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Pus cells and bacteria in green stool
My baby is 5 weeks old and she was having green stools since 10 days.. We got stool test done and it's reported that she has pus cells 1 - 2 cells /hpf and bacteria present (2+) and fat globules seen.. Doctor has suggested to give Bacillus clausi spores and zinc dry powder for suspension.. Please advice if this is normal
Answers (4)
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In babies this young, green-colored stools are quite common and usually not a sign of infection. It can happen due to faster transit of milk through the intestines or minor gut adjustment.
A few pus cells and bacteria are often seen in normal babies. The fat globules reflect the baby’s digestive system still developing, which is expected at this age.
Since your baby is feeding well and is active, there’s no need for antibiotics or further treatment at this point.
Next Steps
The given medicines support gut health and help in faster recovery. Continue them as advised.
Continue exclusive breastfeeding or formula
Finish course of zinc (10–14 days) and Bacillus clausii
No need to repeat stool test unless symptoms worsen
Follow-up in a week or earlier if needed
Health Tips
Red flags:
Excessive crying or irritability
Vomiting everything
Dehydration (dry mouth, no urine for >6–8 hrs)
Blood in stools
Refusal to feed
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Mild frequency with change in color of stool is normal in infants and The stool report findings — 1–2 pus cells/hpf, 2+ bacteria, and presence of fat globules — are generally within normal range for a baby of 5 weeks, especially if the baby is otherwise active and feeding well.
Medicine suggested are also safe and appropriate. They help maintain gut health and reduce the risk or severity of diarrhea.
Next Steps
Continue exclusive breastfeeding, which is the best protection against infections at this age.
• Give the prescribed medicines as advised.
Health Tips
Green stools are common in formula-fed babies or those on iron supplements — they are usually not a sign of infection.
• Avoid unnecessary worry based solely on stool color or minor variations in reports unless accompanied by other symptom
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Greetings these medicines are enough, looks like normal
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
Stool test is normal. If diarrhoea is there it might just be viral. The medicines given are a probiotic and zinc. They will help if any diarrhoea is there.
Remember few basics are there for this age to help you out since the baby has hardly any immune defences of his own.
Exclusive breastfeeding is the best form of prevention for diarrhoea disease.
Green stools may occur in formula fed infants because of higher iron content in the formula feeds. They don’t suggest infection. Similarly if baby is on iron drops.
Please be careful at this age for diarrhoea. Since the immunity of babies is low at the age, watch for any signs of dullness, lethargy, decreased urine output less than 6-8 times per day, fever and refusal to feed. In case any such symptoms please visit a paediatrician
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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.