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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Stomach Pain And Vomiting

Last Tuesday evening my daughter (7) started complaining of stomach hurting. Wednesday she vomited until Thursday morning. Still complaining of off and on stomach aches. She developed a fever Friday morning and has one since. No more vomiting and stomach only appears to hurt when fever spikes. Highest was 102. Today (Monday) she just started complaining of a sore throat. I assumed it was a stomach flu. But, with the sore throat now I m not sure?
Wed, 9 Dec 2015
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Acute PUO with ?Malaria as the fever started with vomiting and stomach aches.
Possibility of Cerebral Malaria or Encephalitis with Viral Fever needs to be kept in mind while treating this case.
For age of your daughter - one needs to rule out Bacterial Meningitis / and TB Meningitis.
I would suggest -PBS for Malarial parasites
Fever and vomiting ocuring with Fever spikes points at Malaria with gastritis / or Viral Gastritis with Acute Pyerexia.
But the fact of sore throat lately,points to Viral / or bacterial / or ? malarial(very rarely) causes of such a fever.
Remedy-
In this scenario of causes-Second opinion from Paediatrician with multiple blood and radiological tests as CT Brain -X-ray Chest etc would fix the cause.
Only then exact treatment could be planned.
Till then-
Supportive treatment as follows-
would take care of her -
Spiking temperature and fluid losses if any to upkeep her general health and fluids.
Cold Sponging /
Fluids sips and by Iv +with Vitamins
+Antibiotics impirically would help her to maintain her general health.
Hope this would help you to reduce worry with your problem.
Take care and wish you to recover fast and Live healthy.

Hope this reply would help you to plan further treatment with your family and specialist doctors there.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For Severe Stomach Pain And Vomiting

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Acute PUO with ?Malaria as the fever started with vomiting and stomach aches. Possibility of Cerebral Malaria or Encephalitis with Viral Fever needs to be kept in mind while treating this case. For age of your daughter - one needs to rule out Bacterial Meningitis / and TB Meningitis. I would suggest -PBS for Malarial parasites Fever and vomiting ocuring with Fever spikes points at Malaria with gastritis / or Viral Gastritis with Acute Pyerexia. But the fact of sore throat lately,points to Viral / or bacterial / or ? malarial(very rarely) causes of such a fever. Remedy- In this scenario of causes-Second opinion from Paediatrician with multiple blood and radiological tests as CT Brain -X-ray Chest etc would fix the cause. Only then exact treatment could be planned. Till then- Supportive treatment as follows- would take care of her - Spiking temperature and fluid losses if any to upkeep her general health and fluids. Cold Sponging / Fluids sips and by Iv +with Vitamins +Antibiotics impirically would help her to maintain her general health. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS