When do I really get concerned? - sick kid

hpygrll

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Oct 6, 2000
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Ok here's the deal for DS who is 3

Friday - threw up at 7:30am - throw up and diarrhea all day - kept nothing down.

Saturday - fever - drank liquids very well - no throw up, no diarrhea - fever steadily going down. Slept most of the day and all night.

Sunday (today) - asked for cereal with milk this am - ate most - drank some milk - that was aroun 9am - since then hasn't eaten anything and is really fighting drinking - making him drink a sip of pedialyte every 5 minutes. No fever.

Do I call the doctor tomorrow if he's still not eating? Help!! Not used to having a kid this sick.

Jenny
 
I agree the Dairy should be stopped for a few days. You can always call the Dr & let them know whats going on .
 
Just posting my "I agree too"

Just keep pushing fluids and offer the kid what he wants to eat- the appetite will come back- sounds like the sickness has run its course
 

Our Pediatrician says not to give milk because it does not sit well
this is from the "boystown pediatrics" web site peds advisor...



How can I take care of my child?
Offer small amounts of clear fluids for 8 hours (no solid food)
Offer clear fluids (not milk) in small amounts until 8 hours have passed without vomiting. For infants less than 1 year old, always use an oral electrolyte solution (such as Pedialyte or Kao Lectrolyte). Spoon or syringe feed your baby 1 teaspoon (5 ml) every 5 minutes. Until you get some Pedialyte, give formula by teaspoonful in the same way.

For a child over 1 year old with vomiting (but no diarrhea), the best fluid is water or ice chips because water can be directly absorbed across the stomach wall. If your child is 2 years old or older water is best, but half-strength lemon-lime soda or Popsicles are also acceptable. Stir the soda until no fizz remains (the bubbles inflate the stomach and increase the chances of continued vomiting).

Start with 1 teaspoon to 1 tablespoon of the clear fluid, depending on your child's age, every 5 minutes. After 4 hours without vomiting, double the amount each hour. If your child vomits using this treatment, rest the stomach completely for 1 hour and then start over but with smaller amounts. This one-swallow-at-a-time spoonfed approach rarely fails.

Offer bland foods after 8 hours without vomiting
After 8 hours without vomiting, your child can gradually return to a normal diet.

Infants can start with bland foods such as cereal. If your baby only takes formula, give 1 or 2 ounces less per feeding than usual.

Older children can start with such foods as saltine crackers, cereals, white bread, bland soups like "chicken with stars," rice, and mashed potatoes.

Usually your child can be back on a normal diet within 24 hours after recovery from vomiting.

Diet for breast-fed babies
The key to treatment is providing breast milk in smaller amounts than usual. If your baby vomits once, make no changes. If your baby vomits twice, continue breast-feeding but nurse on only one side for 10 minutes every 1 to 2 hours.

If your baby vomits 3 or more times, nurse for 4 to 5 minutes every 30 to 60 minutes. As soon as 8 hours have passed without vomiting, return to normal nursing on both sides.

Pedialyte and Kao Lectrolyte are rarely needed for breast-fed babies. If vomiting continues, switch to Pedialyte for 4 hours. Spoon or syringe feed 1 tablespoon (15 ml) of Pedialyte every 5 minutes. If your baby is urinating less frequently than normal, you can offer the baby an electrolyte solution between breast-feedings for a short time (6 to 24 hours).

Medicines
Do not give your child any medicines by mouth for 8 hours. Oral medicines can irritate the stomach and make vomiting worse. If your child has a fever over 102°F (39°C), use acetaminophen suppositories. Call your health care provider if your child needs to continue taking a prescription medicine.

Common mistakes in the treatment of vomiting
A common error is to give as much fluid at one time as your child wants rather than gradually increasing the amount. This almost always leads to continued vomiting.

There is no effective drug or suppository for vomiting. Diet therapy is the answer. Vomiting alone (without diarrhea) rarely causes dehydration unless you are giving your child medicine by mouth.

When should I call my child's health care provider?
Call IMMEDIATELY if:

Your child shows any signs of dehydration (such as no urine in over 8 hours, very dry mouth, no tears when crying).
Your child vomits up blood.
Your child vomits repeatedly AND also has watery diarrhea.
Your child is confused or difficult to awaken.
Your child starts acting very sick.
Call during office hours if:

The vomiting continues for more than 24 hours if your child is under age 2 years or 48 hours if over age 2.
You have other concerns or questions.

Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
Published by McKesson Provider Technologies.
Last modified: 2006-03-02
Last reviewed: 2006-02-23
 
Well, stupid me gave him some more Tylenol fever reducer (he had this yesterday) due to him saying his body hurt....well he promptly threw that up everywhere along with the curdled milk. But now he does seem to be feeling better. I'll probably still call the doctor tomorrow.

Guess what he's requested to watch? He's laying on the couch on his "Cars" sleeping bag, watching the Disney planning dvd:) What a smart kid.

Jenny
 
He can go a while without eating. Just make sure he's taking enough liquids (a/k/a, "peeing"). You don't want him to get dehydrated. Hope he feels better soon.
 
hope he feels better soon! Hold off on dairy for a while, I'd say! :hug:
 
Update - out of the blue he asked for spaghetti - so I made some and he's eating.

Thank goodness!!!!!! I hate it when they're sick - I'll still keep him home from daycare tomorrow
Jenny:)
 
My 5 year old DS had the flu last week and it took him about 4 days until he was back to normal (appetite, bowel movements, etc). It was a nasty bug!
 
We have 2 with earaches/sore throats this weekend :sad2: DS5 started late Friday night, DD4 tight behind him yesterday. In our house if you are sick, you are king/queen of the couch. You get whatever you want to eat/drink - juice, soda, popsicles, soup, cereal....no request is denied if you can get it down. If colds are severe or vomiting is going on I discourage anything that involves cheese/milk as it will usually come back up :upsidedow or it promotes more mucous development (icky noses!). Other than that, keep up the Tylenol if they are uncomfortable and we usually do Motrin overnight as it last 8 hours vs. 4 hours of tylenol. Hope he feels better :cutie:
 
My son had strep for the first time when he was 3. He never complained of a sore throat, but threw up and seemed really sick. If you child is still sick tomorrow, I would take him to get checked out. Sometimes they don't really understand or convey what is bothering them at that age.
 
Glad to hear his appetite is back!

My rule of thumb is to give 3 days before going to the doctor, unless the temp is unusually high or no fluids can be kept down (rule for not only DS, but for myself). If after 3 days there is no improvement, we go to the doctor, if improvement, it is most likely a virus which just takes time.
 
my DS7 had this last week. Saturday morning he started throwing up and continued all day, Sunday no throwing up but ran a fever and was out of it, Monday had a headache and fever, Tuesday of and on fever, Wednesday fever and took him to the doctor.

The doctor said that with the strain of stomach flu that is going around it will touch off a weak case of the other type of flu ( the kind that they give the flu shot for) Just have to wait it out.

He felt fine the next day and went back to school.
 
It's Monday- he woke up fine this am - had some cereal and a poptart and is on the couch watching tv. I keep telling him he's going back to "school" tomorrow - so let's hope he'll be fine.

AFter naps I'll make him move around more - like playdough or markers at the dining room table.
Jenny:)
 


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