Question 1

My baby was born premature and is now 4.5 months old. He is exclusively breastfed and has had loose motions for the last 10 days. For the first three days, the stools were watery. We consulted a doctor, who gave Bifilac GG twice a day and Zinc and Vitamin D 0.5 ml once daily. Now the stools are not watery but still very loose, seedy, and bubbly. Stool frequency in 24 hours is 3 to 6 times. Stool test shows pH 6 and reducing substance positive. The doctor has suggested stopping breastfeeding completely and giving lactose-free formula milk. He has no other symptoms, is active, and is gaining weight steadily. His current weight is 6.3 kg. Please suggest if breastfeeding should be stopped and what should be done regarding the loose motion?

Question 2

Sir/Madam, good evening. I have been suffering from digestion problems for the last 40 days. On 10th April, I had fever along with 12 times loose motion, but I got relief after taking paracetamol. My body temperature stayed around 99.4 during the day and returned to normal in the morning and evening for the next 3 days. I took Augmentine 625 thrice a day and Hatric 3 twice a day for 2 days, after which I developed severe acidity problems. My doctor then prescribed me Pentoz DSR and Melzap MD for 7 days, but when symptoms continued, he changed my medicines to Pantoprazole DSR and Normaxin RT for 10 days, which gave me around 30 percent relief. Currently, I am taking Erojole DSR and Udinol 300 twice a day, and this has improved my condition up to 70 percent, reducing acidity, heaviness in the chest, and pain. I am attaching my LFT test and Widal test report. Could you please suggest what the reports indicate and guide me further based on my condition?

Question 3

My baby has been prescribed Enterogermina vials for 5 days because her stool report shows WBC 15 to 20/hpf, presence of mucus (+++), and reducing substances, even though she does not have diarrhea. She currently has no other symptoms but is feeding less than before, previously she drank about 90 mL of formula per feed, and now she only takes around 30 mL. Her weight has not increased in the last 3 weeks. Her birth weight was 2.188 kg, and she currently weighs 4.6 kg. How can I help her increase her weight and improve her milk intake?

I feel a sensation of gas formation while sitting, along with slight pain. Could this be due to hemorrhoids or a urinary infection? What tests or scans should I get to find out?

Gas and slight pain may be acidity/piles. If burning urine, think UTI. Drink water, eat fiber, avoid spicy foods. Do Urine Routine, Stool Occult Blood test. If persists, do Abdominal USG. consult a doctor if needed

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