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Dr. Andrew Rynne

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Infant With Diarrhea, Vomiting And Whitish Dots On Tongue. Have Pain. What To Do?

Hi, my 7 month old daughter has a low body temperature of 32 degrees Celsius. She has diarrhea and vomitting for a week now but it seems to subsided a bit now. Her tongue is now a white colour with little dots over it and she's screaming in pain a lot. She has had 3 lots of paracetamol, but nothing has changed. What shall I do?
Wed, 10 Apr 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

If your daughter has a temperature of 32C then why is she receiving paracetamol? 32C is a very low temperature and needs to be looked into. Secondly, diarrhoea and vomiting persisting for a week needs immediate consultation from a doctor.

The whitish dots on the tongue can be the early signs of diarrhoea or a fungal infection which needs to be examined and managed accordingly.

I hope I have answered your query to your satisfaction.

Wishing your daughter an early recovery.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Pediatrician Dr. Y V Siva Sankara Murty's  Response
Hi,

Thanks for writing to health care magic.

If a baby of 7 months is having a body temperature of 32 degrees then it is a emergency.

She is having hypothermia if your temperature record is accurate. Please wrap the baby properly for warmth and take her to the doctor. You may also use Kangaroo mother care for transporting the baby to the hospital. This can be done by keeping the baby on the mothers or care givers chest and wrapping both so that the temperature of the mother is used for rewarming the baby.

I request you to take her immediately to the doctor for further examination and needful.

Hope this helps.
Take care.
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Pediatrician Dr. Himanshi Kashyap's  Response
Hi,

Thanks for the query.

Your daughter must be suffering from oral candidiasis .She would require anti fungal mouth paint.In the mean while give her bland food, her regular feeds and keep her well hydrated.Watch out for inadequate urination. If her oral intake and urination is poor then get an appointment from her docter for further management.

Bye
Take care
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Infant With Diarrhea, Vomiting And Whitish Dots On Tongue. Have Pain. What To Do?

Hi, Thank you for your query. If your daughter has a temperature of 32C then why is she receiving paracetamol? 32C is a very low temperature and needs to be looked into. Secondly, diarrhoea and vomiting persisting for a week needs immediate consultation from a doctor. The whitish dots on the tongue can be the early signs of diarrhoea or a fungal infection which needs to be examined and managed accordingly. I hope I have answered your query to your satisfaction. Wishing your daughter an early recovery. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl