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What Causes Diarrhea After Having Antibiotics For Vomiting?

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Posted on Tue, 25 Nov 2014
Question: My 22 month old son became ill Tues night, vomitting every 15-20 minutes for four hours. We took him to the peds ER where they gave him Zofran and sent us home. The next day he seemed to be on the mend (no more vomitting) but by evening was refusing liquids, food, Popsicles, anything, and was noticeably bothered. He then had very bad diarrhea from thurs-fri and was acting lethargic with few wet diapers, so we went back to the ER Fri to check for dehydration. They said he didn't seem that dehydrated and sent us home. Today is Saturday and the diarrhea has slowed down from a few times an hour to 3 times all day today, but he recently started vomitting again. Is this a normal progression for a stomach virus in a toddler? I became ill on thurs night but was fine by Friday and my mother who has been helping out was ill last night. I'm petrified of our son becoming dehydrated, we were in the ER before 6 months ago as he became severely dehydrated in a matter of hours and his veins were collapsing, it was a very tense and frightening few hours with a subsequent hospitalization. He's only wetting 2-3 diapers a day but the ER dr said that's normal as he will have decreased urine output, but that he still had tears and good vitals so there was no indication he needed IV fluids. Do we need a second opinion on this? He was acting normal although cranky before the vomitting, and is now sleeping. One big vomitting episode today, approx 1.5 hours ago. No fever. Was ill with cough/cold/inflammation in ears/fever one week prior, took augmentin for 10 days, first GI symptoms began 5 days after antibiotics.
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Answered by Dr. Sumanth Amperayani (52 minutes later)
Brief Answer:
Could be antibiotic associated diarrhea

Detailed Answer:
Hi....I feel he's recovering from an antibiotic associated diarrhea. But as the stool frequency has come down, I am not worried about diarrhea or dehydration. But you have mentioned a very important other symptom, that is vomiting, that too while recovering from diarrhea.... This is a sign of a surgical condition called intussception... Where in a part of intestine goes into the other.

This vomiting while recovering from diarrhea is worrying me. I feel you should have 2nd opinion. Please discuss this with the dr with whom you are having 2nd opinion from.

But regarding diarrhea, .....Unless he's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

Regards - Dr. Sumanth.
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Above answer was peer-reviewed by : Dr. Raju A.T
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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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What Causes Diarrhea After Having Antibiotics For Vomiting?

Brief Answer: Could be antibiotic associated diarrhea Detailed Answer: Hi....I feel he's recovering from an antibiotic associated diarrhea. But as the stool frequency has come down, I am not worried about diarrhea or dehydration. But you have mentioned a very important other symptom, that is vomiting, that too while recovering from diarrhea.... This is a sign of a surgical condition called intussception... Where in a part of intestine goes into the other. This vomiting while recovering from diarrhea is worrying me. I feel you should have 2nd opinion. Please discuss this with the dr with whom you are having 2nd opinion from. But regarding diarrhea, .....Unless he's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth.