Category Archives: vomiting

Stomach virus season

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Yes, we’re starting to see some fall/winter viruses that cause gastrointestinal (GI) problems. By the end of winter, Rotavirus will have been our most common offender, but now that kids are back in school, lots of viruses are happy. Families who get the viruses… not so much.

 

GI viruses like school, daycare and home settings because these places have children who haven’t always learned good hygiene practices. Prevention is always the best action against these diseases, so don’t forget to CLEAN door handles, toilet seats, other bathroom surfaces, television remotes. Also be sure to wash hands before cooking, serving and eating food.

 

Another way to hinder a virus is to keep your child home when she’s sick, preventing the spread to other children and adults. That may have been where she came into contact with the virus. Let’s not spread the “love.”

 

When can you send him back to school or daycare? Make sure he has been fever free for 24 hours (without a fever reducer), is able to tolerate small amounts of bland foods, has gone at least 12 hours since his last episode of vomiting and has had no more than 3 episodes of diarrhea in 8 hours.

 

Contact our office if diarrhea and vomiting don’t subside within three days or if diarrhea is bloody, if there’s been no urine output for 10 hours, or if the fever is high or doesn’t subside. We have a nurse available for advice on the phone, and we often can call in prescriptions for nausea for older children, unless we think they need to be seen in the office first.

 

More information? See our blog from last spring which includes a link to the American Academy of Pediatrics article on Rotavirus. Also, our blog regarding when to be concerned about a fever.

 

Stay healthy this winter!

 

 

 

© 2014, MBS Writing Services, all rights reserved

 

 

 

Appendicitis

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Do you ever wonder whether abdominal pain warrants a call to the doctor, or even a visit to the emergency room?  How can you tell?

One worry with children and teens is appendicitis.  The appendix is a small, tubular-shaped organ in the lower right abdomen, that has no known function.  Sometimes it can become inflamed and needs to be surgically removed.  If left alone, an inflamed appendix can rupture and cause very serious illness.

Appendicitis can occur at any age, and is often difficult to diagnose.

The American Academy of Pediatrics has a great article here about appendicitis.  The main symptom is pain, which begins as a “vague stomachache near the navel,” and then is described as a combination of a sense of fullness and pressure on the lower right side.  Here is the complete list of symptoms they give, some of which are similar to stomach viruses, and some of which are different:

  • “Persistent abdominal pain that      migrates from the midsection to the right lower abdomen
  • Nausea and vomiting
  • Constipation
  • Gas pain
  • Diarrhea
  • Low fever, beginning after other      symptoms
  • Tenderness in the right lower abdomen
  • Abdominal swelling
  • Elevated white blood cell count
  • Appetite loss.”

Call your doctor immediately if your teen or child experiences these symptoms.  Have him lie quietly and “don’t offer water, food, laxatives, aspirin or a heating pad.”  Any movement can increase her pain.  If appendicitis is suspected, a blood test (to determine white blood cell count) will likely be taken, possibly with other diagnostic tests.

 

© 2014 MBS Writing Services, all rights reserved

 

E. coli and other nasty things: how to have good food safety for your cookout or picnic

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The holiday weekend approaches, with plans for picnics, cookouts, reunions, and fun!  At the same time we’re hearing about a recall of nearly 2 million pounds of ground beef that is possibly contaminated with E. coli bacteria.  How can you be sure about the safety of the food you’re serving your family?

You are right to be cautious.  Foodborne illnesses can be very serious, even deadly.  E. coli, in particular, can cause organ failure, and children may be especially vulnerable.

Here are some basic rules to keep in mind.

  • Cook ground meats ALL the way through.  Pink interiors mean raw meat, and when that meat is ground, microbes that used to be on the surface of the meat can now be deep inside it.  If the meat is fully cooked, any E. coli should be taken care of.
  • Cook poultry completely through.  Chicken, in particular, can be contaminated with Salmonella.
  • Don’t reuse the plate that held raw meat or poultry.  It must be washed before being used to hold cooked meat or other foods.  The same goes with knives and other utensils.
  • Keep food separate.  Fruits and vegetables shouldn’t be stored in the same container with uncooked meat and poultry, for example.
  • Chill leftovers soon.  This is important when you’re at a picnic and far from your refrigerator.  Take a cooler and ice packs.
  • Keep your hands clean.  Wash them often.  Take hand sanitizer on your picnic.  Don’t change a baby’s diaper while preparing food.
  • Wash your fruits and vegetables.  When you clean poultry in the sink, be sure to sanitize the sink afterwards so that you don’t contaminate food, dishes and utensils.

More information is available here from the Centers for Disease Control and Prevention.

A fun holiday is a safe holiday.  Enjoy the time together and have a great weekend!

© 2014, MBS Writing Services, all rights reserved

Stomach virus recovery

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“Stomach bugs” are making their rounds right now.  Rotavirus, in particular, is quite contagious and may have even made the rounds through every member of your household.  It causes diarrhea, vomiting, stomach pain, etc.  Sound a little too familiar?

What to do?

According to the American Academy of Pediatrics, usually, the virus goes away on its own.  Watch, though, for dehydration and high fever.  Dehydration can be serious in a small number of cases.  Give small amounts of fluids until the vomiting ceases.  Water is fine, but fluids like Gatorade can add electrolytes.  Stay clear of acidy drinks (like orange juice) and milk.

Be watchful regarding dehydration.  Pay attention to the frequency of urination.  The urine will become more concentrated and less frequent, but child should still be urinating.

While your child is sick, give a very bland diet:  avoid dairy, fried foods, fast foods, hot dogs, etc.  Some good foods are bananas, rice, applesauce and toast (BRAT).

However, it’s recommended that as soon as the stomach is settled, you should return to a balanced diet of fruits, vegetables and protein (meat, yogurt).

Call the pediatrician if diarrhea and vomiting don’t subside within three days, if there’s been no urine output for 10 hours, or if the fever is high or doesn’t subside.  See our blog about when to be concerned about a fever.

As always, stay healthy!

 

© 2014 MBS Writing Services, all rights reserved