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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Flatulence Or Fecal Incontinence While Coughing?

Hi my family is visiting Nigeria with my 3 month old daughter and she has developed a severe dry cough and a fever which has lasted for 4 out of the 10 days we ve been here. What worries me the most is that she farts/poops each time she coughs probably because she coughs so hard. I went to a pediatrician here who diagnosed her as having an upper respiratory infection. However the antibiotics doesn t seem to be helping,insteas she has developed diarrhea and sleeps all the time. She is exclusively on bm and also has so much gas to the point that when I push her legs to her tummy, bubbles/gas/poop comes out. Are there other tests I should ask for to help understand what s going on ?
posted on Thu, 13 Mar 2014
Twitter Sun, 25 Dec 2016 Answered on
Twitter Tue, 27 Dec 2016 Last reviewed on
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Pediatrician, Pulmonology ,  's  Response
Hi.... your baby is having only a simple viral upper respiratory infection. It is very common for babies in this age group to pass motion like this when they cough or sneeze due to lax anal sphincter. Nothing to worry about it...it will settle spontaneously.

Regarding usage of antibiotics - I suggest you stop them... actually ANTIBIOTICS are causing antibiotic associated diarrhoea in your baby.

Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For fever, Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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What Causes Flatulence Or Fecal Incontinence While Coughing?

Hi.... your baby is having only a simple viral upper respiratory infection. It is very common for babies in this age group to pass motion like this when they cough or sneeze due to lax anal sphincter. Nothing to worry about it...it will settle spontaneously. Regarding usage of antibiotics - I suggest you stop them... actually ANTIBIOTICS are causing antibiotic associated diarrhoea in your baby. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For fever, Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth