I have been having loose motion which started 2 days back. I had 7-8;times motion. Then doctor gave me ofex-oz which I took for 2 days. From day 1 i have been drinking ors and coconut water and have banana. Day 2 I had 2 slice of toast and milk tea with sugar and moong dal khichdi in afternoon. Evening I ate poha with milk tea and that triggered the motion again like 3-4 times. I took ofex-oz last night and drank ors in night. 3rd day morning I had a banana and 2 plain toast. No motion yet but feel like will get a motion if I walk
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Good — I now have solid textbook content on acute diarrhea management. Let me compile a practical, well-rounded response.
Your Situation — Recovering Acute Diarrhea (Day 3)
You're doing the right things overall. Here's a clear breakdown of what's happening and what to do next.
Why Poha + Milk Tea Triggered More Motions
Poha (flattened rice) is relatively easy to digest, but milk tea is the likely culprit. During acute diarrhea:
- Milk and dairy can temporarily worsen diarrhea due to transient lactase deficiency — the gut inflammation reduces lactase enzyme, making milk hard to digest
- Tea/caffeine stimulates gut motility (moves stool faster)
- Poha with oil/spices adds a fat load the inflamed gut isn't ready for
The gut lining is still recovering. Even simple foods can be irritating at this stage.
What Ofex-OZ Is Doing
Ofex-OZ = Ofloxacin (200 mg) + Ornidazole (500 mg)
- Ofloxacin is a fluoroquinolone antibiotic — targets bacterial causes (E. coli, Salmonella, Shigella, etc.)
- Ornidazole is an antiprotozoal/antianaerobic — targets parasites like Giardia, Entamoeba, and anaerobic bacteria
This is appropriate empiric therapy. Textbook guidance confirms: "first-line therapy for acute diarrhea in adults is oral fluoroquinolone antibiotics (ofloxacin 200 mg twice daily for up to 3 days)" — Goodman & Gilman's Pharmacological Basis of Therapeutics.
Continue the full prescribed course even if you feel better.
Diet Guidance — What to Eat Right Now (Day 3–5)
Safe foods (BRAT+ approach):
| Food | Why it's okay |
|---|---|
| Banana | Pectin absorbs water, potassium replacement |
| Plain rice / khichdi (no oil/spices) | Low-residue, easy to digest |
| Plain toast / roti | Bland, low fiber |
| Boiled potato | Starchy, binding |
| Moong dal soup (thin, low oil) | Protein without fat load |
| ORS / coconut water | Electrolyte replacement |
| Boiled/plain water | Hydration |
Foods to strictly avoid for now:
| Avoid | Reason |
|---|---|
| Milk, tea with milk, lassi, curd (even fresh) | Transient lactase deficiency |
| Poha with oil/tempering | Fat stimulates gut |
| Oily/spiced food | Stimulates secretion |
| Fruit juices, sugary drinks | Osmotic effect worsens diarrhea |
| Raw vegetables, salads | High fiber = more gut activity |
The standard recommendation: "Oral rehydration therapy is a cornerstone — glucose-linked Na+ cotransport remains intact in the small intestine even during acute diarrhea" — Goodman & Gilman.
The "Feel Like Motion When I Walk" Sensation
This is very common in recovering diarrhea — it reflects:
- Rectal hypersensitivity — the rectum is still slightly inflamed and over-sensitive to stretch
- Increased bowel sounds / residual motility — the gut is still hyperactive
- Gas accumulation — common as the gut flora slowly restores
This typically resolves in 1–3 days once the antibiotic course is complete and the gut lining heals. It does not mean you need to strain — the urgency often passes on its own.
When to Be Concerned (See a Doctor Promptly)
- Blood or mucus in stool
- High fever (>38.5°C / 101°F)
- No improvement or worsening after completing the full antibiotic course
- Signs of dehydration: dizziness, very dark urine, dry mouth, not urinating
- Vomiting that prevents ORS intake
- Motions increase back to 7–8 times/day
Today's Plan
- Continue ORS — sip regularly throughout the day (not in large gulps)
- Food: banana, plain toast, plain boiled rice, thin moong dal khichdi (no ghee/oil) — small portions, every 3–4 hours
- Avoid milk tea entirely — switch to plain water, ORS, or coconut water
- Complete the Ofex-OZ course as prescribed
- Rest — physical activity increases gut motility; avoid brisk walking for 1–2 more days
- Probiotics (if available) — Saccharomyces boulardii or Lactobacillus-based sachets (e.g., Bifilac, Sporlac) can help restore gut flora alongside antibiotics
You're on the right track — the improvement from 7–8 motions to near-zero is a good sign. The gut just needs another 2–3 days of careful diet and rest to settle fully.
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