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Crohn's Disease Forum » Parents of Kids with IBD » How many watery bm is too many ?


 
04-16-2016, 04:02 PM   #1
my little penguin
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How many watery bm is too many ?

Back story lots of abdominal pain
Ds was placed on EEN Monday
Told to try to decrease miralax
Had been having 2-3 watery bm last weekend

Loose bm Monday cut to 1/4 capful
Still loose Tuesday stopped miralax
Wed no bm
Thursday a few pebbles - gave 1/2 capful miralax
Friday no bm gave 1 cap Friday
Started augmentin ear infection
Today 1 cap this am
So far 7 extremely watery bm
Only three doses of abx
And two caps of miralax never ever give him that much watery bm
Maybe one loose stool but not this

So how many watery bm are you permitted a day before you have to call on call Gi. ?

I thought it was more than 10 - not sure ? ???
Not dehydrated drinking formula all day plus water but lips are cracked and bleeding from his cold/sicca syndrome

Hate this !
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04-16-2016, 04:34 PM   #2
Clash
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I think our GI nurse said after 10 watery bms in one day to call. C has never hone stay had this problem but this was after his surgery so may not apply to non surgery issues.
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C age 19
dx March 2012 CD

CURRENT MEDS: MTX injections, Stelara


Dx May 2014: JSpA
8/2014 ileocecectomy
9/2017 G tube

PAST MEDS: remicade, oral mtx, humira
04-16-2016, 04:48 PM   #3
Maya142
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We call if it's 10-15 - depends on how she looks. But I generally only call if it lasts two days.

That said, M has a feeding tube, so we can run pedialyte through that and so I worry less about her being dehydrated.

M has had that kind of reaction to antibiotics but in that case, I waited a couple days to make sure it was the abx and not something else. We had to switch to a different antibiotic and that worked (I can't remember which antibiotic it was that caused the problem).
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Mom of M (20)
diagnosed with Crohn's Disease at 16
Juvenile Idiopathic Arthritis at 12
Juvenile Ankylosing Spondylitis at 16

Mom of S (23)
dx with JIA at 14
Ankylosing Spondylitis at 18
04-16-2016, 04:50 PM   #4
my little penguin
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Remembering 10 was the magic number
So that seems right
Just watching closely now
04-16-2016, 04:52 PM   #5
Farmwife
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Grace had something similar. They said dehydration even though she had plenty from formula and water.
She ended up in the hospital that time but she's never had watery diarrhea.
They said her body was taking water from other areas in her body and using it areas that needed it more.
I'm still not sure how that works but that's what they said.
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I'm mom to............... Little Farm Girl 8 yr old
Ibd (microscopic)
(12/28/12),
dx Juvenile Arthritis
(12/13/13)
dx Erthema Nodosum
(8/13/14)
Bladder and Bowel Dysfunction
(10/14/13)
Ehlers-Danlos Syndrome dx (1/26/17)
Remicade started on (9/8/14)Every 4 wks
Azathroprine started on 10/9/15
EN/EEN- since (1/12/13)
Past Meds- LDN, Humira, Pred, MTX, Sulfasalazine
04-16-2016, 06:54 PM   #6
pdx
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E gets diarrhea with antibiotics if she doesn't take Florastor. But if your son's started before the antibiotics, it sounds like something else is going on (but the antibiotics probably are contributing too). Hope it clear up soon--you guys deserve a break.
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Daughter E (15) dx with Crohn's 12/18/14 at age 12

Current treatment:

Remicade started 12/24/14 (currently on 9 mg/kg every 6 weeks)
Oral methotrexate restarted 12/2/16 (15 mg weekly)
vitamin D, folic acid, multivitamin, Prozac

Past Treatment
90% EN via NG tube 2/9/15 - 4/2/15
50% EN via NG tube 4/3/15 - 4/18/15
Supplemental EN via NG tube 5/7/15-6/19/15
Budesonide 3/3/15-6/30/15
Oral methotrexate 3/13/15 - 5/14/16 (15 mg weekly)
Topical clobetasol for Remicade-induced psoriasis
04-17-2016, 10:26 AM   #7
kimmidwife
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Augmentin is a huge culprit for diarrhea. I agree with 10 being the number.
You might also want to call the pediatrician and see if they can give a different antibiotic. One that is not known to hurt the stomach as much.
The problem with augmentin is the second part which is called clavulonillate (may be misspelled) makes the first part which is amoxicillin stay in your system longer so it can work better but it is very rough on the stomach. None of my kids can tolerate it.
Maybe ask for a cephalosporin instead, like Cefzil.
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Crohn's Dx'ed Sept 08
Allerg Imuran Sept 08
Fail Remicade Jan 09
Methotrex Oct 09-Aug 11
Pentasa stopped - nosebleeds
EENOct 31 - Nov 28th. Too hard!
Retried Remicade Dec 11
Stopped due 2 Anaphylactic Reaction
LDN Jan 2012-June 2014 Got My daughter back!
New secondary diagnosis: Gastroporesis Dec 2013
Lost remission June 2014
Started Entyvio April 2015. Decreased to every 4 weeks October 2015. Praying for remission.
04-17-2016, 11:10 AM   #8
my little penguin
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Thanks Kim
We are on ER watch now
He had 13 bm yesterday and 3 so far today
Talked to his Gi this morning
Can't switch abx
Last year ear infection tried omincef first then added zpack on top of that
Ended up with mastoiditis ( same ear )
Iv drugs and later augmentin were used to clear it
Gi is trying to balance things now but we are to keep giving abx unless he ends up admitted
04-17-2016, 05:57 PM   #9
kimmidwife
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MLP,
I so hope he is okay!
04-18-2016, 01:39 PM   #10
Mehita
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How is he today?
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Mom of DS, age 17, dx Crohn's and Celiac Oct 2008
- Remicade, started Nov 2013, added Solumedrol June 2015
- added Methotrexate/Folate March 2016
- Multivitamins, Probiotics, Vit D
- Small bowel resection, Jan 2013
04-18-2016, 02:00 PM   #11
Farmwife
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Also just checking in.

Hugs
04-18-2016, 03:00 PM   #12
my little penguin
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He was admitted today
No idea in why the diarrhea
But testing
04-18-2016, 03:48 PM   #13
Clash
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Oh no. I hope they find an answer quickly. Poor DS. Done you know what testing they are doing? Sending hugs your way!
04-18-2016, 03:51 PM   #14
my little penguin
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Bloodwork stool studies and urine
Waiting for stool studies they think infection
So bowel rest until we get results back
04-18-2016, 04:08 PM   #15
pdx
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Hope they find out what's going on soon.
04-18-2016, 04:21 PM   #16
Clash
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Fingers crossed answers and relief are found quickly!
04-18-2016, 05:00 PM   #17
Maya142
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Sending HUGS !!! Hope you get some answers soon!
04-19-2016, 08:46 AM   #18
momof8yrold
 
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Hope you get your answers soon.
04-19-2016, 09:00 AM   #19
smt
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MLP,

Wishing the child the very best. Please keep us posted on the results.
04-19-2016, 10:21 AM   #20
DanceMom
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How are things today?

A had 3 stomach bugs in a 6 week period. It was horrible. This seems to be a bad year for that.
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Diagnoses: Immune Dysfunction, Hypogammaglobulinemia, Asthma, Allergies

Treatment: Hizentra, Flovent, Zyrtec, Cellcept
04-19-2016, 04:39 PM   #21
my little penguin
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Back home
Tolerating fluids and small amounts of formula
04-19-2016, 04:48 PM   #22
Optimistic
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Back home
Tolerating fluids and small amounts of formula
Great to hear but so sorry he is dealing with this. Any news?
Hugs. Hoping. Prayers. Positive energy. Whatever else. All of that for him and you!
04-19-2016, 05:17 PM   #23
my little penguin
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No answers
Will determine cause depending on test results
How he does with full formula etc..,,
04-20-2016, 11:16 AM   #24
kimmidwife
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Hope he is doing better.
04-20-2016, 11:25 AM   #25
my little penguin
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Just waiting for his Gi to call with a plan
Currently using pedialyte /formula combo but not where he should be at all
04-20-2016, 01:13 PM   #26
Sascot
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Sorry I missed the thread, hope they give you some answers soon!
04-20-2016, 06:15 PM   #27
my little penguin
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Gi has a plan
Next two days to turn things around
04-21-2016, 09:29 PM   #28
Pilgrim
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Good plan? I hope he's improving rapidly. Thinking of you.
04-21-2016, 09:36 PM   #29
my little penguin
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He was on bowel rest today ( clears only )
Right now he has no nutrition source

The key will be Friday if he tolerates formula or if the diarrhea starts again
So have to wait to see
04-22-2016, 08:50 PM   #30
Pilgrim
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Any better today?
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Crohn's Disease Forum » Parents of Kids with IBD » How many watery bm is too many ?
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