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My Child Has Vomiting and Diarrhoea - What Do I Do?
Recognising the Symptoms
Vomiting and diarrhoea are common symptoms in children and can be caused by a variety of factors such as viral infections, food poisoning, and sometimes medications. It's crucial to monitor the symptoms closely. If your child is displaying persistent vomiting, frequent loose stools, abdominal pain, or signs of dehydration, it's time to take action.Hydration is Key
One of the main concerns with vomiting and diarrhoea is dehydration. Ensure your child stays hydrated by offering small sips of rehydration solutions like Dioralyte, available at UK pharmacies. Avoid giving sugary drinks or milk, as these can worsen the symptoms. Encourage your child to take small, frequent sips of water or oral rehydration salts (ORS) every few minutes.Monitor for Dehydration
Signs of dehydration in children include dry mouth, no tears when crying, sunken eyes, and reduced frequency of urination. If you notice any of these signs, it's important to seek medical advice. NHS guidelines also recommend checking for lethargic or irritable behaviour as a sign of dehydration.Dietary Adjustments
While your child is recovering, gradually reintroduce bland, easy-to-digest foods like bananas, rice, applesauce, and toast (known as the BRAT diet). Avoid fatty, spicy, or dairy-rich foods until symptoms fully resolve. Start with small portions and increase as tolerance improves.When to Seek Medical Attention
If vomiting and diarrhoea persist for more than 24-48 hours, or if your child is under six months old, consult your GP or the NHS 111 service. Severe symptoms such as blood in vomit or stools, a swollen abdomen, or persistent high fever warrant immediate medical attention.Preventing Spread
Vomiting and diarrhoea, especially if caused by a virus, can be highly contagious. Ensure good hygiene practices by frequent handwashing with soap, especially after bathroom use and before meals. Disinfect common touch surfaces and keep the sick child away from siblings to prevent spreading.Post-Recovery Care
Once your child begins to feel better, continue to monitor their hydration and nutrition intake. Gradually reintroduce normal foods and ensure they get plenty of rest. Maintain good hygiene practices to prevent recurrence. Remember, while it can be worrying to see your child unwell, these symptoms are usually manageable at home with proper care. Always follow NHS guidelines and don’t hesitate to seek professional medical advice if needed.Frequently Asked Questions
What should I do first if my child has vomiting and diarrhoea?
Ensure they stay hydrated by giving them small sips of water or an oral rehydration solution (ORS). Avoid giving sugary drinks or fruit juices.
When should I call a doctor?
Seek medical advice if your child shows signs of dehydration, has a high fever, persistent vomiting, blood in their stool, severe abdominal pain, or if symptoms last more than a few days.
What are the signs of dehydration in children?
Signs of dehydration in children include dry mouth, sunken eyes, lethargy, decreased urine output, and crying without producing tears.
Can I give my child food while they have vomiting and diarrhoea?
Start with bland foods like bananas, rice, applesauce, and toast (the BRAT diet) once they can tolerate fluids. Avoid dairy, fatty, or spicy foods initially.
Is it safe to give my child over-the-counter medication for vomiting and diarrhoea?
Consult your GP or pharmacist before giving any medication. Over-the-counter anti-diarrhoeal medications are generally not recommended for young children.
How can I prevent my child's vomiting and diarrhoea from spreading to others?
Ensure your child washes their hands frequently with soap and water. Disinfect surfaces and objects they touch. Keep them home from school or nursery until at least 48 hours after symptoms have stopped.
What causes vomiting and diarrhoea in children?
Common causes include viral infections (like norovirus or rotavirus), bacterial infections, food poisoning, and occasionally, side effects from medications.
Can I give my child milk while they have diarrhoea?
It's usually best to avoid dairy products until the diarrhoea has resolved, as they can be harder to digest. Consider lactose-free options or consult your doctor.
How soon should my child start to feel better?
Most children begin to feel better within a few days, but it's essential to monitor for signs of dehydration and ensure they rehydrate properly.
Should I keep my child away from other children and adults?
Yes, to prevent spreading infection, keep your child away from others until they've been symptom-free for at least 48 hours.
Is vomiting and diarrhoea dangerous in children?
While often not serious, dehydration is a major risk. Prompt rehydration and monitoring are crucial. If you’re concerned about your child’s condition, seek medical advice.
How much fluid should I give my child?
Offer small, frequent sips of fluids. The exact amount varies by age and size, but aim to keep your child drinking regularly. Oral rehydration solutions are particularly effective.
Can breastfeeding continue if my child has vomiting and diarrhoea?
Yes, continue breastfeeding if possible. Breast milk provides essential nutrients and antibodies that can help your child recover.
Are there any foods or drinks I should avoid giving my child?
Avoid fatty, greasy, or spicy foods, as well as fruit juices and carbonated drinks, which can worsen diarrhoea.
What is the BRAT diet and is it recommended?
The BRAT diet consists of bananas, rice, applesauce, and toast. It can help ease symptoms by providing bland, easy-to-digest foods.
Useful Links
Useful links from: Diarrhoea - How to stop it? | UHL NHS Trust
- Diarrhoea - NHS NHS guide to the symptoms, causes, diagnosis, and treatment of diarrhoea. Includes self-care tips and advice on when to seek medical help.
- Diarrhoea and Vomiting - NHS Inform Comprehensive information from NHS Scotland on the symptoms, causes, and treatments for diarrhoea and vomiting, including advice on managing symptoms at home.
- Managing Diarrhoea - Crohn's & Colitis UK A fact sheet provided by Crohn's & Colitis UK offering detailed advice on managing diarrhoea, including dietary tips and when to seek medical help.
- Diarrhoea - British Red Cross First aid advice for diarrhoea from the British Red Cross, including how to treat and manage symptoms and when to get medical help.
Useful links from: What is norovirus? (Diarrhoea and vomiting bug) | NHS
- Norovirus (Diarrhoea and vomiting bug) - NHS Find comprehensive information from the NHS about norovirus, including symptoms, causes, diagnosis, and treatment.
- Norovirus – Diarrhoea and Vomiting Bug | Public Health England Access guidance, data, and analysis on Norovirus from Public Health England.
- Norovirus Prevention and Safe Care Guide | British Red Cross Learn how to prevent and care for norovirus from the British Red Cross.
- Norovirus Information - Health Protection Scotland Get information on norovirus, its management, and prevention tips from Health Protection Scotland.
Useful links from: How to treat diarrhoea and vomiting at home (adults and children aged 5 and over) | NHS
- NHS - Diarrhoea and vomiting NHS guide on how to treat diarrhoea and vomiting in adults and children aged 5 and over. The page provides information on symptoms, treatment, and when to see a doctor.
- Health A-Z: Diarrhoea NHS page that offers comprehensive information on diarrhoea, including causes, symptoms, diagnosis, and treatment options.
- Patient.info - Diarrhoea Patient.info provides detailed information about diarrhoea, including its causes, symptoms, and home treatment tips. Also offers guidance on when to seek medical help.
- ERIC - The Children’s Bowel & Bladder Charity ERIC (Education and Resources for Improving Childhood Continence) offers resources and support for managing diarrhoea in children. The site includes practical advice for parents and caregivers.
Useful links from: Advice for diarrhoea and vomiting
- NHS - Diarrhoea and Vomiting The NHS provides comprehensive advice and guidance on managing diarrhoea and vomiting, including causes, treatments, and when to seek medical help.
- NHS Inform - Diarrhoea NHS Inform offers detailed information on the causes of diarrhoea, its treatment, and ways to prevent it, as well as advice on when to consult a doctor.
- British Red Cross - First Aid Advice for Diarrhoea and Vomiting The British Red Cross provides first aid advice for handling diarrhoea and vomiting, including practical tips on care and when to seek medical assistance.
- ERIC - The Children's Bowel & Bladder Charity ERIC UK offers focused advice on managing diarrhoea in children, covering symptoms, possible causes, and treatment strategies.
Useful links from: What is norovirus? (Diarrhoea and vomiting bug) | NHS
- Norovirus - NHS Comprehensive information about norovirus including causes, symptoms, treatment, and prevention methods from the NHS.
- Norovirus Prevention Tips - NHS Details on how to prevent norovirus infections and advice on hygiene practices provided by the NHS.
- Norovirus - Symptoms and Treatment - Patient.info Information about the symptoms, treatment, and management of norovirus from Patient.info, a UK-based health advice website.
- Norovirus - Health Protection Scotland Health Protection Scotland's resources and guidance on dealing with norovirus, including outbreak management and infection control.
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