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Suggest Treatment For Fever, Diarrhea And Mottled Skin In A Child

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Posted on Mon, 3 Aug 2015
Question: 4 yr old with fever when not taking tylenol or Ibuprofen. Low 100, if taking tylenol or ibuprofen. Went to ER b/c fever would not go down with both tylenol and ibuprofen 2 days ago. They took blood, urine, xray everything looked ok. Fever finally went down so we got to go home. Now he complains of being cold and his skin is mottled. Had diarrhea four times today also. Doctor prescribed Omnicef as a precaution. Should I be worried about the mottled skin?
doctor
Answered by Dr. Archana Verma (37 minutes later)
Brief Answer:
Mottled skin can be due to dehydration associated with diarrhoea

Detailed Answer:
Hi
Welcome to the HCM

I completely understand your concerns. Your child seems to be suffering from an infective episode leading to fever followed by diarrhoea episodes. It looks more like a viral illness as the fever has improved within 2-3 days. It would be better if you can upload the reports and picture of your child for my reference.

Mottled skin can be due to the episodes of diarrhoea and poor oral intake of fluids leading to dehydration.

I would recommend you to give your child regular feeds and oral rehydration therapy such as lemonade, soups, buttermilk etc. Avoid sweetened juices and refined sugars as they may precipitate toddlers diarrhoea.

Continue with Omnicef for the time being as possibility of bacterial infection cannot be ruled out. Also start a probiotic such as enterogermina twice daily.

In case the mottling doesn't improve and is associated with cold hands and feet with high core body temperature, I would recommend you to go for a proper examination by pediatrician to rule out any serious illness.

Hopefully this will help you.
Take care
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Archana Verma

Pediatrician

Practicing since :2006

Answered : 1129 Questions

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Suggest Treatment For Fever, Diarrhea And Mottled Skin In A Child

Brief Answer: Mottled skin can be due to dehydration associated with diarrhoea Detailed Answer: Hi Welcome to the HCM I completely understand your concerns. Your child seems to be suffering from an infective episode leading to fever followed by diarrhoea episodes. It looks more like a viral illness as the fever has improved within 2-3 days. It would be better if you can upload the reports and picture of your child for my reference. Mottled skin can be due to the episodes of diarrhoea and poor oral intake of fluids leading to dehydration. I would recommend you to give your child regular feeds and oral rehydration therapy such as lemonade, soups, buttermilk etc. Avoid sweetened juices and refined sugars as they may precipitate toddlers diarrhoea. Continue with Omnicef for the time being as possibility of bacterial infection cannot be ruled out. Also start a probiotic such as enterogermina twice daily. In case the mottling doesn't improve and is associated with cold hands and feet with high core body temperature, I would recommend you to go for a proper examination by pediatrician to rule out any serious illness. Hopefully this will help you. Take care