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Suggest Treatment For Stomach Pain And Vomiting

Posted on Fri, 30 Jan 2015

Question: hi. my 2.7 year old daughter suddenly complained about stomach ache since evening 7pm. after that she has vomited 4 times. last 2 times only water. please suggest.

Answered by Dr. Sumanth Amperayani (50 minutes later)

Brief Answer:
Looks like a prodrome of viral diarrhea

Detailed Answer:
HI...I feel that she might be having a prodrome of viral diarrhoea. Usually it starts with vomiting and later watery diarrhoea starts and remits in 4-5 days.. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician). It is a prescription drug.

If diarrhoea starts - I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment.

Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

If you have any vomiting medicine at home, kindly get back along with the weight of the kid and I will suggest you the dose.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (47 minutes later)

thanks dr. we have given her medicine. observing for some time.

Answered by Dr. Sumanth Amperayani (6 hours later)

Brief Answer:
Please get back if any issue

Detailed Answer:
Hi....please get back if any further assistance or guidance is needed.
Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (5 hours later)

thanks dr. as u had guessed she got loose motion too. from morning 7 times she has passed motion. not so watery. do u suggest to give z n d drop drops? currently I m having bifilac. can I give that?

Answered by Dr. Sumanth Amperayani (9 minutes later)

Brief Answer:
Viral diarrhea - treatment suggestions

Detailed Answer:
Hi...

1. Z&D drops 1ml once a day for 14 days.

2. Bifilac XXXXXXX 1 XXXXXXX twice a day for 5 days.

3. If diarrhea is too watery and large amount - mix 1 XXXXXXX of Rebalanz ORS in 200 ml of water and keep giving sip by sip.

Watch out for - extreme tiredness/ sunken eyes/ blood in stools/ green colored vomiting... If these appear, kindly get back immediately.

Next time when you have a clinical query, you can post a direct question which will be answered only by me.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (8 hours later)

dr, she is not at all taking ors. passed motion around 10 times since morning. plain water only she is taking. any other alternative of ors? can I give her lemon water with sugar? her food intake is also less.

Answered by Dr. Sumanth Amperayani (12 minutes later)

Brief Answer:
Suggestions on ORS

Detailed Answer:
Hi.... Other options for rehydration -

1. Avoid fruit juices.
2. You can give buttermilk with salt and sugar.
3. Curd with minimal sugar added for taste.
4. Avoid high sugar in diet and liquids.

Fruit juices contain high fructose content which will aggravate diarrhea.

Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (11 hours later)

hi dr. thanks for continuously providing suggestion. she seems to be pretty weak since morning. she has passed urine 1 time after she woke up @ 7:20am. because of weakness may be she wants to sleep. she slept again just now. @9am. she has not passed motion today. she took water n little bit of horlics. please suggest what should I do?

Answered by Dr. Sumanth Amperayani (56 minutes later)

Brief Answer:
She might need intravenous fluids

Detailed Answer:
Hi...By what you quote I feel that she is dehydrated and might require intravenous fluids as her urine out put is low and she is preferring to sleep.

Kindly meet your local pediatrician and get her hydration status checked. If required they will check and decide if intravenous fluids are required.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

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. Chakravarthy Mazumdar