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My child has vomiting and diarrhoea - what do I do?

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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.

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