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My Kid 4 Years Suffering Watery Diahroeea. Fever Stomach Pain.

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Posted on Tue, 16 Jul 2019
Question: My kid 4 years suffering watery diahroeea. Fever stomach pain. It started 2 months back again yesterday repeated. Typhoid 1:160 both
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Follow up: Dr. Sumanth Amperayani (0 minute later)
My kid 4 years suffering watery diahroeea. Fever stomach pain. It started 2 months back again yesterday repeated. Typhoid 1:160 both
doctor
Answered by Dr. Sumanth Amperayani (22 minutes later)
Brief Answer:
Looks like unrelated viral diarrhea

Detailed Answer:
Hi...It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).

Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

WIDAL is highly nonspecific and the antibodies can remain raised for weeks to months together. So so not worry about it.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Looks like unrelated viral diarrhea

Detailed Answer:
Hi...It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.

I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).

Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.

WIDAL is highly nonspecific and the antibodies can remain raised for weeks to months together. So so not worry about it.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sumanth Amperayani (25 minutes later)
Sir check my attachments stool test usg abodmen
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Sir check my attachments stool test usg abodmen
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Mesenteric adenitis is very common in general population

Detailed Answer:
There is no stool test in the reports please.
The USG abdomen is suggestive of mesenteric adenitis.
It is non specific enlargement of lymph nodes in the tummy - the most common reason being viral.
It is self limiting and nothing to worry about please.
Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Mesenteric adenitis is very common in general population

Detailed Answer:
There is no stool test in the reports please.
The USG abdomen is suggestive of mesenteric adenitis.
It is non specific enlargement of lymph nodes in the tummy - the most common reason being viral.
It is self limiting and nothing to worry about please.
Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sumanth Amperayani (16 minutes later)
Stool test came present of occult blood. Pus cells present. Mucus. Wbc 25 to 30. Rbc traces. Present treatment is satrogyl 0 nd cefixime 100 mg. Enternorm. Stool is still come loose. Presntly no fever. Not complaing abodminal pain. Is there any serious sir. Did mantoux test its came negative. He is complaining stomach pain around the navel. Followed by motion. In 2 months it sus thirtd time fever diahroeea stomach crampling with in one day he feels better. Plz give us ur opninon im terrifyed it is cancer r crohns. Life sentences disease. After stopping antibiotics again problem continues
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Stool test came present of occult blood. Pus cells present. Mucus. Wbc 25 to 30. Rbc traces. Present treatment is satrogyl 0 nd cefixime 100 mg. Enternorm. Stool is still come loose. Presntly no fever. Not complaing abodminal pain. Is there any serious sir. Did mantoux test its came negative. He is complaining stomach pain around the navel. Followed by motion. In 2 months it sus thirtd time fever diahroeea stomach crampling with in one day he feels better. Plz give us ur opninon im terrifyed it is cancer r crohns. Life sentences disease. After stopping antibiotics again problem continues
doctor
Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
Looks like recurrent viral

Detailed Answer:
There is nothing to be terrified here.
I feel it is a simple case of recurrent viral diarrhea with mesenteric adenitis and there is nothing suggestive of Crohn's here please.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Looks like recurrent viral

Detailed Answer:
There is nothing to be terrified here.
I feel it is a simple case of recurrent viral diarrhea with mesenteric adenitis and there is nothing suggestive of Crohn's here please.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sumanth Amperayani (24 minutes later)
Sir plz answer my queztion sir. Why wbc is high in stool. Occult blood is present sir. My kid is yesterday very sleeply not able to walk also. Today he is fine. Just got stool culture. Its negative no bacterial growth. Usally viral gastroenteritis doesn't cause blood nd mucus sir plz elaborate my concern.
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Sir plz answer my queztion sir. Why wbc is high in stool. Occult blood is present sir. My kid is yesterday very sleeply not able to walk also. Today he is fine. Just got stool culture. Its negative no bacterial growth. Usally viral gastroenteritis doesn't cause blood nd mucus sir plz elaborate my concern.
doctor
Answered by Dr. Sumanth Amperayani (47 minutes later)
Brief Answer:
Please answer my questions

Detailed Answer:
1. Does the kid have alternating constipation and diarrhoea?
2. How long has the kid had all these symptoms?
3. Is the experiencing any loss of appetite or significant weight loss?
4. Is there any intermittent or recurrent fever?
5. Is there any family history of inflammatory bowel disease?
6. Is there any family history of autoimmune disorders?
7. Is the kid experiencing any intermittent Rash or joint pains?
8. Is there any redness over shins?
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Please answer my questions

Detailed Answer:
1. Does the kid have alternating constipation and diarrhoea?
2. How long has the kid had all these symptoms?
3. Is the experiencing any loss of appetite or significant weight loss?
4. Is there any intermittent or recurrent fever?
5. Is there any family history of inflammatory bowel disease?
6. Is there any family history of autoimmune disorders?
7. Is the kid experiencing any intermittent Rash or joint pains?
8. Is there any redness over shins?
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumanth Amperayani (44 minutes later)
For your questions sir 1st one no. 2 months back one day. This time one day. Loss of appetite for 3 days. No he gained weight. He lost weight due to diahroeea. Ladt 2 months only 2 times fever just for one day. No family history of inflammation bowel disease. No auto immune disorder. No intermittent rash r joint. No redness over shins
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Follow up: Dr. Sumanth Amperayani (0 minute later)
For your questions sir 1st one no. 2 months back one day. This time one day. Loss of appetite for 3 days. No he gained weight. He lost weight due to diahroeea. Ladt 2 months only 2 times fever just for one day. No family history of inflammation bowel disease. No auto immune disorder. No intermittent rash r joint. No redness over shins
doctor
Answered by Dr. Sumanth Amperayani (5 minutes later)
Brief Answer:
Not suggestive of IBD

Detailed Answer:
Hello...be rest assured.
From your symptom analysis and correlating it with the history that I have gathered from you I feel that the possibilities are -

1. Acute bacillary dysentery.
2. Extremely unlikely but cows milk protein intolerance
3. Recurrent viral illness.

I don't see the chances of IBD here please.

Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Not suggestive of IBD

Detailed Answer:
Hello...be rest assured.
From your symptom analysis and correlating it with the history that I have gathered from you I feel that the possibilities are -

1. Acute bacillary dysentery.
2. Extremely unlikely but cows milk protein intolerance
3. Recurrent viral illness.

I don't see the chances of IBD here please.

Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumanth Amperayani (15 minutes later)
K sir no problems with wbc nd occult blood sir. Satrogyl 0 nd cefixime k r now sir. What are causes high wbc in stool. Sry for irrating u. But stool culture came normal sir
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Follow up: Dr. Sumanth Amperayani (0 minute later)
K sir no problems with wbc nd occult blood sir. Satrogyl 0 nd cefixime k r now sir. What are causes high wbc in stool. Sry for irrating u. But stool culture came normal sir
doctor
Answered by Dr. Sumanth Amperayani (18 minutes later)
Brief Answer:
Suggestions on diarrhea

Detailed Answer:
WBC is never suggestive of anything as far as stool sampling now a days.

Any mild infection can raise them.

If stool culture is negative do not worry.

May be a simple viral diarrhoea.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Suggestions on diarrhea

Detailed Answer:
WBC is never suggestive of anything as far as stool sampling now a days.

Any mild infection can raise them.

If stool culture is negative do not worry.

May be a simple viral diarrhoea.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumanth Amperayani (19 hours later)
Sir today met the paedtric doctor suggested its amebiasis. Blood in stool mucus. Wbc what happens before stool test we gave oflaxin ornidazole syrup. Can it affects test results. Sir prescribed satrogyl 0 for 5 days in stool culture no growth of anything. Can stool culture detect parasite ova cyst. Mantoux tezt negative.
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Sir today met the paedtric doctor suggested its amebiasis. Blood in stool mucus. Wbc what happens before stool test we gave oflaxin ornidazole syrup. Can it affects test results. Sir prescribed satrogyl 0 for 5 days in stool culture no growth of anything. Can stool culture detect parasite ova cyst. Mantoux tezt negative.
doctor
Answered by Dr. Sumanth Amperayani (13 hours later)
Brief Answer:
Suggestions on amoebiasis

Detailed Answer:
Hello...amoebiasis should be diagnosed only with the presence of trophozoites in the stool sample and the presence of amoebic cysts is not the positive sign for amoebiasis please.

After you have used Ornidazole, it is highly unlikely that amebiasis will still be there.

This blood in the stool might be because of antibiotic associated diarrhoea.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Suggestions on amoebiasis

Detailed Answer:
Hello...amoebiasis should be diagnosed only with the presence of trophozoites in the stool sample and the presence of amoebic cysts is not the positive sign for amoebiasis please.

After you have used Ornidazole, it is highly unlikely that amebiasis will still be there.

This blood in the stool might be because of antibiotic associated diarrhoea.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sumanth Amperayani (7 hours later)
Sir this report is postive r negative i attached the repirt plz check the report plz
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Sir this report is postive r negative i attached the repirt plz check the report plz
doctor
Answered by Dr. Sumanth Amperayani (46 minutes later)
Brief Answer:
This test is no longer valid please

Detailed Answer:
Hello, this is TB quantiferon Gold and no longer valid please.
May I know in what they did the test and why the text ordered (I mean what symptoms he had) for the test to be ordered.
Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
This test is no longer valid please

Detailed Answer:
Hello, this is TB quantiferon Gold and no longer valid please.
May I know in what they did the test and why the text ordered (I mean what symptoms he had) for the test to be ordered.
Best regards - Dr Sumanth Amperayani
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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My Kid 4 Years Suffering Watery Diahroeea. Fever Stomach Pain.

My kid 4 years suffering watery diahroeea. Fever stomach pain. It started 2 months back again yesterday repeated. Typhoid 1:160 both