Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

158 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes stomach pain, nausea and severe diarrhea?

Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3720 Questions

default
Posted on Wed, 15 Mar 2017 in Child Health
Question: My 16 year old son got really sick last night but had a weird onset.
He said he felt stomach pain and nausea the night before last on sunday night at around 10:00pm after dinner
( he had no fever).
He woke up the next morning on monday and other than being tired seemed he felt ok and still no fever.
Today looking back he said he may have felt a little something here and there throughout the day on monday but nothing major.
After dinner monday night he got cramping and pain again that was pretty severe so we took him to the ER. while being pressed on the stomach area by ER doc he threw up several times followed by several trips to the bathroom with diarreha. He then started a fever. His gastro symptoms calmed down after the bout of throwing up and diarreha. His lab work led the doctor to believe he had gotten food poisoning and that it wasnt viral.
Hes remained better except for a fever of
101F-102.5F(it goes down with tylenol) and some lingering diarreha.
My concern is the way his onset was in an
"On and off" presentation. Is it within normal to have onset of cramping/ nausea that dies down after a few hours one day only to then ramp up again 18 hours later to finally start throwing up?
He ate ground beef on the rare side several hours before his first stomach pain on sunday which again, led ER doctor to think it was possibly E.coli.
The ER doctor prescribed bactrim to be given if he continued feeling worse today but he does seem better so we havent given it to him at this point.
What are your thoughts on this? Ive never seen this?
doctor
Answered by Dr. Diptanshu Das 1 hour later
Brief Answer:
Likely to be due to gastroenteritis.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. It seems that your child has an episode of gastroenteritis or food poisoning. It could be due to contaminated food or improper hand hygiene.

In any case, you need to give your child some antiemetic like ondansetron as and when needed, especially before feeds (15 min-30 min prior to feeds). The mainstay of treatment is breast milk and ORS (oral rehydration solution). Unless the lost salts and fluids are replenished the child would become dehydrated. The urine output needs to be monitored. If the frequency comes down it indicates dehydration and calls for additional supplementation of fluids. But if the child becomes lethargic you would need to take the child to a hospital without delay.

You need to be patient. The vomiting and loose stools may persist for a couple of days before it resolves. The cause does not matter. Antibiotics were not needed but since you have started, you should complete the course.

Also give curd or yogurt since it contains plenty of beneficial bacteria and should help. You need not worry. It should gradually return back to normal.

Give paracetamol or acetaminophen to bring down the temperature if it goes above 100°F. Also give tepid sponging.

Please be patient. It may take a few days for the situation to return to normal. Feel free to write back.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  

Recent questions on  Ondansetron

doctor1 MD

i am a 28 year old female. starting LAST monday the 8th (in the evening) i started having severe abdominal pains that began in the middle of my abdomen. by the next morning the pain was localized in my RLQ sharp stabbing pains, nausea without vomiting. i was seen by my family physician who immediately suspected my appendix. lab work was drawn, all labs perfectly normal. scheduled CT with contrast the next day. pain continued and intensified, continued with nausea, then the vomiting came. the ct came back normal, and was to have a f/u with my dr on thursday. they called wed to check on me and told them my symptoms were worse. they immediately brought me back into the office, drew more blood and labs still perfectly normal. they referred me to a surgeon who ordered a colonoscopy. i prepped for it that evening and it was performed the next day (thursday) my colonoscopy showed SEVERE sigmoid diverticula (much more and much worse than a person of my age should have) the procedure was otherwise unremarkable. I am still in severe pain, had pelvic ultrasound which showed a hemmorragic cyst inside my right ovary. transvaginal ultrasound yesterday showed the cyst has since disappeared. I am now scheduled for exploratory laproscopic abdominal surgery to see what could be the source of my pain. what do you think is going on with me? i have never been in this much painever. am now taking percocet 7.5 and lortab 10 around the clock. i have not been able to keep anything down in 5-7 days. was in the ER and received i.v fluids on monday night. also am taking zofran and phenergan to try and control my nausea and vomiting, which is really not helping.

doctor1 MD

I have been sick with vomiting for literally a month, Ive been to er twice and to my doctor 3 times each times..Each time they rehydrate me with iv fluids and send me home. im ok for maybe a day and then i right back to where i started..It gets to the point where I cant even tolerate liquids..I have taken zofran, compozine, and phenergan, which none I can keep down long enough for them to work..I was just in the er 2 days ago and the doctor yesterday which total have had 2 and a half bags of fluids..At this rate im losing more fluids than i can compensate for..Im getting tired of being sick i just want to feel normal again..ive had major amt of blood work done, ct scans, xrays which are all normal, the only thing they have found was a small kidney stone, which the doctor says that has nothing to do with my symtoms already had my galbadder out..Ive got stomach cramps that i just roll up in a ball to stop hurting and also running low grade fevers..I need some help. thanks Stacey

doctor1 MD

our entire family had the stomach virus. each lasting about a week. Our oldes son got over it for about a week and then caught it again. Is this normal. His ped. thinks it is just another virus. gave him some meds Zofran to calm his stomach and told us to give him some pepto bismol. Your thoughts? At what point do you start runing tests?

doctor1 MD

I have been vomiting and have had diarrhea for a week. I can t keep anything down at all. i went to the ER thursday night. They gave me an IV, zofran and a little morphine. I felt better but last night I started feeling worse. I have really bad pain on the right lower side of my back and terrible cramps in my stomache. i went back to the ER this morning and all they did was increase my zofran. i still feel really bad. what should i do?

doctor1 MD

My 2 year and 7months girl child is suffering from Fever (102 degree). Her weight is around 16kg. she had vomiting once at around 5:35PM. She is also feeling a bit down in terms of energy. I have Crocin syrup for children. Please suggest dosage....

doctor1 MD

Hi mam my cousin took avil tablet 25 mg 2 times one in her 6th week of pregnancy & another in 9th week of pregnancy for itching without consulting is there a problem now she is going for NT scan after 2 weeks She took liquid paraffin & magnesium...

doctor1 MD

Hi Doctor, My daughter is approx. 1 year old. We are planning a trip with her this month. Would like to know the medicines which we should keep for her as this would be her first trip so we are not sure how she will behave. We want to know the...