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Child having constant nausea and is vomiting. Stool is fowl smelling and gassy. Suggest?

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General & Family Physician
Practicing since : 2009
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My son is having constant nausea and is vomiting on and off since Friday.
His stool is also fowl smelling, loose and gassy.
This app crashes when I try to take a picture.

he is now looking weak and dehydrated. he did not have any good after breakfast.

please suggest next steps.
Posted Sat, 29 Jun 2013 in Digestion and Bowels
Answered by Dr. Luchuo Engelbert Bain 1 hour later
Hi and thanks for the query,

The most urgent thing to do now is to get the child rehydrated (get enough fluids)to avoid severe dehydration. It is important to know if the child has been able to drink or not. Is there any notion of fever? If present, this might an indicator to suggest an urgent medical attention in the emergency room.

You however failed to mention the age of the child which could be important in the evaluation of the clinical scenario.

Continuous nausea and vomiting from Friday till this day, accompanied by loose stools is fairly enough to dehydrate the child. If there is persistence of these symptoms despite home management measures, this might imply the urgent need of medical attention.

While waiting to get to the emergency room, the most important aspect in hi management now is rehydration. Oral Rehydration Solution (ORS) is the drug of choice. You need to put one XXXXXXX of this in One litre of water and give the child , motivate and somewhat compel the child to drink as much as possible as you take her to the hospital. Water remains his main treatment now. Get the child drink the Oral Rehydration Salt now as much as he can. If he is completely incapable to drink, it might urgent and indispensable for you to take him to the emergency room for evaluation and parenteral (Intravenous treatment). Motilium or Peridys syrup or suppositories to stop vomiting if you cannot have access to emergency care now could help as you wait to get an emergency consultation.

Summarily, I suggest: Oral rehydration solution preparation and administration as described above in abundance as described above, motilium or peridys syrup or suppositories to stop vomiting in case its too severe or severe nausea, as you try to get emergency medical care for the child as soon as possible. Dehydration could be very fatal in some neglected situations. The fact his day was not very good and the weakness with persistent vomiting deserve emergency medical care to be on the safe side.

Thanks and best regards as i wish you the best of health.

Bain LE, MD. Do not hesitate asking further questions if need be.

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