and not accepting milk soo is there any correlation?

it’s been 5 days now that he is not taking feeds properly like refusing bottle nipple as well as he is a bottle fed baby.
What could be the reason should we get a stool culture done as he is too gasy and not accepting milk soo is there any correlation?
Stool culture not needed
Detailed Answer:
Hi,
Passing stool once in a day is normal.
I would like to know if you have switched to isomil or continuing the previous one. Also, if Biogaia Protectis has been started yet or not?
Excess gas formation is not due to infection so there is no need for stool culture.
Please let me know which formula feed you are giving now, so that I better able to help you out.
Regards

Stool culture not needed
Detailed Answer:
Hi,
Passing stool once in a day is normal.
I would like to know if you have switched to isomil or continuing the previous one. Also, if Biogaia Protectis has been started yet or not?
Excess gas formation is not due to infection so there is no need for stool culture.
Please let me know which formula feed you are giving now, so that I better able to help you out.
Regards


Pee count of 25 to 30 times in 24 hrs duration is normal for. 2 months 10 days old baby boy.
As my son had uTI infection last month for which he was treated through antibiotics amikacin for 7 days post which the urine culture was normal
But I see his frequency of urine is very high around 25 in a day is that normal or it’s too high please advice

Pee count of 25 to 30 times in 24 hrs duration is normal for. 2 months 10 days old baby boy.
As my son had uTI infection last month for which he was treated through antibiotics amikacin for 7 days post which the urine culture was normal
But I see his frequency of urine is very high around 25 in a day is that normal or it’s too high please advice
If urine report is normal this frequency is also normal
Detailed Answer:
Hi
I can understand your concern as increased frequency can be seen in urinary infection also. But as you mentioned earlier that recent urine report is normal, this frequency is not related to urinary infection.
Increased frequency is common in early infancy and is seen due to still developing muscles of urinary bladder or overactive bladder.
I won't get overly worried as urinary reports are normal and in most of the babies frequency improves with age.
Please get back to me once the usg kub and other imagings are done.
Regards

If urine report is normal this frequency is also normal
Detailed Answer:
Hi
I can understand your concern as increased frequency can be seen in urinary infection also. But as you mentioned earlier that recent urine report is normal, this frequency is not related to urinary infection.
Increased frequency is common in early infancy and is seen due to still developing muscles of urinary bladder or overactive bladder.
I won't get overly worried as urinary reports are normal and in most of the babies frequency improves with age.
Please get back to me once the usg kub and other imagings are done.
Regards

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