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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever, Vomiting, Diarrhoea, Tylenol, Stomach Virus. Diet And Treatment?

My 21 month old daughter has had recurrent high temperatures for the last 6 weeks up to 104F and comes down with Tylenol and remains low grade most of the time. It spikes usually once or twice a day. She also has massive diarrhea that is watery and green (sometimes greenish yellow) also for the same 6 weeks at least once a day up to 4 or 5 times. She got sick while on a trip between NY and Germany (I think from a 2 hour gym daycare) and the first week was persistent fever , vomitting, and diarrhea. I could barely get her to keep anything down, but her appetite seemed ok, she was irritable but not lethargic, not losing too much weight, but I was up almost every night and all day long changing diapers, sheets, clothing , sometimes changing 12 watery stools a day and little urine which caused diaper rash . I took her a doctor after about 2 1/2 weeks of this and he suggested a liquid only diet for 3 days, which I helped but the diarrhea and vomitting began again as soon as the diet ended. I stopped giving her fruit juice and she doesn t have dairy as she s lactose intolerant, that helps but symptoms still continue. A few days ago I left her in the care of a friend when her fever spiked to 105 and caused her to take her to the emergency room and another doctor visit 2 days after. Every doctor has said she has a stomach virus, but why would it last so long? None of the doctors have even suggested any testing be done either.
Thu, 13 Jun 2013
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Pediatrician 's  Response
Hi,

Thanks for writing to health care magic.

Your daughter needs to be further investigated for the exact cause of the fever.

After a complete examination by your doctor investigations like CBC, peripheral smear for malarial parasite, CRP, widal, blood for culture, urine examination and urine for culture should be sent.

After the cause is identified proper treatment can be started.

Continue to ask further queries as required.
Hope this helps.
Take care.

Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatric
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Fever, Vomiting, Diarrhoea, Tylenol, Stomach Virus. Diet And Treatment?

Hi, Thanks for writing to health care magic. Your daughter needs to be further investigated for the exact cause of the fever. After a complete examination by your doctor investigations like CBC, peripheral smear for malarial parasite, CRP, widal, blood for culture, urine examination and urine for culture should be sent. After the cause is identified proper treatment can be started. Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty M.D.(Pediatrics) Associate Professor of Pediatric