Gastroenteritis
What is it?
- Can cause diarrhoea (frequent, watery stools) and sometimes vomiting.
- Usually caused by a virus, most commonly the rotavirus.
- Most children get better without medicine in a few days but soft stools may persist for a week or more.
- It is spread mostly by droplet infection (like the cold) or putting dirty hands, toys, bottles or other objects around the mouth.
Signs and Symptoms:
- Loose frequent stools and sometimes vomiting
- Cramping abdominal pain. Occasionally fever.
What to do:
- Babies: Continue breastfeeding, replacing each stool with an extra feed, or if formula fed, give smaller amounts, slowly
- Child: Older child may continue regular diet but increase fluids.
- Replace stool lost with an equal volume of fluids – juice, coconut water. If diarrhoea excessive, use oral rehydration fluids to replace salts lost in diarrhoea.
- Drinks can be put in the freezer to make them slushy and then sip or eat with a spoon.
- If there is vomiting, give fluids slowly, a few tsps at a time every 10 mins. If that is tolerated, increase fluids. Light diet such as crackers or light soups, crix, jam, applesauce, banana, watermelon.
Stay away from:
- Milk drinks as these may not be well digested at this time.
- Fatty foods and high sugar drinks as these may make the diarrhoea worse.
Medical treatment:
- Antidiarrhoeals or antiemetics are not used as the virus needs to work itself out of the body
- Antibiotics are not usually used.
Be concerned if:
- Your child is younger than 6 mths old or has a high fever.
- Has severe or prolonged diarrhoea, or has diarrhoea that contains blood or mucous
- Vomits repeatedly and refuses to drink fluids.
- Is urinating less than usual or has no tears when crying – Signs of dehydration
Think Prevention:
- Breastfeeding is preventative.
- Use proper hand washing techniques at all times.
- Clean bottles and pacifiers well.
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