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Infant with vomiting and diarrhea, high temperature. Lips turning purple. Anything to be concerned?

My 29 month old has had 2.5 days of vomiting . One and a half of those days was accompanied with diarrhea. She has only a slightly elevated temp...but just the slightest. She doesn't have much of an appetite and will only take milk or some water. She has had goosebumps all morning. After she vomitted this morning, i noticed that her lips were a little purple, her feet a little gray and her arms/hands splotchy. Her feet were warm to thetouch but her fingers were cold. She's starting to look normal again. Is this something to be concerned about? I have no insurance and am unemployed, so I'd like to get as much info before taking her anywhere
Asked On : Wed, 10 Apr 2013
Answers:  2 Views:  213
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General & Family Physician 's  Response
Hi and thanks for the query,
Fever, diarrhoea and vomiting constitutes a febrile gastroenteritis, which requires an evaluation and appropriate treatment for two main reasons. Firstly, because the child can get dehydrated and secondly because the infection could lead to sepsis and septic shock if left uncontrolled.
I suggest you start by giving oral rehydration salt even before you meet the physician. Causes could range from simple Rotavirus infections and other viruses to bacterial infections. A clinical evaluation, blood and stool tests are sufficient to give a diagnostic orientation and management plan.
Starting with rehydration salts and analgesics for temperature lowering could be appropriate while you wait to see your physician.
Hope this helps,
Best regards, Luchuo, MD.
Answered: Wed, 10 Apr 2013
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General & Family Physician Dr. S. Jegadeesan's  Response
vomiting with diarrhea - common cause is Acute Gastro Enteritis (AGE) Occasionally due to some mild food poison. Both may have associated mild fever. Other complaints your child have may be due to mild dehydration. if the child passes dark yellow colored urine it has to be investigated. As she looks normal it is a great relief for you. Avoid milk for the time being. Any how She needs a pediatrician opinion and treatment.
Nothing to worry. best wishes
Answered: Wed, 10 Apr 2013
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