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Child with loss of appetite, stomach problems. Need treatment?

11 year old female. On again, off again upset stomach and loss of appetite for the first 2 days. Started feeling well in the morning but, by noon was extremely tired and feeling generally unwell. At which point no appetite and no energy, complaining of a sore stomach. Day 3 and 4 all day symtoms...should I take her in. She is eatting very small amounts of neutral foods and drinking small amounts of water.
Asked On : Wed, 13 Feb 2013
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Pediatrician, Surgery 's  Response
Thank you for your query
The symptoms can be one of these things
1. Gastritis or acidity: Try giving her small and frequent meals and try to avoid spicy and oily food. Give her antacids for the same.
2. Viral infection of a low grade can cause similar features. Measure her temperature. Anti-pyretics like paracetamol may help in relieving the malaise (for doses and prescription consult a pediatrician)
3. It may be the prodrome or initial stage of some illness like hepatitis or jaundice can start with such a phase. You should see a pediatrician for further guidance regarding the same
Hope that helps
God bless you
Answered: Wed, 13 Feb 2013
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General & Family Physician Dr. Achuo Ascensius's  Response
Hello, thanks for using HCM.
loss of appetite, weakness and sore mouth are general symptoms which indicate that the body is not well. There is a wide range of illnesses that can associate the general symptoms together with stomach (abdomen) disorders which could be categorized into infectious, food related, surgical and extra GIT pathologies. Infectious causes include; -gut flu: which is viral borne and could present with abdominal pains, diarrhea and vomiting, subsiding after a few days and treatment is usually re-hydration, - bacterial infection: usually with fever, abdominal pains and vomiting and diarrhea. Food related problems include constipation, food allergies which cold present with vomiting and diarrhea usually after a particular meal, food poisoning etc. Surgical causes could be appendicitis, organ perforation, occlusions etc.
In her case, its uncertain to say what might be the cause of your problems due to the limited symptoms you gave. However, abdominal problems in children range from mild causes to severe and lethal causes without much difference in the intensity of pain felt. So, i will advise you see a doctor for an evaluation and possible tests at least to be sure of the condition.
Answered: Thu, 14 Feb 2013
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