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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Vomiting With Loose Motions And Fever Be Treated?

Hi my baby has been vomitting for last 3 days and has started loose motions today, had some faver last night. She hasn;t eaten anything, gave her apple juice and some electrolite. Need to know how to stop her loose motions. Also gave her one dose of Ondem as she was vomitting and not keeping the fluid inside
Thu, 13 Apr 2017
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Pediatrician, Gastroenterology ,  's  Response
Hello,

Viral gastroenteritis is the most likely possibility although you forgot to mention the age of the baby. As viral gastroenteritis damages the gastrointestinal mucosa, it takes time to heal, and so does diarrhea needs time to settle. Apple juices, cola drinks, and other hyperosmolar fluids should be avoided as these might aggravate diarrhea.

My concern is repeated vomiting which might lead to dehydration in the kid. Ondem ( dose 0.2 mg/kg/dose) is good if she retains it. Diet should be continued, extra fluids in the form of low osmolarity ORS are beneficial if the age is more than six months. Probiotics (Lactobacillus GG) can be given once daily for seven days. Once vomiting has settled, Zinc supplementation for fourteen days should be given.

However, if the child vomits everything, is dehydrated, anxious or drowsy, he or she should be taken to hospital for IV fluids management.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Aftab Anwar
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How Can Vomiting With Loose Motions And Fever Be Treated?

Hello, Viral gastroenteritis is the most likely possibility although you forgot to mention the age of the baby. As viral gastroenteritis damages the gastrointestinal mucosa, it takes time to heal, and so does diarrhea needs time to settle. Apple juices, cola drinks, and other hyperosmolar fluids should be avoided as these might aggravate diarrhea. My concern is repeated vomiting which might lead to dehydration in the kid. Ondem ( dose 0.2 mg/kg/dose) is good if she retains it. Diet should be continued, extra fluids in the form of low osmolarity ORS are beneficial if the age is more than six months. Probiotics (Lactobacillus GG) can be given once daily for seven days. Once vomiting has settled, Zinc supplementation for fourteen days should be given. However, if the child vomits everything, is dehydrated, anxious or drowsy, he or she should be taken to hospital for IV fluids management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Aftab Anwar