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Child having stomach virus. Developed fever and diarrhoea. Started vomiting. What treatment should be done?

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Pediatrician, Neonatology
Practicing since : 1970
Answered : 891 Questions
My 8 months daughter had stomach virus. 8 days ago she developed fever, then last Thursday morning she vomited. By night she developed diarrhea. By Saturday she was fine, and we started to slowly give her soy formula. She threw up on Sunday afternoon, after taking formula twice (mornign and noon). We went back to pedialyte. She did not have any other symptomps but vomiting. On Monday she felt very sleepy and irritable and had very few wet diapers, so we increased intake of pedialyte. On Tuesday she was fine in the morning and we gave her soy formula, which she took twice (morning and afternoon), and then refused to eat for the rest of the day. In the evening around 8 pm she threw up. On Wednesday she was fine the whole day. We took her to the doctor, who suggested she had allergy to soy. We switched back to milk formula that she was taking for 5 months before the stomach virus. She took it on Wednesday night, and then on Thursday morning and early afternoon (today),. She threw up in the afternoon. Then she only took some pedialyte and two rice crackers. Then she threw up again. No other symptoms, except that her feet and hands are slightly cold, and her stomach does get bigger after feedings. She throws up formula that looks and smells fine, has no blood, nothing XXXXXXX no other problems. What could be the possible causes of such vomiting and what do we need to do?
Posted Wed, 28 Nov 2012 in Child Health
Answered by Dr. Uma Rajah Ananth 1 hour later
Welcome to XXXXXXX
The cause of diarrhea and vomiting may be either viral( usually rota virus ) or bacterial rarely.
The important point in management is replacing the fluid and electrolyte loss.
Give pedialyte 1-2 ozs after every stool or vomiting.
But that alone is not enough and give the milk formula,rice preparations like plain rice cereal ,rice stick (cerelac or milupa cereals)etc.
This will prevent her from losing weight and becoming tired.
Reg abdominal distension there are 2 causes -one is low potassium and the other is sepsis.
I am little concerned about her cold extremities. Better to consult the doctor for this.
There is no need to change to soya milk after loose stools unless the child was already on that due to some other reason.
If the tummy gets bigger or vomiting does not stop,
please go to the doctor again.
As you have cleverly pointed out keep watching urine output!
All the best
God bless
Dr Uma
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