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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Loose Motion, Giving ORS. Not Giving Prescribed Taxim O, Wikoryl. Motion Dark Green. Should Start Antibiotics?

Hi
My kid who is 8 months old had loose motion on Saturday and she passed stool 5 times that day. Although this was loose it was not watery. On Sunday she passed stool 4 times in the morning following which we started giving her ORS.After this we took her to the doctor who prescribed the following medicines - taxim o, wikoryl, diof and 1 more medicine. Knowing that diof and taxim o were antibiotics, we didnt give her any of the midicines and instead continued with ORS for the whole day. That day she passed stool(normal this time) once more in the evening which makes the count to 5 for the day. On Monday she passed stool in the morning which was loose and again in the evening. We also took her to a homeo doctor and are now giving her the medicines prescribed by the homeo doctor. On Tuesday (today) she passed a bit in the morning and an hour back she passed some more although the colour was dark green this time. We still havent given her the antibiotics prescribed by the first doctor. Please advise if it is ok to do away with antibiotics in such a case.
Sat, 26 Oct 2013
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General & Family Physician 's  Response
Hello,

Thanks for posting on HCM,

Your child is obviously suffering from gastroenteritis, and even though the most common cause is by a virus known as rotavirus but it also can be caused by bacteria (which are common when child or environmental hygiene are not optimal). Given the scenario, it is possible that since the diarrhea is ameliorating, it could likely be a viral infection which does not usually require any direct cause treatment but rather symptomatic treatment, hence the use of ORS.
How ever, even if the cause was bacteria, it is unnecessary to associate two antibiotics such as taxim (brand name: cefixime) and diof (brand name: metronidazole/ofloxacin) as a single would have sufficed.
So, if diarrhea persist, then it is unlikely viral cause but rather bacterial and rarely yeast infection and you will need to give one of the two antibiotics to your child so as to eradicate the pathogen.
A stool exams and blood tests might become necessary if the episodes of soft/watery stools persist so as to do determine the exact cause, as other blood-borne pathogens maybe responsible.

Hope this helps
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Child Having Loose Motion, Giving ORS. Not Giving Prescribed Taxim O, Wikoryl. Motion Dark Green. Should Start Antibiotics?

Hello, Thanks for posting on HCM, Your child is obviously suffering from gastroenteritis, and even though the most common cause is by a virus known as rotavirus but it also can be caused by bacteria (which are common when child or environmental hygiene are not optimal). Given the scenario, it is possible that since the diarrhea is ameliorating, it could likely be a viral infection which does not usually require any direct cause treatment but rather symptomatic treatment, hence the use of ORS. How ever, even if the cause was bacteria, it is unnecessary to associate two antibiotics such as taxim (brand name: cefixime) and diof (brand name: metronidazole/ofloxacin) as a single would have sufficed. So, if diarrhea persist, then it is unlikely viral cause but rather bacterial and rarely yeast infection and you will need to give one of the two antibiotics to your child so as to eradicate the pathogen. A stool exams and blood tests might become necessary if the episodes of soft/watery stools persist so as to do determine the exact cause, as other blood-borne pathogens maybe responsible. Hope this helps