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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fever Along With Appetite Loss And Vomiting Be Treated?

Hi doctor.my daughter is having fever bw 100 and 102 since 2 days and peditrician has said to give imol 6 hourly for atleast 3 daya without fail as its a viral infection.my daughter is not eating much n is cranky.she now caught cold and aoir throat which ia irritating her.she tries to sleep but cough irritates her.she vomited also.i gVe her augmentin dss one dose also but after 2 hrs she vomited bk evrything and i cud find mucus with vomit.her nose is blocked .she is 3 yrs old n very thin 13 kgs pls i am.very tensed.kindly provide woth ur views.
Wed, 31 Oct 2018
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Pediatrician 's  Response
Hi,

It is reassuring that you have already taken her to her pediatrician. Viral infections are very common among toddlers, especially if they attend daycare which exposes them to the viruses that the other children are carrying.

For the next 2 days, I suggest you not worry about her intake of solid food. Concentrate on seeing she takes enough fluids to avoid dehydration (signs of which are no tears, dry lips and mouth, a doughy feel to skin when you gently pinch and in takes a couple of seconds to fall back into place, having to urinate less often than usual).

You can wait 3-4 hours without giving her anything to drink (if she is not dehydrated), then if no vomiting, offer 2 ozs of Pedialyte, soup broth, Popsickle or Jell-O. If no vomiting, then after 2 hours, offer 3-4 ozs. As long as there is no vomiting, you may continue this treatment.

If no vomiting, give acetaminophen every 6 hours for fever and aches and pains and irritated throat. When she tells you she is hungry, offer anything she asks for. Put 1-2 drops of saline nose drops (over the counter) into each nostril whenever nose is congested. After she sneezes, suction the mucus from nose with infant bulb syringe.

If her doctor said she has viral infection, why are you giving her an antibiotic which could make vomiting worse?

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd,
Pediatrician
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How Can Fever Along With Appetite Loss And Vomiting Be Treated?

Hi, It is reassuring that you have already taken her to her pediatrician. Viral infections are very common among toddlers, especially if they attend daycare which exposes them to the viruses that the other children are carrying. For the next 2 days, I suggest you not worry about her intake of solid food. Concentrate on seeing she takes enough fluids to avoid dehydration (signs of which are no tears, dry lips and mouth, a doughy feel to skin when you gently pinch and in takes a couple of seconds to fall back into place, having to urinate less often than usual). You can wait 3-4 hours without giving her anything to drink (if she is not dehydrated), then if no vomiting, offer 2 ozs of Pedialyte, soup broth, Popsickle or Jell-O. If no vomiting, then after 2 hours, offer 3-4 ozs. As long as there is no vomiting, you may continue this treatment. If no vomiting, give acetaminophen every 6 hours for fever and aches and pains and irritated throat. When she tells you she is hungry, offer anything she asks for. Put 1-2 drops of saline nose drops (over the counter) into each nostril whenever nose is congested. After she sneezes, suction the mucus from nose with infant bulb syringe. If her doctor said she has viral infection, why are you giving her an antibiotic which could make vomiting worse? Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician