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Q. How can fever with green diarrhea be treated in a 2-year-old child?

Answered by
Dr. Vishal Parmar
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Apr 11, 2019

Hello doctor,

My 2-year-old daughter has raspy breathing, and a rough cough followed with a runny nose for the past two days. Today started running a slight fever of 100.3 with green diarrhea that has turned yellow that smells very bad. She also keeps pointing to her belly as it hurts. Kindly advice.

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Hello,

Welcome to icliniq.com.

I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food.

If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments.

For diarrhea, you can give ORS (Oral rehydration therapy) as much as she wants and if she requires a need to start Zinc syrup. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup.

For cold and runny nose you can give Cetirizine syrup 2.5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician.

If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician.


Investigations to be done:

Stool routine.

Differential diagnosis:

Dysentery.

Probable diagnosis:

Viral gastroenteritis.

Treatment plan:

Oral rehydration therapy, Paracetamol, Dicyclomine, Cetrizine and rest.

Preventive measures:

Prevent dehydration.

Regarding follow up:

after two days.


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