Managing Diarrhea in Infants: Tips for Parents on Solid Foods - Pediatrics

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Complementary foods and diarrhea?


Hello Doctor: I have a baby who is over four months old.
A couple of days ago, I gave him sweet potato puree, but shortly after eating, he started having diarrhea, which has lasted for two to three days.
Later, on Friday, I took him to a pediatric clinic near my home, where the doctor prescribed a medication called Loperamide for diarrhea and also gave us a probiotic called Bifidobacterium.
We have been mixing a quarter packet of the probiotic powder with a small amount of warm water and giving it to him half an hour before each meal.
After taking the medication, we feed him formula milk, but there has been no improvement, and he continues to have diarrhea.
I would like to ask the doctor if my approach is incorrect or if there is another issue.
Additionally, he is currently drinking 180cc of formula; should I dilute it with water after reducing the amount of formula? Thank you for your assistance.
🙏

Hong, 10~19 year old female. Ask Date: 2023/11/18

Dr. Zhang Yingwen reply Pediatrics


Subitram and Bifidobacterium longum - LeSann probiotics are both safe and gentle medications for treating diarrhea in children.
If combined with a reduction in formula concentration, the improvement effect may be enhanced.
If there is no improvement after 3-4 days or if there is abdominal distension and reduced food intake, it is advisable to seek medical attention again.
Additionally, since a four-month-old baby is just starting to try solid foods, sweet potato puree, which is high in fiber, is recommended to be avoided at this stage.
Wishing you good health and well-being!

Reply Date: 2023/11/18

More Info


Managing diarrhea in infants can be a challenging experience for parents, especially when introducing solid foods. It’s essential to approach this situation with care and understanding, as infants have delicate digestive systems that can react differently to new foods. Here are some tips and insights based on your situation and general pediatric guidelines.

First and foremost, it’s important to recognize that diarrhea in infants can be caused by various factors, including infections, food intolerances, or the introduction of new foods. In your case, it seems that the introduction of sweet potato puree may have coincided with the onset of diarrhea. While sweet potatoes are generally considered a safe and nutritious food for infants, some babies may have sensitivities or allergies to certain foods, which can lead to gastrointestinal upset.

When managing diarrhea in infants, here are some key points to consider:
1. Hydration is Crucial: Diarrhea can lead to dehydration, which is particularly concerning in infants. Ensure that your baby is getting enough fluids. If your baby is still breastfeeding, continue to offer breast milk frequently. If formula feeding, you may consider offering an oral rehydration solution (ORS) recommended by your pediatrician to help replenish lost fluids and electrolytes.

2. Monitor Food Introductions: When introducing solid foods, it’s advisable to do so one at a time and wait a few days before introducing another new food. This allows you to monitor for any adverse reactions. If you suspect that sweet potatoes are causing the diarrhea, it may be best to discontinue them for now and try again later.

3. Avoid Certain Foods: While your baby is experiencing diarrhea, it’s wise to avoid foods that can exacerbate the condition. This includes high-fiber foods, sugary foods, and dairy products, as they can sometimes worsen diarrhea. Stick to bland foods that are easier on the stomach, such as rice cereal, bananas, or applesauce.

4. Consult Your Pediatrician: Since you’ve already seen a pediatrician who prescribed medication and probiotics, it’s important to follow their guidance closely. If the diarrhea persists despite treatment, or if your baby shows signs of dehydration (such as decreased urine output, dry mouth, or lethargy), you should seek further medical advice.

5. Adjusting Formula: If your baby is on formula, it’s generally not recommended to dilute formula with water, as this can lead to an imbalance of nutrients. Instead, continue to provide the recommended amount of formula. If you have concerns about the formula or its effects on your baby’s digestion, discuss this with your pediatrician.

6. Probiotics: The use of probiotics, as prescribed, can be beneficial in restoring gut flora, especially after diarrhea. Ensure that you are administering them as directed. Probiotics can help in managing diarrhea and improving gut health.

7. Observe for Other Symptoms: Keep an eye on your baby for any other symptoms such as fever, vomiting, or signs of discomfort. If any of these occur, it’s essential to contact your healthcare provider.

In summary, managing diarrhea in infants requires careful monitoring and a thoughtful approach to diet. Ensure your baby stays hydrated, introduce foods gradually, and consult with your pediatrician for tailored advice. Remember, every infant is unique, and what works for one may not work for another. Your pediatrician is the best resource for addressing your specific concerns and ensuring your baby’s health and well-being.

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