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Suggest Treatment For Vomiting And Diarrhea While Having Food Poisoning And Gastroenteritis
Question: Hello Doctor,
My son is 6 years old. He ate outside food day before yesterday evening. Yesterday morning he vomited undigested food and also had loose motion with foul smell in the afternoon. He also had fever about 100 degrees and stomach pain. We gave him ORS solution and Domstal Syrup with Calpol. In the night we gave him Metronidazol. He is still vomiting even smallest quantity of food and water that we are giving him.
As per last prescription of similar symptoms by our pediatrician, he was given Cefixime 100 mg twice a day for 5 days. Should we start the same medicine for his current symptoms?
Please suggest.
Thanks & Regards,
XXXX
My son is 6 years old. He ate outside food day before yesterday evening. Yesterday morning he vomited undigested food and also had loose motion with foul smell in the afternoon. He also had fever about 100 degrees and stomach pain. We gave him ORS solution and Domstal Syrup with Calpol. In the night we gave him Metronidazol. He is still vomiting even smallest quantity of food and water that we are giving him.
As per last prescription of similar symptoms by our pediatrician, he was given Cefixime 100 mg twice a day for 5 days. Should we start the same medicine for his current symptoms?
Please suggest.
Thanks & Regards,
XXXX
Brief Answer:
Observe the condition closely
Detailed Answer:
Hello
Thanks for asking on this platform
I have gone through the details and understand your concern well.
This appears to be a case of food poisoning with gastroenteritis.
Here the main aim of management is to maintain adequate hydration.
So the first step of management is to stop the vomiting to increase the oral acceptance of fluids.
In case of severe vomiting child may not tolerate even the oral medication and thus antiemetic injection may be needed.
As you have mentioned it appears to be a case of severe vomiting and if it persists get him to the physician for injectable antiemetic.Once it improves you can give domstal (domperidone)syrup to control the further episodes of vomiting.For this age dose of 5-7.5 ml of domstal will be sufficient.
As most of the food poisoning is due to bacterial or amebic infection giving cefixime with metronidazole do.
The dose of cefixime for this age considering weight of 15-20 kg, would be 100 mg twice a day.Similarly dose of metronidazole would be 5 ml(each 5 ml contains 200 mg) three times a day.You can give paracetamol 5 ml (each 5 ml contains 250 mg)for fever.
All these are prescription medication so please get it prescribed by a physician.
Give him plenty of fluids (ORS) to avoid dehydration.
If vomiting persists,frequency of stool is very high,oral acceptance is poor,urinary frequency is decreased or child is getting lethargic take him to the pediatrician for evaluation and management accordingly.
I hope this helps.
Please let me know if you have any more query.
Wishing for your child's speedy recovery.
Regards
Observe the condition closely
Detailed Answer:
Hello
Thanks for asking on this platform
I have gone through the details and understand your concern well.
This appears to be a case of food poisoning with gastroenteritis.
Here the main aim of management is to maintain adequate hydration.
So the first step of management is to stop the vomiting to increase the oral acceptance of fluids.
In case of severe vomiting child may not tolerate even the oral medication and thus antiemetic injection may be needed.
As you have mentioned it appears to be a case of severe vomiting and if it persists get him to the physician for injectable antiemetic.Once it improves you can give domstal (domperidone)syrup to control the further episodes of vomiting.For this age dose of 5-7.5 ml of domstal will be sufficient.
As most of the food poisoning is due to bacterial or amebic infection giving cefixime with metronidazole do.
The dose of cefixime for this age considering weight of 15-20 kg, would be 100 mg twice a day.Similarly dose of metronidazole would be 5 ml(each 5 ml contains 200 mg) three times a day.You can give paracetamol 5 ml (each 5 ml contains 250 mg)for fever.
All these are prescription medication so please get it prescribed by a physician.
Give him plenty of fluids (ORS) to avoid dehydration.
If vomiting persists,frequency of stool is very high,oral acceptance is poor,urinary frequency is decreased or child is getting lethargic take him to the pediatrician for evaluation and management accordingly.
I hope this helps.
Please let me know if you have any more query.
Wishing for your child's speedy recovery.
Regards
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
Answered by
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