Gastroenteritis: What to do when your child has vomiting and diarrhea
Gastroenteritis
One of the most feared illnesses to hit a household – gastroenteritis. It’s never fun to have a sick kid but this illness often takes down the whole family which makes it even more challenging. Dr. Tara Mamdouhi shares tips on how to get through the vomiting and diarrhea. Remember that we are a phone call away if you have more questions.
When a stomach bug hits your house, it can feel like everything comes to a screeching halt. Vomiting, diarrhea, low energy, lots of laundry — it’s definitely not fun! The good news is that most stomach bugs are caused by viruses and, while unpleasant, usually get better with time and supportive care.
The number one goal is keeping your child hydrated. If your child is vomiting, think tiny sips, not big gulps. Offer small sips of an oral rehydration drink like Pedialyte, or even a spoonful every few minutes. Breastfeeding can continue as usual. Older kids may also do well with ice chips or popsicles. Try to avoid juice, soda, and sports drinks, since all that sugar can make diarrhea worse. Once the stomach starts to settle, you can slowly increase how much they drink.
A child with a stomach bug should still be urinating regularly, even if it is less than usual. As a general guide, babies should have at least 3 to 4 wet diapers in 24 hours, and older children should urinate at least every 6 to 8 hours. Dark yellow urine, dry lips, no tears when crying, sunken eyes, unusual sleepiness, dizziness, or a child who is too tired to drink are all warning signs that your child may be getting dehydrated and are definitely reasons to give us a call.
When the vomiting starts to settle, it is okay to offer simple foods if your child seems hungry. Crackers, toast, rice, applesauce, bananas, soup, noodles, and other easy foods are all fine. There is no need to worry if your child does not feel like eating much at first. Drinking is more important than eating in the early stages.
Diarrhea can linger for a few days to about one week, though it should start to improve after a few days. Most children do not need medicine for it. In fact, over-the-counter anti-diarrhea medicines are usually not recommended for kids. Antibiotics also do not help most stomach bugs because viruses are usually the cause.
Here are some important things to look out for: if your child seems dehydrated, has a very dry mouth, is not peeing much, is hard to wake, has blood in vomit or stool, severe belly pain, a high fever, or symptoms that are not improving, please give us a call right away!
Stomach bugs are exhausting, but most children bounce back beautifully with fluids, cuddles, and time. As always, if you are worried, we are here to help!