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Suggest appropriate medication to effectively treat vomiting and fever in a child

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Posted on Thu, 11 Oct 2018
Question: my son (1.6) yr old is vomiting and light fever from yesterday after every meal..from today he is not eating anything.we have give him vomikind for vomiting ,but still he is doing after consuming any drink like milk, Please suggest some medicine for stomach infections and vomiting for this symptoms and advise some diets for him.
doctor
Answered by Dr. Diptanshu Das (57 minutes later)
Brief Answer:

Viral gastritis

Detailed Answer:

Hello,

Your child has an episode of gastritis, possibly due to a viral cause.

Proper fluid replenishment with ORS (oral rehydration solution) should be done. Unless this is done, it could lead to fluid and salt depletion.

Giving juicy fruits like citrus fruits should help in replenishing the salts and would ease the situation.

You also need to give some antiemetic like Vomikind (Ondansetron) when needed. Give paracetamol to bring down the temperature, if raised.

Also, give tepid sponging. Avoid giving milk (other than breast milk) for a week.

You may give Nexpro twice daily for the next few days. Please be patient. But if the child grows lethargic you would have to rush him to the hospital.

Monitor the urine output. If it is reduced you would need to increase the fluid intake and if that does not suffice you might need to visit the hospital.

I do not suppose that any other medicine is needed.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Diptanshu Das (28 hours later)
Sir Now vomiting has been stopped and loose motion has been started to my child 1.6 yrs, Please advice some medicine for loose motion and for stomach infection.
doctor
Answered by Dr. Diptanshu Das (1 hour later)
Brief Answer:

Please be patient.

Detailed Answer:

Hello,

Please be patient. The loose motion will take a couple of days to resolve. Medicines would not help. You should give Syr. Zinconia once daily for the next 10 days.


Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Diptanshu Das (23 hours later)
Sir Now both vomiting and loose motion are started to my child 1.6 yrs Please suggest
doctor
Answered by Dr. Diptanshu Das (2 hours later)
Brief Answer:

Please be patient.

Detailed Answer:

Hello,

Just continue to give ORS. Give Zinconia. Let me know the dose at which you have been giving him Vomikind (Ondansetron) and also his body-weight and I will let you know if the dose is ok.

Something around 3 ml per dose should be fine.

I'd request you to be patient. It will take its own course and should resolve in a few days.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Diptanshu Das (10 hours later)
1ml vomikind and zinc around 4ml , baby weight is 9kg
doctor
Answered by Dr. Diptanshu Das (3 hours later)
Brief Answer:

Dose inadequate

Detailed Answer:

Hello,

The dose of Vomikind Syr is inadequate. It should be 4 ml per dose.
It is ok to give 4ml of zinc. Better to give 5 ml.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Diptanshu Das (33 minutes later)
Dear Sir, Plaese also advise some diet for him
doctor
Answered by Dr. Diptanshu Das (13 minutes later)
Brief Answer:

Customize the diet plan as per your scenario

Detailed Answer:

Hello,

For proper development your child needs the following nutrients:

* Grains: Grains are an essential part of a healthy diet, that offer nutrients and energy for a child's normal growth and development.

You must include a wide variety of whole grains and/or high fibre varieties of bread, cereals, rice, pasta, noodles, and oats. You should exclude grains like refined grain (cereal) food products with a high level of added sugar, fat (particularly saturated fats) and/or salt/sodium, like cakes and biscuits.

* Fruits and Vegetables: They are rich in coloured pigments, water, vitamins and minerals and are also good sources of fibre, sans high calories. A child should consume 5 portions of fruits and vegetables every day.

* Fats and oils: They are an essential part of your kid or teen's diet as they play an important role in the development of your kid's brain, helping them in reaching their maximum growth potential.

Fat is used in our body as fuel and helps the body absorb the fat-soluble vitamin A, D, E and K. Fatty foods are often associated with overweight, obesity, heart disease and stroke but eating the right fats can provide the body with health benefits.

Get your oils from fish, nuts, avocados and liquid oil such as corn oil, soybean oil, olive oil and canola oil.

* Milk and dairy products: They are an excellent source of Vitamin A, D, B1, B2 and B12 and minerals particularly calcium. This is especially important for children and adolescents.

A good bone balance can be achieved during childhood and teenage years if borrowing from the bones is minimized and daily calcium needs are met.

* Meat and Beans: Meat, poultry, fish, beans, peas, eggs, nuts and seeds supply many nutrients and are an important part of healthy eating.

These foods are a rich source of proteins. Proteins are needed for a variety of functions in your body, therefore, it is important to include it in your diet.

Meat is also a good source of Vitamin B12 and Iron. A diet rich in iron will help to prevent Iron deficiency anaemia.

This is common condition found in children and can result in having less energy and looking pale.

The vegetarian alternatives to meat are soya, beans, eggs, milk, cheese, yoghurt, mushrooms, nuts, and seeds.

A typical diet plan can be something like:
* Early Morning - A glass of milk, 2 XXXXXXX biscuits

* Breakfast
- 1/2 bowl of milk with cornflakes and 1/2 banana
- 1/2 cup oatmeal with 1/2 teaspoon of honey and half an apple
- 1/2 cup XXXXXXX made with milk with crushed or powdered nuts
- 1/2 cup suji halwa with powdered cashews and almonds
- 1/2 bowl of vegetable poha
- 1/2 stuffed vegetable parantha
- 1 idli with peanut chutney
- 1/2 cup suji upma with vegetables
- 1 small cheela with tomato chutney or sauce
- 2 pieces paneer sandwich dhokla with green chutney

* Mid-morning Snack
You should keep this snack light as there is not much gap between this and lunch and filling up on this would not leave much room for lunch.
- 1 small banana, a small apple, 1 orange, half a cup cut papaya or any other seasonal fruit
- 2 XXXXXXX or whole-wheat biscuits
- 1/2 cup cut seasonal fruit
- 1/2 glass shikanji with honey
- 1/2 cup plain chaas

* Lunch
- 1 small chapatti smeared with little ghee with 1/4 cup dal and 1/4 cup vegetable. Keep serving different vegetables and dals.
- 1/4 cup dal and 1/4 cup seasonal vegetable with 1/2 cup rice. Add 1/2 teaspoon ghee to dal.
- 1 cup vegetable khichdi with 1/2 teaspoon ghee on top.
- 1/2 cup rice with 1/2 cup of sambar and 1 teaspoon peanut chutney.
- 1 cup vegetable pulao with 1/2 cup yogurt or raita.
- 1/2 cup Matar paneer with 1/2 cup rice or 1 small parantha.

* Evening Snack
- 1/2 cup milk with 2 wholewheat crackers
- 1 small sandwich with mixed fruit jam and butter
- 1 small peanut butter sandwich
- 1/2 cup fresh fruit cut into cubes and 1/2 cup milk
- 1 cup fresh fruit milkshake (banana, XXXXXXX cheeku etc.)
- 1 cup fresh fruit smoothie
- 5-6 sweet potato fries
- 3-4 Tofu or paneer sticks

* Dinner - Let the kid eat whatever and however much he wants. Let the dinner be light.
- 1/2 cup Vegetable pulao with mixed raita
- 1/2 to 1 cup Vermicelli upma with vegetables
- 1/2 to 1 cup Vegetable pasta with cheese
- 1/2 to 1 cup Vegetable noodles
- 1/2 to 1 cup Khichdi with veggies
- 1/2 cup Matar paneer with 1/2 cup rice or 1 small parantha
- 1 small chapatti with paneer bhurji

In case you are a non-vegetarian, suitable modifications may be done. The following items can be given in addition to the above list.

Breakfast
- 1 scrambled egg with buttered toast
- 1 Omelette with buttered toast
- French toast
- 2 small Banana pancakes with honey

Lunch
- Vegetable pulao with 1/4 cup egg curry
- 1 small chapatti with 1/4 cup chicken curry and salad
- 1/2 cup rice with 1/4 cup fish curry and veggies on the side
- Mild chicken biryani with mixed veg raita

Dinner
- Vegetable pulao with 1/4 cup egg curry
- 1 small chapatti with 1/4 cup chicken curry and salad
- 1/2 cup rice with 1/4 cup fish curry and veggies on the side
- Mild chicken biryani with mixed veg raita
- Chicken and veg pasta in tomato sauce
- Egg and veg noodles

Based on an understanding of the above you can custom make a diet plan that suits your child.

Hope I have answered your query.

Take care

Regards,
Dr Diptanshu Das, Pediatrician
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Diptanshu Das

Pediatric Neurologist

Practicing since :2005

Answered : 3871 Questions

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Suggest appropriate medication to effectively treat vomiting and fever in a child

Brief Answer: Viral gastritis Detailed Answer: Hello, Your child has an episode of gastritis, possibly due to a viral cause. Proper fluid replenishment with ORS (oral rehydration solution) should be done. Unless this is done, it could lead to fluid and salt depletion. Giving juicy fruits like citrus fruits should help in replenishing the salts and would ease the situation. You also need to give some antiemetic like Vomikind (Ondansetron) when needed. Give paracetamol to bring down the temperature, if raised. Also, give tepid sponging. Avoid giving milk (other than breast milk) for a week. You may give Nexpro twice daily for the next few days. Please be patient. But if the child grows lethargic you would have to rush him to the hospital. Monitor the urine output. If it is reduced you would need to increase the fluid intake and if that does not suffice you might need to visit the hospital. I do not suppose that any other medicine is needed. Hope I have answered your query. Let me know if I can assist you further.