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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting, Diarrhea, Sleepiness, Lethargy And Weight Loss?

My 15 month old threw up once last Thursday, once last Friday, and had diarrhea once Saturday. But otherwise no symptoms. No rash, fever, sore throat, runny nose, cough, nothing! But she is very cranky, crying, sleepy, sometimes lethargic. She isn t eating or drinking much, and has lost a substantial amount of weight(21lbs 17lbs). She seems to be in pain. She isn t playing, running around, or anything. She s being seen by drs, and has had a battery of blood tests, urine tests and cultures, and a chest X-ray. Everything has been normal and show no sign of infection! What are your thoughts? What could this be? This has been 6 full days of her suffering. What would you look for or suggest next? Thank you. Sincerely, concerned mom
Mon, 8 Dec 2014
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Pediatrician, Pulmonology 's  Response
HI...I have gone through the details you have provided thoroughly. I will it is viral dirrhea as there is no blood in the stools and she is lethargic, meaning dehydrated at times and it started with fever - Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.
I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment.
Regards - Dr. Sumanth
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What Causes Vomiting, Diarrhea, Sleepiness, Lethargy And Weight Loss?

HI...I have gone through the details you have provided thoroughly. I will it is viral dirrhea as there is no blood in the stools and she is lethargic, meaning dehydrated at times and it started with fever - Once it starts it will take 5-7 days to completely get better. Unless the kid s having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. Regards - Dr. Sumanth