What should I do if my infant under a month old has diarrhea?

Patient's question:

My son was not fed properly last night, and he got a stomachache. Today, he has diarrhea, with watery and sticky (thick) stool. He has had it five times, and each time it's not much. I don't know how to treat it. Should I take him to the hospital, or will it be fine just to pay attention to his diet?

Doctor's answer:

A baby with diarrhea under the age of one month requires specific treatment based on the baby's clinical presentation. If the baby is breastfed, with infrequent bowel movements that are only slightly loose and no other abnormal symptoms, it is likely breast milk diarrhea and may not require treatment.
Alternatively, if the baby has frequent bowel movements that are quite loose but no other abnormal symptoms, oral Montmorillonite clay (Smecta) and Mammae (a probiotic) can be administered. At the same time, the baby should be given an appropriate amount of fluids to prevent dehydration.
If the baby has diarrhea accompanied by poor feeding, lethargy, or decreased urine output, it is best to visit a local hospital for medical evaluation. A doctor should conduct a physical examination and provide treatment guidance.

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