Gastroenteritis

Dear Lisa,

I have a 10-month old. On Saturday, she was vomiting all day. I tried to give her just about everything and regardless of how much it was it all came out. At one point she was gagging with nothing left in her stomach to come out. On Sunday, she threw up once only, but had a fever of 100-101 degrees F. On Monday, she went back to vomiting. Throughout the three days she has been cranky and inconsolable. My doctor told me that she probably has a stomach virus. Could this be more then just a stomach virus?

“Helpless in N.J.”

Dear “Helpless in N.J.”,

Viral Gastroenteritis or a stomach virus is very common in childhood. The symptoms include vomiting, frequent watery diarrhea and a low grade fever. The complications of viral gastroenteritis include dehydration and electrolyte imbalance which if left untreated can be very serious. Therefore it is very important to keep a child with Viral Gastroenteritis hydrated well.

Although a child with Gastroenteritis may develop a fever, sometimes a fever in a child with Gastroenteritis may be a sign that the child is becoming dehydrated. An increasing or persistent fever may also be a sign that the child has another infection such as a throat or ear infection. If the fever persists it is a good idea to follow up with your doctor to rule out other infections.

It is common for children with Gastroenteritis to develop vomiting first, followed by diarrhea hours or days later. Rotavirus, a common type of Viral Gastroenteritis typically begins with 2 to 3 days of vomiting and fever followed by diarrhea. If a child has vomiting and fever and doesn’t develop diarrhea it is a good idea to have her re-evaluated. Infants and children with urinary tract infections many times do not present witht the classic symptoms of painful urination and changes in urinary pattern. Instead they may develop gastroenteritis like symptoms. Therefore if there is a family history of abnormalities in the urinary tract or if your child’s symptoms persist, it would be prudent to see your doctor for an evaluation.

It is very difficult as a parent to have a sick child and even more difficult to keep them hydrated when they are vomiting or having diarrhea. The good news is that most diarrheal illnesses in childhood are due to Viral Gastroenteritis. They usually are self-limiting and last only a few days. With careful monitoring for dehydration and good hydration most children are back to themselves in no time.


Lisa Kelly, R.N., P.N.P.,C.
Certified Pediatric Nurse Practitioner

Pediatric Advice for Parents with Sick Children

Vitamins

Dear Lisa,

My daughter is 11 years old. What vitamin should she be taking?

“Need Vitamins in N.J.”

Dear “Need Vitamins",

Most Doctors and Nurse Practitioners agree that a Multivitamin with Fluoride such as Poly-vi-Flor is the vitamin of choice for your daughter. As long as your daughter has no medical conditions that prevent her from taking vitamins she should take this chewable vitamin which can be prescribed by your Doctor or Nurse Practitioner. Poly-vi-Flor is recommended because most towns in New Jersey do not have Fluoride in the drinking water and Fluoride is needed in order to prevent dental carries. You can call your local water department to make sure there is no Fluoride in the drinking water of your town before taking the vitamin. If your child receives Fluoride from the dentist or drinks fluoridated water, you should discuss this with your health care provider because you don’t want your daughter to ingest too much Fluoride. Most health care providers stop prescribing Poly-vi-Flor between the ages of 12 and 14 years old. At that time a regular multivitamin such as one a day is recommended.


Lisa Kelly R.N., P.N.P., C.
Certified Pediatric Nurse Practitioner

Pediatric Advice Updated Daily