Baby having loose motions. Prescribed Z&D suspension and enterogermina. Showed pus in report. Refuses feed. Medicines?
Patient: My 8 month old baby is passing loos motions (green color with mucus) since last 5 days. On very next day I have visited doc who suggested Z&D suspension (.05 ml once a day), entrrogermina ( 5 ml once a day). But on 3rd day, my baby had fever so that doc gave oflox 50 syrup (4 ml twice a day) and suggested stool routine test. yesterday the report showed pus cell 10-20 and doctor suggested the same treatment should be continued. Now, she is passing yellowish green 2-3 times a day but there is some reaction on her whole body skin. Its like some allergy on whole body skin. She is refusing feeds other than my breast feed and also not taking water. Is it a side effect of medicines? Doctor: Welcome to HCM! What’s your baby's weight? Is he/she on breast feed alone or you have already WEANED the baby at 6 months age i.e. started solid simple food like easy-to-digest preparations of cereals, pulses and vegetables? Please stop all tinned dietary supplements (at times babies are allergic to the preservatives used in them). It’s okay if the baby has been given Z&D or zinc sulphate suspension (aid in healing damaged intestinal villi), Enterogermina (contains Bacillus Clausii, a new class of probiotic to help stimulate the immune system to protect the Gastro-Intestinal tract against infection). However Oflox syrup or Ofloxacin is contraindicated in children due to risk of permanent injury to the musculo-skeletal system. If there are pus cells in stools; a stool culture may be done for bacteriologial detection and appropriate anti-biotic may then be given. In most cases its Rota viral diarrhoea and only the baby's hydration is to be maintained with ORS (Oral Rehydration Solution) and breast feed. Since there is no fever the possibility of a bacterial infection is low; As a foul smelling stool with blood and mucous suggests amoebiasis which is not so in your baby's case. As your baby is 8 months old the possibility of MEASLES can't be ruled out (since vaccination against measles is given at 9 months of age and maternal antibodies protect against measles till 6 months of age); refusing feeds could be because of this viral exanthema (rashes) and treatment has to be supportive by continuing BREAST FEED alone.