Q. How to treat acute diarrhea and vomiting?

Answered by
Dr. Payas Joshi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 28, 2016 and last reviewed on: May 19, 2020

Hello doctor,

My son is 21 months old. He is suffering from very acute diarrhea. That is four to five times in an hour and frequent vomiting, four times a day from the last four days. We consulted a local doctor. He advised the attached prescription and stool test. As per him it is due to severe bacterial infection in the stomach, which is resulting in diarrhea. My son is not suffering with dehydration and his fluid intake is sufficient. He himself is asking for food, but due to frequent motions, he is weak and the rashes makes him irritated. Please give your suggestions. We are worried as it seems that medicines are not healing it in a faster way. He got only 5% relief in three days. Doctor said that it will take three to four days to become normal and stool test is also fine.

 

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Dr. Payas Joshi

Child Health Paediatrics
#

Hello,

Welcome to icliniq.com.

I understand your concern for your child. I have seen the attached documents (attachment removed to protect patient identity).

  • Yes, this seems to be acute diarrhea, probably viral diarrhea.
  • As you told the baby is otherwise active and also is asking to eat that is a good sign. It means he might be having only some dehydration or rather no dehydration.
  • I would like to tell you that the first and foremost is treat dehydration or avoid it which can be done by ORS (oral rehydration salt) if the child is eating.
  • Some more questions to be answered are as follows. Is there any fever? What is the color of stools and any blood associated with it?

Probable diagnosis:

Acute diarrhea.

Treatment plan:

1. Give him ORS with each loose stool or whatever amount child takes. Prepare by adding a whole sachet in 1 liter water.
2. Syrup Zinc 5 mL for 14 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Regarding follow up:

Revert back with the answers to the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician


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