<s>[INST] Hello doctor, My 1-year-old daughter is passing loose motion from past five days. Before that, she was vomiting. However, vomiting issue is resolved, but still, she is passing loose stool. She is on Ondem thrice daily 2 ml, half an hour before meal (today the course will end), Zinconia 5 ml once daily for five days, Decolic INF drops three times daily for three days (today Decolic course will end), Enterogermina twice daily for seven days, Arbivit Forte 5 ml daily (this is her regular medicine and not a part of the prescribed medications by the doctor for loose motion) and Peditrol ORS throughout the day (one liter). We are diluting five sachets of Peditrol ORS in one liter of water, consumed by her each day. She is accepting all forms of liquid as well. The doctor has advised for stool RE/CS/OBT and reducing substance. She also has lactose intolerance so we do not give her any milk products, only lactose-free substitutes like Isomil and Nestum and right now the doctor has said not to give breastmilk as well. The doctor gave SOS medicine as Bacigyl-N but looking at her report she is dead against to start the antibiotic. The issue is she is not improving in her stool and already four days have passed. She is average active (normally she is very hyper) and accepting food as well (in smaller proportion). I just weighed her, and she has lost 350 gm of weight. She is our first baby hence we are very tensed. Please advice best possible ways to make her fit. [/INST] Hi. Going through the history, it suggests that the child is in the treatment of acute gastroenteritis (AGE). Medicines are rightly prescribed. I would suggest no need for vomiting medicine now, as vomiting has stopped. Withhold Arbivit Forte (Cholecalciferol) till loose motions subside. The stool report does not warrant to start on antibiotics as it is near normal report except for reducing substance (attachment removed to protect patient identity). As most of the AGE is viral, where there is no role of antibiotics. Secondly, antibiotics can itself aggravate loose motion (antibiotic-associated diarrhea). The best thing is the child is accepting food/meal, which is a good sign.Though in small quantity, which shall improve over a period. Do not be in a hurry to look for quick results as the body takes its own time to recover. Make sure the child is passing adequate urine, and the tongue is moist, keep giving fluids and ORS (oral rehydration solution) as adviced by the doctors. AGE usually takes 7 to 10 days to recover. So, do not get tense. You can continue Zinconia (Zinc acetate) total for 14 days, Enterogermina and ORS medicine. You can add Enuff sachet (Racecadotril 10mg) half sachet twice a day for five days. I believe she will improve as she is on right medications and taking the meal. So relax. Meanwhile, no cold drinks/water, give lots of lukewarm water/homemade soups. For more information consult a child health specialist online --> </s>