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What Causes Diarrhea In Children Despite Giving First Full Course Of Antibiotics?

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Posted on Wed, 18 Mar 2015
Question: Hello,
My baby is 1.5 years. She is having some stomach infection as she is having little loose motion. So the doctor told me to ofloxacin metronidazole suspension And lactic bacillus powder. I had given 1st full course. And now also the motion is still little greasy. And now the doctor asked me to continue one more course.

doctor
Answered by Dr. Diptanshu Das (46 minutes later)
Brief Answer:
Continue the antibiotics for 5 days from starting the medicine. Not further

Detailed Answer:
Thanks for asking on HealthcareMagic.

I understand that your daughter has diarrhoea and you are concerned. Although most often such diarrhoea is caused due to a virus called rotavirus, some doctors prefer to prescribe antibiotics to be on the safe side. Irrespective of use of antibiotics, it generally lasts for 3-7 days. Since you have begun the medicine, please complete the full course of 5 days. You need not give it beyond that.

The mainstay of treatment is ORS or oral rehydration solution which can be prepared by mixing a full XXXXXXX of Pedialyte or other brands on ORS in the designated amount of water and given sip by sip. It will help in preventing dehydration which is the main cause of concern. If the replenishment of salts and water is adequate, dehydration will not occur. If the frequency of passage of urine comes down or if the child becomes lethargic, you will have to take the child to a doctor without delay.

Apart from giving lactobacillus sachets, also give plenty of curd since it contains beneficial bacteria lactobacillus, and should help.

Hope that helps.

If you found my answer to be helpful, please close the thread with a positive review and a 5 star rating.

Regards
Dr. Diptanshu Das

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Diptanshu Das (18 hours later)
And from last sunday she is having severe cold and cough. Normally the doctor advised me to give Azibact suspension (4ml once) with derivent cough syrup (3ml thrice). shall I give azibact syrup(AZITHROMYCIN) suspension along with this ofloxacin metronidazole suspension. Already i am giving OBM Suspension (Ofloxacin metronidazole suspension) (3.5ml twice) for diarrhea. Does this cause any difficulties? Please explain me. I am in nigeria now. My doctor in XXXXXXX guided me all these medicines when I was coming here. Because here there is no proper good treatment, he guided me all these medicines for safety. Please help me and explain me.
doctor
Answered by Dr. Diptanshu Das (59 minutes later)
Brief Answer:
They can be given along. No issues.

Detailed Answer:
Thanks for asking back.

The antibiotics, azithromycin, ofloxacin and metronidazole, cover two different parts of the antibacterial spectrum. So, they should rather act synergistically if there is a bacterial cause behind each of them. But chances are, that in either case, the cause is viral, where antibiotics would be ineffective. Your doctor has decided to play safe. There is no harm if they are given, that too in combined form.

Please complete the course of antibiotics. Give steam inhalation if possible. Give ORS. Be patient. It may take some time, but soon things should be fine. Unless the child becomes lethargic, you need not worry.

Regards
Dr. Diptanshu Das
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. Pradeep Vitta
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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What Causes Diarrhea In Children Despite Giving First Full Course Of Antibiotics?

Brief Answer: Continue the antibiotics for 5 days from starting the medicine. Not further Detailed Answer: Thanks for asking on HealthcareMagic. I understand that your daughter has diarrhoea and you are concerned. Although most often such diarrhoea is caused due to a virus called rotavirus, some doctors prefer to prescribe antibiotics to be on the safe side. Irrespective of use of antibiotics, it generally lasts for 3-7 days. Since you have begun the medicine, please complete the full course of 5 days. You need not give it beyond that. The mainstay of treatment is ORS or oral rehydration solution which can be prepared by mixing a full XXXXXXX of Pedialyte or other brands on ORS in the designated amount of water and given sip by sip. It will help in preventing dehydration which is the main cause of concern. If the replenishment of salts and water is adequate, dehydration will not occur. If the frequency of passage of urine comes down or if the child becomes lethargic, you will have to take the child to a doctor without delay. Apart from giving lactobacillus sachets, also give plenty of curd since it contains beneficial bacteria lactobacillus, and should help. Hope that helps. If you found my answer to be helpful, please close the thread with a positive review and a 5 star rating. Regards Dr. Diptanshu Das