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The question is whether or not what you're seeing is blood or something else. Bloody stools can be a complication of being on antibiotics. Being on antibiotics can cause an infection of the intestinal tract called C.
Other symptoms usually include abdominal pain, weight loss, diarrhea often bloody , fever and decreased appetite. However, if your baby is feeling better, infection with C. Instead, your child is probably just having a common side effect that notoriously happens to kids who take Omnicef cefdinir , which is having orange, maroon, or red-colored stools.
Supposedly this happens because of the way Omnicef interacts with iron in your child's diet typically an infant who is drinking an iron-fortified formula. Specifically, one of cefdinir's "metabolites may bind to ferric ions, forming a nonabsorbable complex that imparts a reddish color to the stool. Fortunately, the reddish color goes away once your child finishes the course of antibiotics.
Still, it is probably not safe to just assume that the red stool isn't really caused by blood. Instead, call your healthcare provider and ask if you can bring in a dirty diaper to have it tested.
This is a simple test that your pediatrician should be able to do in their office stool guaiac test. If the stool test doesn't show any blood in the red stools, then you can likely continue the Omnicef.
Since Omnicef is becoming more widely used because of its good taste, once a day dosing, and effectiveness against stubborn ear infections, it is important to be aware of this possible side effect. Discuss any medical conditions with your healthcare provider before starting treatment, especially if you have ever had:. Dosage should be reduced in these patients with kidney problems.
There is evidence that cephalosporin antibiotics may cause seizures in patients with renal impairment whose dosage was not reduced. Use caution in patients with a history of colitis. Clostridium difficile-associated diarrhea may be more severe in these patients if it occurs. Cefdinir can increase blood sugar on its own. The liquid form of cefdinir also contains sugar, which may alter blood glucose levels. Careful glucose monitoring is required when Cefdinir must be used.
Cefdinir does not cause dependency or withdrawal symptoms. However, like all antibiotics, if a patient does not finish the full course of antibiotics , an infection may persist or recur. Overdose on any medication is possible, including cefdinir. Signs of overdose include:. If an overdose is suspected, seek emergency medical attention or call the Poison Control Center immediately.
Cefdinir is FDA-approved to treat certain bacterial infections in children as young as 2 months. It may treat bacterial ear infections otitis media , sinusitis, pharyngitis, tonsillitis, pneumonia, and bacterial skin infections.
According to the FDA, cefdinir is a pregnancy category B medication. The American Academy of Paediatrics AAP recommends it as an alternative agent for initial treatment of acute otitis media in penicillin allergic patients. One of its harmless side effects is reddish coloured heme negative stools due to interaction with iron and iron containing products. This side effect is reversible upon drug discontinuation.
However, dearth of literature and case reports on this common side effect has led to inattention to this issue and is not communicated to parents and caregivers. When encountered with bloody stool during the course of treatment with cefdinir, high concern from parents lead to unnecessary emergency room visit. This adds burden to already overworked health system escalating the practice of cost un-effective medicine. Case Presentation: We present an 8-month old infant girl currently treated with Cefdinir and being formula fed, who presented to the Emergency Department and was further evaluated for red stools.
On systemic examination, gastrointestinal findings were normal and hemoccult test of the stool returned negative for heme. Conclusion: Cefdinir is commonly prescribed for infants who are also commonly on iron fortified diet.
Paediatricians should expect the occurrence of red coloured stool once therapy with cefdinir is started and inform about the potential side effect that is not dangerous.
This timely communication can save from unnecessary emergency room visits. Reporting this case adds to the scanty literature information we have on one of the common, and harmless side effects of cefdinir. An 8-month old female infant was brought to the ED with concern of one episode of blood in the stool.
The blood was bright red in colour, tablespoon in amount and mixed with minimal mucus. There was a history of slight decrease in appetite but otherwise, the child was doing fine and passing normal amount of urine. The child was formula fed and on rice cereals. There was no concern of abdominal distension, vomiting, fever or irritability.
The caregiver did give us a history that the infant had been seen at an urgent care facility 3 day ago for runny nose, cough and ear pulling. She was diagnosed with ear infection and was prescribed with Cefdinir which the child was currently on.
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