How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrOAB Your Own Question

DrOAB
DrOAB, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1011
Experience:  In practice since 2000.
Type Your Pediatrics Question Here...
DrOAB is online now
A new question is answered every 9 seconds

1 year old started with a sour stomach has thrown up 3 times

Resolved Question:

1 year old started with a sour stomach has thrown up 3 times in the last 18 hrs. In the last 6 has had very runny bowels 4 diapers.   He is acting pretty much like normal (happy child) does not have a fever.   What can be given to him.   Like pepto bismol?
Submitted: 5 years ago.
Category: Pediatrics
Expert:  DrOAB replied 5 years ago.

DearCustomer

 

You are offline, so I'll leave some helpful information.

 

I have seen a number of children with norovirus and similar intestinal viruses that ran no fever and seemed quite happy despite the vomiting and diarrhea. Such an infection may be the cause of your son's symptoms.

 

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 (i.e., at or above 104-105 degrees Fahrenheit / 40-40.5 degrees Celsius) or lasts beyond 48-72 hours; blood (bright red, maroon, or black) or 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; dry or sticky (not moist and slick) inner cheek lining when a clean finger is swiped against it; sunken eyes or failure to produce tears with crying; inability to take or hold down even one-half teaspoon sips of liquid; abdominal bloating with rigidity or tenderness to pressure; confusion, inconsolable irritability, or hard-to-rouse lethargy; intolerable pain or marked neck stiffness; coarse-sounding, too-rapid, or labored breathing.

 

If none of the above urgent criteria are met, then the cause of the vomiting/diarrhea may be viral (instead of bacterial, etc.), 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; Kool-Aid; Gatorade; 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; consider non-fried lean meat if the starches are tolerated).

 

* 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 a level measuring half-teaspoon of salt and six level measuring teaspoons of sugar stirred until dissolved in 1 liter or 5 measuring cups (34-40 ounces) of clean drinking water.

*** At age 7-9 months and up, you may give plain yogurt labeled as having "active cultures" of Lactobacillus or Bifidobacterium. You may sprinkle a little sugar to improve flavor. Avoid yogurt with added fruit other than bananas.

 

If your 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 he manages enough fluid intake to urinate well 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 over-the-counter option similar to yogurt (and found helpful in my practice against viral- and antibiotic-associated diarrhea) is 1 capsule daily of "Culturelle for Kids" mixed into a snack of cool or room temperature 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; high-fiber foods, such as bran- or whole-grain type cereal, bread, waffles, or muffins). Dairy products (e.g., milk, cheese, butter, and even milk-based formula) and fried/greasy foods may be difficult to digest or cause gas pains during an intestinal infection.

 

Viral sources of vomiting/diarrhea often resolve within 7-10 days. If there is only vomiting without clear cause for more than 48 hours, seek medical evaluation for possible uncommon causes (e.g., increased pressure inside the skull). Focus on hydration, and remember the urgent criteria at the start of this message.

DrOAB, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1011
Experience: In practice since 2000.
DrOAB and other Pediatrics Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr. Yogindra Va/2012-6-10_2618_DSC0039.64x64.JPG Dr. Yogindra Vasavada's Avatar

    Dr. Yogindra Vasavada

    Pediatrician

    Satisfied Customers:

    2507
    M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
  • http://ww2.justanswer.com/uploads/GA/GauravMD/2012-6-9_62959_gaurav.64x64.JPG Dr. Gupta's Avatar

    Dr. Gupta

    Pediatrician

    Satisfied Customers:

    1442
    MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.
  • http://ww2.justanswer.com/uploads/edkulich/2010-08-17_171809_doctor.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified Pediatrician

    Satisfied Customers:

    819
    Board Certified, Ivy League educated Pediatrician.
  • http://ww2.justanswer.com/uploads/cbellmd/2009-11-19_013247_CB_PHOTO_2.jpg Raymond B., M.D.'s Avatar

    Raymond B., M.D.

    Doctor

    Satisfied Customers:

    422
    I provide medical care for newborns, children, adolescents and young adults up to age 21 years.
  • http://ww2.justanswer.com/uploads/DA/davhill1/2012-6-6_17340_DLHSittingCropped.64x64.jpg David L. Hill, MD, FAAP's Avatar

    David L. Hill, MD, FAAP

    Doctor

    Satisfied Customers:

    414
    Adjunct Assistant Professor of Pediatrics, UNC Medical School. Vice President, Cape Fear Pediatrics.
  • http://ww2.justanswer.com/uploads/josho33/2009-12-16_0435_php4n8fiy_c2PM.jpg Dr. Davidson's Avatar

    Dr. Davidson

    Board Certified Pediatrician

    Satisfied Customers:

    408
    Board Certified Specialist in Pediatrics, Allergy, Asthma & Immunology
  • http://ww2.justanswer.com/uploads/FA/fabiola.caracseghi/2012-4-12_204829_foto2.64x64.JPG Dr.Fabiola.MD's Avatar

    Dr.Fabiola.MD

    Pediatrician

    Satisfied Customers:

    118
    Pediatric Immunology. General Pediatrics