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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Loose Stools In New Born Baby?

Hi, My baby is 21 days old and is having loose motions.He is on top feed.My doctor has asked me to give him enterogermina oral suspension (1/2 bottle twice for 3 days) and Taxim 0 (5ml for 3 days).Are these medicenes/antibiotics fine for such a small baby.
Wed, 28 Oct 2015
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Pediatrician, Infectious Diseases,  's  Response
I understand your concerns. Are you also breast feeding him? Usually it is normal for breast fed babies to have some loose stools.
If you are breast feeding him, there is no need to give probiotics like Enterogermina. Also, Taxim O is usually started only if they have blood in stools or high fever. These medicines are safe for small babies but if there is no blood in stools, my recommendation is that you can stop the medicines
If top feeds are being given by bottle, I would suggest you change to a cup and spoon or paladai (or gavage feeds) as bottles, even if sterilised well have more chance of harbouring germs. Also check that you are giving the correct dilution of 1 scoop formula in 30 ml water, as overdilution can cause loose stools.
Make sure you wash your hands well after cleaning the baby, and before giving feeds.
My last recommendation is that you give him rotavirus vaccination from the age of two months, to protect him from rotavirus diarrhea.
Warning signs which should make you take him for a review to the pediatrician:
1. Blood in stools
2. Persistent vomiting
3. Poor feeding
4. Decreased urination (less than once per 6 hours)
5. High fever Temperature >102 F

Hope this helps. If you have further doubts, please do not hesitate to ask.Wish him a speedy recovery.
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What Causes Loose Stools In New Born Baby?

I understand your concerns. Are you also breast feeding him? Usually it is normal for breast fed babies to have some loose stools. If you are breast feeding him, there is no need to give probiotics like Enterogermina. Also, Taxim O is usually started only if they have blood in stools or high fever. These medicines are safe for small babies but if there is no blood in stools, my recommendation is that you can stop the medicines If top feeds are being given by bottle, I would suggest you change to a cup and spoon or paladai (or gavage feeds) as bottles, even if sterilised well have more chance of harbouring germs. Also check that you are giving the correct dilution of 1 scoop formula in 30 ml water, as overdilution can cause loose stools. Make sure you wash your hands well after cleaning the baby, and before giving feeds. My last recommendation is that you give him rotavirus vaccination from the age of two months, to protect him from rotavirus diarrhea. Warning signs which should make you take him for a review to the pediatrician: 1. Blood in stools 2. Persistent vomiting 3. Poor feeding 4. Decreased urination (less than once per 6 hours) 5. High fever Temperature 102 F Hope this helps. If you have further doubts, please do not hesitate to ask.Wish him a speedy recovery.