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Indigestion
My son is 22 months old. He has acidity at night and loose motion two-three times in the morning. Whatever he eats at night, he burps sourly after that, he does not have a fever and does not vomit. His stomach is always tight. The potty smells very bad.
give him dal roti, milk roti, fruits, rice to eat, vegetable
Answers (5)
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Your child may be experiencing gastrointestinal irritation, possibly due to:
Gastroesophageal reflux (GER)
Mild gastroenteritis or gut flora imbalance
Food intolerance (e.g., excess spicy/oily food, milk products)
Overeating or late meals
Next Steps
Give early dinner (at least 2 hours before sleep), Avoid overfeeding at night; Small, frequent meals through the day.
Avoid spicy, oily, sugary foods, chocolates, and citrus at night, Offer curd rice, khichdi, or soft bland foods at dinner, Include more fiber-rich fruits like banana, apple (steamed if needed), Ensure adequate hydration.
Slightly elevate head end of bed (pillow under mattress).
Don’t lie him down immediately after meals; keep upright for 30–45 minutes.
Antacid syrup (like sodium alginate or sucralfate) at bedtime.
Probiotics like Saccharomyces boulardii or Lactobacillus for 5–7 days.
Zinc supplementation (for loose stools if prolonged).
Health Tips
Red flags:
Persistent vomiting
Blood in stools
High-grade fever
Poor feeding or lethargy
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Give Rantac 5ml twice daily before food morning and night
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Your child may be experiencing toddler’s diarrhea or mild indigestion, which can be common at this age due to immature digestion and dietary patterns. The symptoms like sour burping, loose stools, and bad-smelling potty without fever or vomiting suggest a functional issue rather than infection.
✅ Tips
Avoid giving milk with roti at night as it may cause indigestion.
Avoid heavy meals or fruits at night.
Give easily digestible, soft foods like khichdi, curd rice, or moong dal.
Ensure your child stays hydrated – give ORS or coconut water if needed.
Avoid spicy or oily foods.
Keep a food diary to identify any triggers.
If symptoms persist for more than 5–7 days or worsen, consult your pediatrician for stool test or evaluation for lactose intolerance or food allergy.
Next Steps
Monitor his diet and stool pattern closely.
Visit a pediatrician if weight loss, blood in stool, or severe abdominal pain develops.
A stool routine/microscopy may be needed if symptoms persist.
Health Tips
Do not give over-the-counter medicines for acidity or diarrhea without pediatric consultation. Overfeeding or giving food too close to bedtime can worsen reflux or gas symptoms.
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Based on your description, your 22-month-old is experiencing acidity at night, loose motions in the morning, tightness of the stomach, and foul-smelling stool. It's good that there is no fever or vomiting, but the persistent symptoms do require careful evaluation.
My Opinion as a Pediatrician:
These symptoms can be due to several causes such as food intolerance (like lactose intolerance), mild gut infection, or even sensitivity to certain foods. The burping, acidity, and foul-smelling stool are commonly seen in gastrointestinal discomfort or indigestion at this age. A "tight stomach" may be a sign of gas or bloating. Since he tolerates foods like dal roti, milk roti, rice, and vegetables, it appears he is getting a balanced diet, but dairy could sometimes contribute to these symptoms if he is intolerant.
Next Steps
Monitor for warning signs: high-grade fever, persistent vomiting, blood in stools, severe stomach pain, or lethargy. If any of these occur, seek care immediately.
Keep a food diary: Note everything your son eats and any symptoms. This can help identify any triggers.
Consider reducing or stopping dairy for a few days to see if symptoms improve (unless otherwise advised).
Ensure your child stays well hydrated, especially with loose motions.
If symptoms persist for more than 5-7 days or worsen, a stool test and possibly further evaluation (physical examination, allergy testing) may be warranted.
Health Tips
If you have ongoing concerns or the baby’s symptoms worsen, please schedule a consultation so we can provide tailored care.
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once for discussion
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.