instruction: hello doctor my son is months old his weight is now 3 keg he is premature with birthweight 3 keg I could not breastfeed him he was on silmilac after every feed he used to poop on his second vaccination he started getting loose motions he had almost for weeks he was then shifted to isomil and neogain after that his motion frequency reduced but it was pasty in between he had blood in motions they looked like pepper and episodes of spots of blood from next month he became constipated using neopeptine drops three times a day and colic aid he went motion once a day last week he did not go motion at all for days and had to use enema to remove the doctor suggested to use can lo lac very next day he got high fever white watery stools and dehydrated and was admitted to hospital he was given neusobee in the hospital he started going green watery motions flushed face and rash all over body am was stopped and nestum was given he started going pasty yellow stools can neogain be given how will he have enough calcium since he does not take milk amino acid am is not available in market here the doctor advised him to give rice and bread I am afraid to give him any feed since his gut is damaged what to be given he is also anemic and he came out of hospital with a sore throat he was on antibiotics montox in 20 for days and probiotics and drops to be continued for 10 days
output: hello I have gone through the elaborate history you have given you did not mention how you were feeding the baby meaning whether it was bottle feeding or spoon feeding generally if a baby is bottle fed there are high chances of infection due to contamination good hygiene should be maintained it is very unfortunate that the baby did not have breastfeeding the reason for frequent gi infection could be contamination and lactose intolerance you have changed formula feeds very frequently which should not have been done either you should go with a lactose formula like can or lactogen or a lactose free formula like nusobee or zero lac continue the one which the baby is compatible with as far as complimentary feeding is concerned that is rice you need to start it once baby is months old do not worry that the baby gut is damaged it repairs itself and adapts to the food or diet we give but takes some time start with liquids or soups later increase the consistency