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Child has fever, rapid heartbeat and started vomiting. What is causing this and required treatment?

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General & Family Physician
Practicing since : 2004
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Eight year old had stomach problem throwing up yesterday with 101/102 fever. This morning fever is gone but has a rapid heartbeat of 118-120. He is better but says his heart racing makes him feel bad. He has not gotten up out of bed yet and he was in bed the entire day yesterday sleeping. Had a total of three crackers and sips of ginger ale yesterday and about five cherrios and sips of ginger ale this morning. Did go to bathroom last night, urine only.
Posted Tue, 16 Apr 2013 in Child Health
Answered by Dr. Chakravarthy Mazumdar 3 hours later

Running temperature will increase the heart rate. This is a physiological mechanism expressed. Did you give him 'Acetaminophen/Tylenol' yet? You can offer upto 200 mg of Tylenol every 6 hours keeping an eye on the temperature. Tepid sponging is useful if the temp rises over 102. Post strep throat infection there is a gastritis issue that is commonly seen. Most physicians recommend antacids along with a course of antibiotic. Was he given antacids during strep episode? You can consider that as well with the help of a local doctor.

Keep giving him liquids and absolute rest for one more day should suffice. If he continues to throw up or more than thrice / temp over 102, seeing at the urgent care / clinic be prudent.

I am not worried as long as he is active and able to pass urine. He is able to drink and eat as well. Use any sort of answer clarification from me if needed.
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