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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child With Severe Vomiting. History GI Problems. Respiratory Viral Infection Suspected. Has Fever. Concerned

Hi my two year old daughter who has a history of vomiting gi issues started vomiting once/day at night last weds.she was ok sat and Sunday no vomit but then woke up mon am and threw up. Through this she also had one yellow runny vomit smelling poo/day. I took her to doc Monday who said most likely Respitory virus. Tonight she has low grade fever 100.4 and I am nervous about previous vomiting and now fever. What do you think?
Mon, 6 May 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
fever in a child, especially with a past history of vomiting deserves an intensive investigation and clinical evaluation. It important to exclude a bacterial infection. Examination of the child s ears, throat, lungs, abdomen and other body structures by your primary care physician is very important. Generally, diarrhpoea in children however is mostly caused by viruses, and giving the child sufficient oral rehydration solution appropriately is usually sufficient. Changes in the child s general outlook should lead to a formal exclusion of a serious infection or complications of the diarrhea. Blood tests for raised white blood cells, C reactive protein, urine and stool exams could be needed for a start.
I suggest you consult your primary care physician for a proper evaluation and management.
Best regards,
Luchuo, MD.
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Child With Severe Vomiting. History GI Problems. Respiratory Viral Infection Suspected. Has Fever. Concerned

Hi and thanks for the query, fever in a child, especially with a past history of vomiting deserves an intensive investigation and clinical evaluation. It important to exclude a bacterial infection. Examination of the child s ears, throat, lungs, abdomen and other body structures by your primary care physician is very important. Generally, diarrhpoea in children however is mostly caused by viruses, and giving the child sufficient oral rehydration solution appropriately is usually sufficient. Changes in the child s general outlook should lead to a formal exclusion of a serious infection or complications of the diarrhea. Blood tests for raised white blood cells, C reactive protein, urine and stool exams could be needed for a start. I suggest you consult your primary care physician for a proper evaluation and management. Best regards, Luchuo, MD.