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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Body And Face Blotches, Stomach Pains, Vomiting And Constipation?

my 3 year old had red blotches over her body and face last night aftercomplaining of stomach pains and then vomiting, the cheeks and face were slightly puffy but slowly faded over a few hrs, sinse waking this morning she has vomited and had stomach pains but have improved as day has gone on, her stools were hard so im assuming that this was the reason for her stomach pains but she has just broken out in red blotchs over her body and her cheeks are burning red and hot to touch, she has fallen asleep 10 minutes after the outbreak and rash slowly reducing again
Thu, 7 Dec 2017
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Pediatrician, Pulmonology ,  's  Response
Hi... I understand your concern. By what you say this looks like a viral illness. But at the same time blotches for the skin associated with tummy pain and vomiting are suggestive of vasculitis or an allergic reaction which is going on along with the fever. If there is itching also then we should consider toxic urticaria due to a viral illness. I will suggest you the medications for fever which you can get over the counter. But the other medications used for itching are medicines which require prescription.

For fever - Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

For itching and blotches on skin - Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 3 days.

But if the kid has got any other red flag signs like low urine output, lethargic even when there is no fever, I suggest you take her to the nearest Emergency Room.

Regards - Dr. Sumanth
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What Causes Body And Face Blotches, Stomach Pains, Vomiting And Constipation?

Hi... I understand your concern. By what you say this looks like a viral illness. But at the same time blotches for the skin associated with tummy pain and vomiting are suggestive of vasculitis or an allergic reaction which is going on along with the fever. If there is itching also then we should consider toxic urticaria due to a viral illness. I will suggest you the medications for fever which you can get over the counter. But the other medications used for itching are medicines which require prescription. For fever - Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For itching and blotches on skin - Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 3 days. But if the kid has got any other red flag signs like low urine output, lethargic even when there is no fever, I suggest you take her to the nearest Emergency Room. Regards - Dr. Sumanth