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Question
My son is a premature baby, born in the 31st week. He is 2 months old now. For one and a half month, I gave him expressed breast milk. Then shifted him to formula feeding. He has been getting green stools once in 2 days. Motions are irregular. The doctor first gave him Taxim for 5 days  then zofix for another 5 days as the stools were green and very little yellow. Today again the stools were green and i sent it to the lab for testing. The result showed mucus and 6-7 pus cells. My doctor now says to start with zofi 3ml twice. I asked her the reason for this infection and she said that it was due to the formula milk. Does this mean that my son will keep passing green stools till he is on formula milk? He is gaining weight but often cries due to discomfort. CAn you please tell me the reason for my son getting stomach infection and green stools on a regular basis after shifting him to formula milk

Answer
Hi Shubra,

Breast milk is the best milk for the baby, not only for lesser chances of infection, but also scores of other advantages like better weight gain, lesser allergies, better emotional development, and even lesser chances of "lifestyle diseases" like diabetes and hypertension later in life. I would  strongly suggest breastfeeding rather than formula milk. Formula milk is poor second choice.

However, please note that green stools can be NORMAL in babies. I can't say (without examining the baby) whether he has infection and whether he requires any of the medicines. If you have doubts, please take an opinion from another good pediatrician in your area.

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India

www.KumarChildClinic.com

+91-9818356846

Pediatrics

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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