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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant With Diarrhea, Vomiting And Fever. Yellowish Foul Smelling Stool. Need To Get Checked?

I am 200km away to the nearest doctor, and I am wondering if I should be worried about my 8 month old daughter? she started getting sick early yesterday with diarrhea, vomiting with fever. her stools are a yellow color that smell like skunk sort of, in which her stools do not smell like. she hasn't vomit since last night, and her fever continues. I do not have a baby thermometer but her head, feet, stomach, and back is hot. I just gave her some baby Tylenol and I am going to give her a bath...she is taking her milk and at the same time I am giving her 2 ounces of baby apple juice with 4 ounces of water...should I take her into the city to see a doctor. I am just a little worried about her
Tue, 28 May 2013
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General & Family Physician 's  Response
Hi and thanks for the query.
I am so sorry about what your daughter is experiencing now.

Most diarrhoea in children is caused by viral infections and rehydration in most cases is often enough.

I am happy you have started doing some o the things that matter. Making sure she continues to feed, giving her baby tylenol and also giving her water. However, i will strongly discourage baby apple juice at this time. Water is good but Oral rehydration solution is best in this context. You should be able to buy this around in any medicine store. Normally, a sachet is diluted in a litre of water. Give it to the child to drink as much as possible.

I always tell my clients, dehydration kills. Diarrhoea does not kill. As long as you continue to replace all the fluid losses, your child will not get dehydrated...so please, continue.

Watch out for the following which should make you rush to the hospital: onset of vomiting that prevents the child from drinking normal, profuse diarrhoea, spiking temperatures greater than 39 degrees celcius, persistence of symptoms beyond 4-5days, child becoming progressively weak and unable to drink normally, blood in the stools, less playful etc.

I will suppose your 8months old daughter weighs less than 10kgs. In that case, she needs at least her weight(in kilograms) multiplied by 100ml for maintenance fluid daily. Then replace any loses volume for volume(diarrhea, vomiting).

Hope this helps...Hope she gets better soonest....
Feel free to come back to us.

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General & Family Physician Dr. Bezing Alain's  Response
Hi
8 months old female patient with diarrhea, vomiting in a feverish context implies a infection (sepsis) of a digestive origin and poor absorption. Tylenol (Acetaminophen) is just an antipyretic. So when we talk of infection it could be bacterial; viral; parasitic etc but to in a diarrhea of an acute formate it will probable bacterial. So go get investigate her stool and see doctor for antibiotherapy

Thanks
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Infant With Diarrhea, Vomiting And Fever. Yellowish Foul Smelling Stool. Need To Get Checked?

Hi and thanks for the query. I am so sorry about what your daughter is experiencing now. Most diarrhoea in children is caused by viral infections and rehydration in most cases is often enough. I am happy you have started doing some o the things that matter. Making sure she continues to feed, giving her baby tylenol and also giving her water. However, i will strongly discourage baby apple juice at this time. Water is good but Oral rehydration solution is best in this context. You should be able to buy this around in any medicine store. Normally, a sachet is diluted in a litre of water. Give it to the child to drink as much as possible. I always tell my clients, dehydration kills. Diarrhoea does not kill. As long as you continue to replace all the fluid losses, your child will not get dehydrated...so please, continue. Watch out for the following which should make you rush to the hospital: onset of vomiting that prevents the child from drinking normal, profuse diarrhoea, spiking temperatures greater than 39 degrees celcius, persistence of symptoms beyond 4-5days, child becoming progressively weak and unable to drink normally, blood in the stools, less playful etc. I will suppose your 8months old daughter weighs less than 10kgs. In that case, she needs at least her weight(in kilograms) multiplied by 100ml for maintenance fluid daily. Then replace any loses volume for volume(diarrhea, vomiting). Hope this helps...Hope she gets better soonest.... Feel free to come back to us.