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Suggest Treatment For Persistent Diarrhea In An Infant

Posted on Mon, 8 Sep 2014

Question: Hello Doctor,

My baby is 3 months old. She is crying from Stomach ache, Gas Problem & loose motion for the past 1 1/2 months. B'cos of continuous loose motion, she has got wound in her buttocks and cries a lot. Doctor has suggested to stop mother feed for few days and to give Isomil. Now, her loose motion has stopped but when i start feeding her, again loose motion starts and the wound also is forming quickly. Doctor has asked to stop my milk and to give only Isomil. Is there a way to stop this loose motion with my milk? Can i try colic aid? will it stop loose motion and gas problem? Pl. help me. I want to feed my baby with my milk only.
Thanks
XXXX

Answered by Dr. Venkata Subrahmanaym Mukkavilli (33 minutes later)

Brief Answer:
Probably it is temporary lactase deficiency.

Detailed Answer:
Hi,

When baby suffers from persistent diarrhea the brush border epithelium of the small intestines which produces lactase enzyme is destroyed leading to lactase deficiency.
This can be confirmed by stool examination for reducing sugars.
Once the diarrhea is controlled the epithelium gets repaired within 10 days.
Latter you may revert back to breast feeding as usual.

Zn-20 syrup 10 mg /day for 14 days helps in hastening the recovery.
Colicaid drops give relief from gas problem and pain abdomen.

Wound around buttocks will disappear once the diarrhea is controlled.
You may apply Rashfree ointment for temporary relief.

For the time being as per doctor's advice please stick on to Isomyl.

Hope this answer will serve your purpose
Please feel free to ask any more queries if required
Take care
Dr.M.V.Subrahmanyam MD;DCH
Associate professor of pediatrics

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Venkata Subrahmanaym Mukkavilli (2 days later)

Thanks Doctor for your advice.

As per Doctor's advice, I'd been giving only Isomil for the past 4 days. In the mean time, She has also got Urinary Infection (Klebsiella Pneumoniae, Colony Count: >1,00,000 cfu/ml) which was confirmed by Urine Culture. Doctor has given Septran suspension for 7 days.

Can I give Colic Aid along with this Antibiotic medicine?

Is there any diet restrictions which i need to follow to feed her for her diarrhea and gas problems?

Thanks & Regards
XXXX

Answered by Dr. Venkata Subrahmanaym Mukkavilli (14 hours later)

Brief Answer:
You can give Colicaid along with Antibiotic.

Detailed Answer:
Hi,
Thanks and welcome to HCM
You can give Colicaid for gas problem along with your antibiotic .
There are no special dietary restrictions for urinary tract infection .
Continue Isomyl till recovery from diarrhea and 10 days afterwards.
Hope this answer is OK for you.
Further queries invited .
Dr.M.V.Subrahmanyam.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Venkata Subrahmanaym Mukkavilli (6 hours later)

Dear Doctor,

Thanks for your reply.

I need to know if there is any diet restriction which i need to follow for me (not for my baby, as i think my diet also affects my baby, we are non-vegeterian) to feed my milk to her after 10 days.

Thanks & Regards
XXXX

Answered by Dr. Venkata Subrahmanaym Mukkavilli (3 hours later)

Brief Answer:
No special restrictions for mother's diet.

Detailed Answer:
Hi,
Thank you for asking another follow up question on health care magic.
Nursing mother's have no restrictions on their diet whether veg or non veg.
certain drugs and diseases will have deleterious effects on the baby taking breast feeding.
You can safely feed your baby without fear once diarrhea is controlled and the intestinal mucous membrane is repaired.
Hope this answer will serve your purpose
Please feel free to ask any more queries if required
Take care
Dr.M.V.Subrahmanyam MD;DCH
Associate professor of pediatrics

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. Vinay Bhardwaj