Hello.
Thank you for posting your query at DoctorSpring.com
I understand your concerns. I can also imagine the agony you must be facing while shuttling between three different practitioners. Let me put forth my opinion very frankly:
No infection would usually last for 25 days. Giving antibiotics to a 5 month-old baby with diarrhoea was probably inappropriate, unless your baby had high-grade fever or bloody stools or mucoid diarrhoea. Giving a two antibiotic combination was unwarranted.
Stools turning greenish could mean many things: 1. Whenever stool frequency increases significantly, bile content increases in stools and that could have cause the green colour. Or 2. Unnecessary antibiotics can alter the normal gut microflora and cause colonisation with other microbes (Clostridium difficult) causing what is known as 'Antibiotic associated colitis/ diarrhoea'. In your child, it is difficult to determine which of the two things happened.
Presence of 1-2 RBC/HPF as well as 1-2 PC/HPF has no meaning as they can be seen in any child with diarrhoea. They do not mean anything. Moreover, Escherichia coli is a normal gut flora present in everybody's intestines (food pipe). Growth of E.coli does not mean your child has diarrhoea due to E.coli, UNLESS the strain of E.coli grown is either toxigenic/entero-invasive/etc.. (special strains Eg: O157, etc)
Kindly let me know if the baby has any fever. How is the general activity of the baby? How s the feeding? What feeds is he getting? What is the overall weight loss during these 25 days? Are there any other clinical symptoms?
I ll be able to guide you further after you answer these queries.
Regards
Dr. Saptharishi L G

Dear Parent,

Thank you for patiently answering my queries. I now get the complete picture. Many of the things that you have described would be considered normal in a young infant (Eg: creating extra pressure during passing stools, passing stools 7-8 times per day, passing stools just after the feed, etc)

Now, let me guide you:

Once diarrhoea sets in, the virus (which is the most common etiological agent of loose stools in children) damages the lining of the intestine (intestinal villi). This causes some degree of malabsorption i.e our gut is unable to effectively absorb all the nutrients in the milk (Medical term - secondary lactose intolerance). So, in many children, despite resolution of the infection, the baby may continue to have loose stools due to poor absorption of lactose from the intestines. This is usually benign and obviously, only worsen further with antibiotics (as they will damage the lining of the intestine further).
Rest assured, this secondary lactose intolerance heals spontaneously without need for any intervention. The gut needs time to heal itself.

1. STOP all antibiotics.
2. Give only breastfeeds. DO NOT add any new food now. Because of the damage caused by the virus to your baby's gut, the baby would not be able to absorb newer foods (ragi in your case). Stick to EXCLUSIVE breastfeeds for another three-four weeks.
3. Consider introducing small amounts of CURD. Curd is a natural probiotic and contains beneficial bacteria (the commercial probiotics are a mimic of this natural product)
4. For the rashes around his anus, you can use a gentle emollient like SILODERM ointment. DO NOT apply any antibiotic creams. These rashes would automatically heal once his lactose intolerant stools subside.

I hope your child recovers soon. God bless.

Regards,
Dr. Saptharishi L G.

Dear parent,

It is impossible to be 100% sure about anything in medicine; especially, when a doctor does not see the child in-person. However, in your case, it appears that antibiotics would do more harm than good to your baby.
There is tendency among Indian private practitioners to overprescribe antibiotics. You would be surprised to know that in most of the European countries, prescribing antibiotics unnecessarily is looked down upon.
Having said that, the choice is entirely yours and please free feel to take opinion from a pediatric gastro-enterologist.

Wishing your child a speedy recovery.

Hello.
Thank you for your appreciation.
Hopefully you will get a consult from a pediatric gastro-enterologist. He will certainly be able to guide you in the right direction.
Regards.