{"id":102,"date":"2017-03-23T07:48:57","date_gmt":"2017-03-23T07:48:09","guid":{"rendered":"http:\/\/papergp.com\/index.php\/diarrhoea-and-vomiting\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"diarrhoea-and-vomiting-in-a-child","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/diarrhoea-and-vomiting-in-a-child\/","title":{"rendered":"D&#038;V in a child"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Risk factors for dehydration<\/h4>\n<ul>\n<li>\n<div>Less than 1 year old<\/div>\n<\/li>\n<li>\n<div>Not tolerating ORS<\/div>\n<\/li>\n<li>\n<div>Stopped breastfeeding<\/div>\n<\/li>\n<li>\n<div>More than 6 stools in past 24 hours<\/div>\n<\/li>\n<li>\n<div>More than 3 vomits in past 24 hours<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; blood, drowsiness, not passing urine<\/li>\n<li>Others &#8211; travel, contacts, feeding<\/li>\n<li>Examine\n<ul>\n<li>temperature, pulse, RR,<\/li>\n<li>hydration status &#8211; skin, mouth, CRT, fontanelle<\/li>\n<li>abdo\/chest\/CVS<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Explanation\n<ul>\n<li>Vomiting up to 3 days<\/li>\n<li>Diarrhoea up to 10 days<\/li>\n<\/ul>\n<\/li>\n<li>Investigations\n<ul>\n<li>Stool MC&amp;S\n<ul>\n<li>travel\/blood\/mucus\/immunocompromised<\/li>\n<li>not improved after 7 days<\/li>\n<\/ul>\n<\/li>\n<li>Ova, cysts, parasites &#8211; if travel<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle\n<ul>\n<li>Avoid sharing towels, wash hands<\/li>\n<li>Continue breastfeeding and fluid intake<\/li>\n<li>Avoid fruit juices and fizzy drinks<\/li>\n<\/ul>\n<\/li>\n<li>Oral rehydration solution\n<ul>\n<li>50ml\/kg over 4 hours &#8211; often and in small amounts<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Drowsy, pale skin, cold extremities, faster breathing, not passing urine<\/li>\n<li>Not tolerating ORS<\/li>\n<li>Avoid school 48hr from last episode<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Consider diagnosis other than gastroenteritis in the following<\/h4>\n<ul>\n<li>Abdominal distension, rebound tenderness<\/li>\n<li>Bulging fontantelle<\/li>\n<li>Blood\/Mucus in stool<\/li>\n<li>Bilious (green) vomit<\/li>\n<li>Recent head injury<\/li>\n<li>Severe abdominal pain<\/li>\n<li>Tachypnoea<\/li>\n<li>Neck stiffness<\/li>\n<li>Temp &gt; 38 (in younger than 3 months)<\/li>\n<li>Temp &gt; 39 (in older than 3 months)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Risk factors for dehydration Less than 1 year old Not tolerating ORS Stopped breastfeeding More than 6 stools in past 24 hours More than 3 vomits in past 24 hours &nbsp; Data gathering Red flags &#8211; blood, drowsiness, not passing urine Others &#8211; travel, contacts, feeding Examine temperature, pulse, RR, hydration status &#8211; skin, mouth, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/diarrhoea-and-vomiting-in-a-child\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">D&#038;V in a child<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":81,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-102","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=102"}],"version-history":[{"count":11,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/102\/revisions"}],"predecessor-version":[{"id":2269,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/102\/revisions\/2269"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}