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Suggest Treatment For Diarrhea Caused By Lactose Intolerance In A Child

Posted on Tue, 12 Jul 2016

Question: My 2 year had diarrhea from past couple of weeks. Reports suggested bacterial infection and gave him antibiotics. His situation improved but as soon as we stopped antibiotics, his situation worsened. He has passed 14-15 normal consistency stools since morning.
He faced similar situation last year when his situation improved after antibiotics but worsened as soon as we stopped antibiotics. Reports suggested that he developed lactose intolerance. Is it possible that he has developed lactose intolerance again.

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
May be lactose intolerance - or recovering viral diarrhea

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better.

Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).

Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

My other suggestions -

1. Unless there is blood in motion there was no need for antibiotics.

2. Improving stool consistency is a sign of recovery.

3. I suggest you give him Probiotics especially Saccharomyces boulaardii.....if you can get back to me with current weight, I will suggest you the dose.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (1 hour later)

Hi Doctor,
Here are his details of his conditions :
1. There was blood in his stool earlier and hence doctor suggested to start antibiotics
2. Please find attached routine and culture stool reports of the baby.
3. He was passing 7-8 stools in a day. As soon as we stopped antibiotic (Taxim O), he started passing 15-16 small quantity stools in a day.
4. We are giving him Enterogermina. Should we replace it with Probiotics especially Saccharomyces boulaardii?

PS : Weight of the baby : 10 Kgs

Answered by Dr. Sumanth Amperayani (6 minutes later)

Brief Answer:
Enterogermina contains Saccharomyces boulaardii

Detailed Answer:
Hi.... usually antibiotics are started only if there is XXXXXXX blood in the stools. I agree with you that there was two to three RBC in the stool routine, but this might or might not be significant. That is the reason I have mentioned that antibiotics are not required unless there is blood in the stool. Hope you understand what I am telling - I am saying that visible blood in the stool is different from Stool looked at under the microscope.

Please continue using enterogermina for a total of 5 days and thrice per day. Enterogermina is the same probiotic containing saccharomyces boulardii which I was mentioning in our previous interaction.

Apart from this I suggest you use zinc supplement like Z and D drops 1 ml per day for a total of 14 days. This will help in restoring the intestinal lining internally.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (27 minutes later)

Thanks a lot Doctor for clarifying things in such detailed manner. I have both Enterogermina and econorm. Should I give a combination of both or prefer one over the other. What should be the preferred medicine and its dosage.

Answered by Dr. Sumanth Amperayani (10 minutes later)

Brief Answer:
Hive Econorm please

Detailed Answer:
Hi.... you can give Econormat the dose of 1 XXXXXXX thrice a day for a total period of 5 days.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.

Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (1 hour later)

Thanks doctor for your quick response and It make me feel better when I needed the most.

Answered by Dr. Sumanth Amperayani (3 minutes later)

Brief Answer:
Happy to help anytime

Detailed Answer:
Hi...I am happy to help anytime. If you are happy with the interaction, kindly close the thread and rate it.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar