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Pus is plenty in stool test
My baby is passing green and frothy stools from 4 days .She is farting along with motion sometimes and will fart more often other times.Has done stool test doctor has suggested vizylac gg drops 6 drops thrice a day along with z and d drops for a week. She is 2.5 months old now.she is facing gas issue from 21 days old. The reactive substance positive is the reason for plenty of pus cells in the stool? I am worried about this.
I am lactose intolerant and stopped all dairy products from past 2 weeks. Do i need to stop breastfeeding and give lactose free formula
Prabhu
Is she having fever and dehydration if yes then treat with antibiotics if not then it’s cow milk allergy or lactose intolerance so start Neocate formula
Next Steps
Repeat stool RM after 2-3 weeks
Health Tips
Give Neocate upto 1 year age
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Hello, I understand your concern
Plenty of pus cells can be seen in: Infective diarrhea (viral or bacterial) and Allergic colitis or milk protein intolerance
No antibiotics are needed unless the baby has fever, vomiting, blood in stools, or appears unwell.
You do not need to stop breastfeeding unless a clear CMPA is diagnosed. Since you are already avoiding dairy due to your own lactose intolerance, continue exclusive breastfeeding for now. Lactose-free formula is not routinely needed unless baby is not gaining weight, has persistent diarrhea, or is irritable/feeding poorly.
Next Steps
Vizylac GG (probiotic) helps restore gut flora.
Zinc and Vitamin D support immunity and gut healing.
Continue this for the prescribed course.
consider a stool reducing substances test or stool pH, if symptoms persist.
If CMPA is suspected later, we may consider a hypoallergenic formula (like extensively hydrolyzed formula), but not lactose-free as first choice.
Health Tips
Red flags:
Baby has blood in stool
Refuses feeds or becomes lethargic
Weight gain falters
Symptoms persist beyond 7–10 days
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Green stools and pus cells can happen due to gut infection or temporary intolerance. Since your baby is active and feeding well, we’ll continue breastfeeding and monitor hydration.
There's no need to strictly stop dairy from your diet unless allergy is confirmed.
Consult Paediatrician if symptoms persist or worsen.
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Green, frothy stools with gas and positive reducing substances in a 2.5-month-old suggest transient lactose intolerance, often secondary to gut mucosal irritation (post-infection or cow milk protein sensitivity). The presence of pus cells may indicate a minor gut inflammation, but not necessarily a bacterial infection. Vizylac GG and Z&D are appropriate to support gut healing and immunity.
Next Steps
1. Continue exclusive breastfeeding—there’s no need to stop unless symptoms worsen or weight gain is poor.
2. Monitor stool frequency, consistency, and baby’s feeding pattern and growth.
3. If symptoms persist beyond 1–2 weeks or worsen, consider a short trial of lactose-free formula under supervision
Health Tips
1. There is no need to stop breastfeeding solely due to your own lactose intolerance—it doesn’t affect breast milk lactose content.
2. Avoid over-intervention; most cases resolve with gut rest and supportive care.
3. Reassure and observe; if baby is active, feeding well, and gaining weight, it’s usually self-limiting.
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You need to go stepwise for this.
- for now give her the Vizilac gg drops, the vitamin d and zinc drops. Continue with breastfeeds. Plenty of pus cells suggest possible bacterial infection and it will be good to add an antibiotic too. Continue the Vizilac, and zinc for 14 days at least
- be careful that the baby is having good breast feeds and passing at least 6-7 times urine, is active and not getting dehydrated
- the reducing substances are positive in presence of secondary lactose intolerance due to infection/ inflammation of intestinal tract and Vizilac as well as breast feed will help her in reducing gas as well reducing substances
- mother may keep taking curd/ dahi/ buttermilk as she is not having any allergies to milk protein
Next Steps
Need to monitor weight, hydration
Add antibiotics
Health Tips
In case the problem persists despite all these interventions we need to check for cow’s milk protein intolerance
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