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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Appetite, Vomiting And Mild Fever In Infant?

My 5 1/2 month old baby has lost his appetite over past 3-4 days. He puked one time on Thursday, Feb 4th and had a small fever (100.3). Woke the next day with no fever and a smaller appetite. This has continued all weekend and into Monday. We are concerned because he usually eats 30+ ounces a day. Down to 15 - 20 ounces last 3-4 days. Should we be worried? no other symptoms
Mon, 7 Mar 2016
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General & Family Physician 's  Response
Thank you for your query

It seems that your little one may have a stomach bug (stomach flu).
These are seasonal pathogens (organisms that cause disease) and usually result in mild to moderate disease which usually heals on its own in a week or so.
Loss of appetite is a common symptom. The mainstay of management is to prevent dehydration. More frequent and smaller feeds will be better tolerated. If you breastfeed, please continue to do so .
Tylenol at the prescribed dose may be given if he develops a fever (fever can cause dehydration too)
If he is on diapers, it would be advisable to use cloth napkins to judge his urine output more accurately
Once he seems to get better, his appetite will increase considerably and will return to normal

Things to watch out for
: concentrated and smelly urine, less than 6 wet napkins a day
: fever over 100.4F
: Lethargic or drowsy
: Irritable and continuous crying spells that last for more than 2 hours
: not wanting to be held
: loss of weight (more than 5% of his current weight)
: sunken soft spot on the head
: inability to feed
: excessive vomiting and/or loose stools

Currently , based on your query, he seems to be on the road to recovery. I understand it is difficult to see your helpless little one go through this. Children are amazingly resilient. Monitor him closely, meet his demands. Do not set expectations for his recovery.
As long as he is having reasonable intake and urinating adequately with an otherwise normal behaviour (some tiredness is expected), there is nothing to worry. He'll bounce back soon.
Hope this helps.
Wish you both good health .
please get back to us if you have further queries
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What Causes Lack Of Appetite, Vomiting And Mild Fever In Infant?

Thank you for your query It seems that your little one may have a stomach bug (stomach flu). These are seasonal pathogens (organisms that cause disease) and usually result in mild to moderate disease which usually heals on its own in a week or so. Loss of appetite is a common symptom. The mainstay of management is to prevent dehydration. More frequent and smaller feeds will be better tolerated. If you breastfeed, please continue to do so . Tylenol at the prescribed dose may be given if he develops a fever (fever can cause dehydration too) If he is on diapers, it would be advisable to use cloth napkins to judge his urine output more accurately Once he seems to get better, his appetite will increase considerably and will return to normal Things to watch out for : concentrated and smelly urine, less than 6 wet napkins a day : fever over 100.4F : Lethargic or drowsy : Irritable and continuous crying spells that last for more than 2 hours : not wanting to be held : loss of weight (more than 5% of his current weight) : sunken soft spot on the head : inability to feed : excessive vomiting and/or loose stools Currently , based on your query, he seems to be on the road to recovery. I understand it is difficult to see your helpless little one go through this. Children are amazingly resilient. Monitor him closely, meet his demands. Do not set expectations for his recovery. As long as he is having reasonable intake and urinating adequately with an otherwise normal behaviour (some tiredness is expected), there is nothing to worry. He ll bounce back soon. Hope this helps. Wish you both good health . please get back to us if you have further queries