Patient's question:
My daughter is four months and ten days old. She has had diarrhea for half a month, and the fat globules in her stool test showed two plus signs. The doctor said she has indigestion and advised me not to breastfeed her, but the child won't eat and is starving! However, if I breastfeed her, her stool turns green. What should I do?First follow-up question: I had her stool tested, and there were no white blood cells. She took amoxicillin for two days. I didn’t want to give her antibiotics because she had a fever two days ago, and the next morning she had a complete blood count test, which showed elevated blood indicators. The doctor said there was some inflammation, but she had already recovered from the fever. I’m unsure whether to continue giving her amoxicillin because I’m afraid of developing drug resistance from intermittent use.
Doctor's answer:
Considering it might be physiological diarrhea, infants with physiological diarrhea typically have increased bowel movements but no other symptoms, good appetite, no vomiting, and normal growth and development. After introducing solid foods, their bowel movements gradually return to normal. A stool routine examination shows two plus signs for fat droplets, which indeed indicates indigestion. Breastfeeding is acceptable, but hygiene should be maintained—both the breasts and hands should be thoroughly cleaned before feeding. If this is not feasible, you can purchase a special formula specifically designed for infants with diarrhea from a supermarket.