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DrOAB
DrOAB, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1032
Experience:  In practice since 2000.
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my baby who is 13 months old has had diarrhea for three days

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my baby who is 13 months old has had diarrhea for three days now, he also has flu and mucos in his stool, what can i do i gave him imodium 1 tea spoon but the farmacist told me he could only take two dosis

DearCustomer

 

I'm not quite sure why the pharmacist advised that you give Imodium since it is not recommended below the age of 24 months. Please stop this medication.

 

Please clarify:

 

You mentioned mucus in the diarrhea--was this just a little or a large amount?

Any blood in the diarrhea?

What did you mean by "flu"--perhaps runny or stuffy nose or mild cough?

How high is his "fever"?

Was he around anyone with similar symptoms first?

Is he making at least one wet diaper every 8 hours?

Customer: replied 8 years ago.

the mucus was like a spoon full i dont know weather thats alot or not, no blood,

by flu i mean runny nose, he has just started in day care 2 weeks ago, and they are table feeding training him, but i dont know if any of the other kids have the same symptom, today he had 4 evacuations with a lot of diarrhea, and it looked very slimy and sticky, i would say maybe every 4 hours.

DearCustomer

 

Thank you for the extra information.

 

It does not sound like much mucus, and thankfully there was no blood.

It has been estimated that 40% of childhood illnesses are contracted from being in daycare and other group situations, so this may be a stomach virus from a classmate.

He does not sound dehydrated if he is voiding every 4 hours.

 

Again, how high was his "fever" on a thermometer?

Customer: replied 8 years ago.

his fever was 37.5c i didnt give him anything yet for it he only just started with temperature in the evening

DearCustomer

 

Most physicians define a fever as a temperature above 38 degrees Celsius, so fortunately all he has is a slightly elevated temperature.

 

All of your data leans toward a diagnosis of an intestinal virus infection.

 

Prompt evaluation by the child's physician or in an emergency room is advised if you note any of the following in association with persistent vomiting/diarrhea: fever that is high (in your case, above 104 degrees Fahrenheit) or lasts beyond 48 hours; blood (bright red, maroon, or black) or copious bile (light to dark green) in the vomit; blood (bright red or tarry black) or mucus (copious or bloody) in the bowel movements; diarrhea that lasts beyond 7 days; failure to urinate well at least once every eight hours; marked dryness or stickiness (not slick moistness) when a clean finger is swiped against the inner cheek; inability to take or hold down even one-half teaspoon sips of liquid; markedly low energy or responsiveness. If none of the above urgent criteria are met, then the cause of the vomiting/diarrhea may be viral, especially if there has been exposure to sick family or friends with similar symptoms. Please note that antibiotics do NOT work against viruses. I would also avoid anti-diarrheal meds unless advised by the child's physician (in a sense, these prevent the body from ridding itself of the viral infection). You may use Tylenol for ache or fever, but avoid ibuprofen (Motrin or Advil) as it may irritate the stomach.

 

To prevent dehydration and maintain nutrition, try this routine called "2 bites, 2 ounces."

 

Alternate every 10-20 minutes between offering:

  • ½ - 2 ounce sips of clear liquids* (e.g., Pedialyte**; Pedialyte or other brand popsicles; white grape juice; flat non-caffeinated soda; clear bouillon or broth; Gatorade; breast milk; ice chips or water - must take other liquids besides ice chips/water).
  • 1 - 2 bites of bland, starchy solids (e.g., plain yogurt***; bananas; applesauce; cooked rice; toast; Jello; Saltine or graham crackers; finely-chopped carrots; plain mashed white potatoes; pastas).

 

* Start with a measuring teaspoon--once the child has tolerated this a couple of times, go up to two teaspoons or a measuring Tablespoon. A measuring Tablespoon used for baking holds ½ ounce of fluid, two Tablespoons equals 1 ounce of fluid, and a measuring cup will help when giving larger volumes.

** In place of Pedialyte and similar over-the-counter oral rehydration solutions, you may use the following mixture of 1 level measuring teaspoon of salt and 8 level measuring teaspoons of sugar stirred until dissolved in 5 measuring cups (34-40 ounces) of clean drinking water.

*** Give plain yogurt labeled as having "active cultures" or "Lactobacillus cultures." You may sprinkle some sugar to improve flavor. Avoid yogurt with added fruit.

 

If the child refuses solids, offer the liquids instead, gradually increasing the fluid volume up to 4 ounces as tolerated (stay at the fluid volume where no vomiting occurs). If the patient manages enough fluid intake to urinate at least once every 8 hours, this will help to prevent dehydration. Starchy solids promote formed stools. Eating plain yogurt helps to restore normal intestinal function, while a more effective (but more expensive) over-the-counter option similar to yogurt is 1 capsule daily of Culturelle mixed into a snack of applesauce, mashed bananas, or plain yogurt.

 

Avoid liquids and foods that may promote diarrhea (examples: prunes and pears; prune, pear, apple, or red grape juices; unpeeled fruits; bran- or whole-grain type cereal, bread, waffles, or muffins).

 

Viral sources of vomiting/diarrhea often resolve within 7-10 days. Focus on rehydration, and remember the urgent criteria at the start of this message.

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