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1 year old with low grade fever, lack of appetite and loose stools. Any idea what is happening?

My 1 year old has not been himself for the last few days. It started on Tuesday. Wednesday night and Thursday morning he was running a low grade fever , never went above 100.9. No fever since yesterday afternoon, but my biggest issue is that he has had no appetite since Tuesday. I have been able to get him to eat a little here and there, but barely anything. He his drinking, urinating and making bowel movements. His bowels are a little loose, but he has also been drinking much more juice then he normally would. He also has moments where he cries and acts like his stomach hurts.
Asked On : Tue, 26 Feb 2013
Answers:  2 Views:  140
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General & Family Physician 's  Response
Dec 2012

Thanks for posting,

From your description your son had a stomach flu or viral gastroenteritis and which affected his appetite. Him not able to eat after the fever subsided simply is as a result of the recovery phase from the infection. Normally, juice should not be given when there is loose BM or diarrhea as it will only aggravate it. It is better to give him oral rehydration therapy with the ORS salts (various combinations exist that taste like juice but do not contain sugar which maybe responsible for aggravating the bowel movements). Juice causes malabsorption syndrome especially in situation of stomach flu.
Also if the loose BM do not subside, please visit a clinic for further evaluation and possibly stool exams.
No antibiotics will be necessary. Just stop the juice and consider ORS.

Thanks and hope this helps
Dr Nsah
Answered: Tue, 26 Feb 2013
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

It looks like a virus that is going on.

Usually when kids are sick, they don`t eat well. Viral fevers can be associated with gastritis, that can cause pain in his tummy. Medications like Lansoprazole will help.
Be sure he drinks well.
You may give him juices, milk, porridge, vegetable soups etc.
Keep an eye on his activity.

Loose stools might be because of his excess juice intake or viral gastro enteritis which he is developing.
If its watery and very frequent, you might have to stop his juices and milk.
In such a case rice based food items, Mashed potato, Banana, Curd , ORS, vegetable soups etc will help. In any diarrheal illness, one must be careful that child does not get dehydrated.
Be sure he passes urine atleast 4 to 5 times in a day.

At any point of time, if he develops high grade fever, he becomes very dull or irritable, you see blood or pus in the stools, his urine frequency is very less- please do not hesitate to visit your Pediatrician.

Hope my answer helps you.
Wish your son good health.
Answered: Tue, 26 Feb 2013
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