<s>[INST] My daughter is 18 months old she has had odd bowel movements since she was born, but lately it looks like they have increased and gotten worse. In the past hour she has had 3 watery bowel movements. She is screaming out and crying because she is in pain, when you try to wipe the excess poop away she clinches and cries and screams, My heart is breaking i am at a lost of what to do, Does anyone have any suggestions? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of diarrhea which could be due to viral or bacterial infection. It is mainly due to disturbed electrolyte balance in body.  Need not to worry. I would suggest you to maintain hydration of child well. Give curd in diet. Visit pediatrician once and get it examined. You should go for blood tests as well and start treatment after proper examination. you should give Ibuprofen to child along with proton pump inhibitors as well. Start giving oral rehydration fluids sip by sip to maintain the hydration. You should take Probiotics such as lactobacillus. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>