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Hydration or what- after started medication
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Pediatrics
Question #26091
23 days ago
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Hydration or what- after started medication - #26091

Rani

Since 2days my kid had fever while visiting to we get know it's ear infection hence doctor suggested to give anti biotic, so for my kid had gone only 3- 4 times of urine and after starting up medication he had gone loose motion

Age: 31
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hello rani, Your child developed fever due to an ear infection, which is usually associated with Ama (toxins), Kapha accumulation, and mild Pitta inflammation. Antibiotics help control the infection but often disturb the digestive fire (Agni) in children. As a result, digestion weakens, leading to symptoms like reduced urine output initially (due to fever or dehydration) and loose stools after antibiotics, because gut flora gets disrupted.

In Ayurveda, this condition is seen as Agnimandya with mild Grahani features triggered by both the illness and the medicines.

Internal Medicines (for 5–7 days): (All medicines to be given with warm water or honey as advised; adjust dose by child’s age — this is general for children between 2–7 years, confirm with Ayurvedic physician for exact dose if needed.)

Balachaturbhadra Churna – 125 mg twice daily Mustharishta – 5 ml + 5 ml water twice daily after food Kutajarishta – 5 ml + 5 ml water twice daily after food (only if loose motion continues beyond 1 day) Drakshadi Kashayam (optional if appetite is low or heat persists) – 5 ml with equal water twice daily Avoid milk, heavy or oily foods. Give light warm food like rice kanji, moong dal water, or thin buttermilk. Keep child well hydrated.

If you have any doubts, you can contact me. Take care, Regards, dr.Karthika

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Some antibiotics may cause loose stools, pls consult the paediatrician who has prescribed so that they can change the antibiotics

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Given your child’s symptoms and recent medication initiation, it’s essential to address both hydration and supportive care for the digestive upset caused by antibiotics. It’s not uncommon for antibiotics to result in gastrointestinal disturbances, such as diarrhea, by disrupting the gut flora. Ensure your child is adequately hydrated, as fluid loss can be significant with loose motions.

Encourage regular intake of fluids that are easy on the stomach. Offer homemade rice water or barley water, which can aid in calming the digestive system. Coconut water is also highly beneficial in replenishing electrolytes. This helps to prevent dehydration. It’s crucial to monitor his urination rate, increasing fluid intake as necessary to ensure he’s urinating every few hours, which is a good indicator of hydration.

To support digestion, introduce some probiotics into his diet if possible. Probiotics such as yogurt or buttermilk can help restore the natural gut flora. Make sure they contain live cultures. If he’s comfortable with them, bananas and well-cooked rice can be soothing for the gut.

Pay atention to timing; make sure that these fluids and light foods are offered in small, frequent amounts rather than large volumes right away to avoid stomach discomfort. Continue monitoring his fever and symptoms closely, and maintain communication with your physician if symptoms persist or worsen. Sometimes just after antibiotics start, the body’s natural response may take a few days to adjust.

Remember that it’s occasionally important to let the antibiotics run their course for recovery, but stay vigilant for any signs of decreased urine output which can be an indicator of dehydration needing immediate medical attention. Keep an eye also on his overall demeanor and alertness, if it’s out of ordinary.

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Decreased urination and loose motions can indeed occur as side effects once antibiotics are initiated. In terms of Ayurveda, it’s possible that the digestive balance, or Agni, is affected and there may be an imbalance in vata and pitta doshas due to the medication and current infection.

First, ensure proper hydration. Water is crucial; aim for sips of warm water frequently throughout the day. You could also introduce some decoctions, such as boiled and cooled barley water or rice gruel, which are suitable for soothing the digestive tract. Small amounts of fresh coconut water can be beneficial for both hydration and balancing the pitta.

Next, focus on the diet. Introduce easily digestible foods that support gut recovery and maintain the child’s energy levels. Light, warm meals made from rice and moong dal khichdi are advisable. These are gentle on the digestion and provide necessary nourishment. Add a pinch of ginger or cumin to aid the digestive fire, which may help handle both the loose motions and the antibiotics better.

Observe your child closely for any worsening symptoms. If the loose motions persist or if you notice any serious indicators such as rapid breathing, excessive sleepiness, or severe abdominal pain, I strongly recommend seeking immediate medical intervention. Dehydration can be dangerous, especially when coupled with fever and diarrhea.

Consider gentle Ayurvedic herbs. Nutmeg (jaiphal) can be grounded and given in small quantities mixed with honey for its digestive balancing effects. However, please keep the dose minimal and suited to a child’s age and constitution.

Since these steps are supportive, also maintain regular follow-ups with your primary care doctor to track your child’s recovery and adjust the antibiotic dose if needed. It’s essential to ensure the underlying infection is adequately treated while managing these side effects.

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