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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diarrhea, Vomiting And Abdominal Pain In A Young Child

My 6 year old has has a low grade temp (100-100.3) for the last 36 hours. She has had extremely watery diarrhea as well during this time, going to the toilet 3-4 times an hour during wakeful times. Last night she also began to vomit pretty regularly. The vomit smells just like her diarrhea has been smelling....just awful. She has no appetite, and what she does eat, comes right back out. Doctor has called in Zofran and Phenergan, but I'm becoming more concerned as time passes. She has abdominal pain that comes and goes, when I ask her to show me where, it is always her entire abdomen below her belly button. Just looking for some advice as to if we should take her to urgent care, or wait until the clinic is open tomorrow to see her PCP. Thank you in advance.
Thu, 4 May 2017
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General & Family Physician 's  Response
Hi,

Thanks for your question on HCM

I do understand your concern

As per your clinical history is concerned her problem is due to infection only so control dehydration at home if not possible admit at most proximate hospital for IV drips.you can discuss with her Doctor to integrate an antibiotics like [ciprofloxacin 30mg per kg per day maximum in two divided doses]. You can integrate a probiotic like lactobacillus syrup. Consummate antibiotic course for 7 days.

You can do few things at home to prevent it in future -:

1)wash hands frequently and thoroughly
2)supervise small children when they wash their hands
3)dispose of soiled diapers properly
4)disinfect diaper changing areas after use
5)avoid swallowing water from ponds, lakes or untreated pools.
6)Mash one ripe banana and add one teaspoon of tamarind pulp and a pinch of salt to it. Mix it well. Give this mixture twice daily to settle an upset digestive system.
7)Rice is an excellent bland food recommended for diarrhea. It is high in starch and easy to digest. So, you can have plain boiled white rice but without any spices or sauces. Start by having small amounts of rice and gradually increase the amount as your condition improves. You can also add clear fluids and starchy liquids such as rice water, coconut water, fruit and vegetable juices, and clear broths etc

Hope that helps
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Suggest Treatment For Diarrhea, Vomiting And Abdominal Pain In A Young Child

Hi, Thanks for your question on HCM I do understand your concern As per your clinical history is concerned her problem is due to infection only so control dehydration at home if not possible admit at most proximate hospital for IV drips.you can discuss with her Doctor to integrate an antibiotics like [ciprofloxacin 30mg per kg per day maximum in two divided doses]. You can integrate a probiotic like lactobacillus syrup. Consummate antibiotic course for 7 days. You can do few things at home to prevent it in future -: 1)wash hands frequently and thoroughly 2)supervise small children when they wash their hands 3)dispose of soiled diapers properly 4)disinfect diaper changing areas after use 5)avoid swallowing water from ponds, lakes or untreated pools. 6)Mash one ripe banana and add one teaspoon of tamarind pulp and a pinch of salt to it. Mix it well. Give this mixture twice daily to settle an upset digestive system. 7)Rice is an excellent bland food recommended for diarrhea. It is high in starch and easy to digest. So, you can have plain boiled white rice but without any spices or sauces. Start by having small amounts of rice and gradually increase the amount as your condition improves. You can also add clear fluids and starchy liquids such as rice water, coconut water, fruit and vegetable juices, and clear broths etc Hope that helps