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My baby has diarrhoea, how should I manage it?.

A It is important to define what you mean as diarrhoea. This is because most babies can have more loose poohs at some point. However, if you baby is passing frequent very watery poohs at each nappy change and it smells offensive, your baby could have an infection of the digestive system called gastroenteritis. The diarrhoea can often be accompanied by vomiting (your baby being sick)

It is important to keep your eye on your baby if they have diarrhoea and vomiting. This is because young babies can very quickly become dehydrated due to the fluids they are loosing from the frequent diarrhoea and vomiting. When a baby becomes dehydrated they may be lethargic (floppy, drowsy) or irritable and their fontanel (or the soft spot on the top of their head) may have become sunken.

The current guidelines from the National Institute of Clinical Excellence state that you should contact your GP or health visitor urgently for advice if your child has passed six or more bouts of diarrhoea in the past 24 hours, or if your baby has vomited three times or more in the past 24 hours.

If you suspect your baby may have a mild form of diarrhoea you will still need to do the following:

  • Make sure you wash your hands regularly but particular after each nappy change. This will stop the spread of infection.
  • Use one towel for your baby and don’t use this towel for other members of the family
  • Keep on breast or bottle feeding your baby even if they are being sick – they may be absorbing small amounts but every little helps.
  • Try to give extra cool boiled water in between feeds
  • You can also give your baby oral re-hydration fluids in between feeds. See your pharmacist or health visitor for advice on what to buy and dosage.
  • Always Inform your GP if the condition continuous up to 24 hours or if you are concerned about your child.

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