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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Green Stool And Stomach Pain Despite Giving Azithromycin?

My 6 month old baby is having green poop, with stomach pain for last 20 days. I consulted a pediatrician, she first gave him ciprofloxacine syrup for 7 days, it was cured bt again after days stool was green. Went to the doc once again, she now suggested azithromycin syrup. Bt still he is having green poop. No improvement. Stool test says plenty pus cell and mucus present. What can I do ? Why is this happening?
Tue, 11 Jul 2017
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Pediatrician, Pulmonology 's  Response
Hi...Thank you for consulting in Health Care magic.

It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics (especially broad spectrum antibiotics like ciprofloxacin and Azithromycin in such an young baby) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.

I strongly suggest that you stop the antibiotics.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).

Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,
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What Causes Green Stool And Stomach Pain Despite Giving Azithromycin?

Hi...Thank you for consulting in Health Care magic. It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid s having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (especially broad spectrum antibiotics like ciprofloxacin and Azithromycin in such an young baby) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea. I strongly suggest that you stop the antibiotics. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician). Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,