What Causes Severe Vomiting And Diarrhea In Children?
Prescription is right,Half tablet of nor metrogyl will not cause any harm
Thanks for the query
Most of the time the vomiting and loose motion in this age is due to viral infection or food poisoning.
The main aim is to prevent dehydration by giving plenty of fluids.In case of vomiting the oral acceptance of fluid decreases and there is high chance of getting dehydrated.So here inj Ondem is justified(as due to vomiting the oral syrup would not be effective).
Once the vomiting subsides the child should be shifted to oral antiemetic(vomiting decreasing agent) like graniforce(granisetron),so this is also right.
Colicure contains drotaverine and helps in relieving pain by decreasing the intestinal spasm.
Hifen 100 contains cefixime an antibiotic which has a very good coverage for bacteria causing intestinal infection.
Metrodif MPS again contains tinidazole and diloxanide furoate for amebiasis.(Although it should be given once the presence of amoeba is confirmed in stool but some practitioner give it emperically).I personally don't recommend this but as you have started I would suggest you to continue it as advised.
Zincolife contains zinc which helps in early recovery from loose stool by normalisation of intestinal epithelium.
So my opinion is that prescription is right.
There is already a good antibiotic in the prescription.So no need to give nor metrogyl(norfloxacin and metronidazole).
Half tablet of nor metrogyl will not cause any harm so I won't get overly worried for this.
Once there is loose stool it continues for 6-7 days till the intestinal epithelial absorptive power is regained.So I would suggest you to give plenty of fluids(ORS) to prevent dehydration.Continue feeding.Give easily digestible items.Avoid milk,fruit juice,cold drink as this may precipitate loose stool.
Be watchful for any decrease in oral acceptance,lethargy or decrease urinary output.If you notice any of these consult your pediatrician.
I hope this helps.
I shall be glad to answer if you have any more query.
Thanks & Regard
Passing urine three to four times a day is adequate
Thanks for the follow up
Some decrease in urination is common during loose stool.I won't get overly worried if she is passing three to four times day.
Give her ORS more frequently.If possible 100-200 ml of ORS each time after loose stool.
Wish her speedy recovery.