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Suggest Treatment For Abdominal Pain, Diarrhea And Fever

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Posted on Tue, 21 Jun 2016
Question: My doctor is out of town...my 5 year old daughter is suffering from abdominal pain and having loose motions (frequency is 3 to 4 time)...she is also having fever (100)...what do i give for loose motions...my chemist suggest 5 ml powergyl syrup..please advise.
doctor
Answered by Dr. Sumanth Amperayani (36 minutes later)
Brief Answer:
Give her ORS and keep her hydrated - Do not use antibiotics like Powergyl

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

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 (LIKE POWERGYL) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea.

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.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumanth Amperayani (2 hours later)
Hello Doc,

Thanks for the advise...i have been to a doctor...who suggested giving carmicide and riniphly syrup...but i am concerned abour her fever..

She has 100 to 101 fever inspite of Crocin Ds sysrup 6ml (weight is 20)....the frequency of the fever is also 4 hourly...what do i do?

Really appreciate the help.thanks.
doctor
Answered by Dr. Sumanth Amperayani (21 minutes later)
Brief Answer:
You are doing the right thing- please continue the same medication

Detailed Answer:
Hi.... you are doing the right thing....the dose of Crocin you are giving is also perfect for 20 kilos weight...please continue the same thing.

Fever of few days without any localizing signs could as well a viral illness.

Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.

Once viral fever comes it will there for 4 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Abdominal Pain, Diarrhea And Fever

Brief Answer: Give her ORS and keep her hydrated - Do not use antibiotics like Powergyl Detailed Answer: Hi...Thank you for consulting in Health Care magic. 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 (LIKE POWERGYL) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. 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. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,