Child vomiting and fever
Vomiting is one of the frequent symptoms of diseases that appear in a child. What is sick baby, if fever has joined the vomiting or vomiting suddenly appeared during a fever? In what situations is an urgent need to call a doctor and how to act before the arrival of an ambulance? Let's figure it out.
How does it manifest itself?
Usually, before vomiting, the child feels nauseous, his saliva discharge may increase, his heartbeat quickens, his skin becomes pale. Body temperature can rise to different numbers. If vomiting is caused by fever, then after the stomach is empty, there is no more desire for vomiting and nausea, and the child feels weak.
If the baby has an infection of the digestive tract, then the attacks of vomiting recur. The masses released by them are first food remnants, and later become greenish-yellow because they contain bile impurities. The more often vomiting occurs, the weaker the child will be. He begins to develop symptoms of dehydration.
What temperature is considered high?
Temperature rise is determined in different places, so the indicators will differ depending on the characteristics of the measurement. If the temperature is determined in the rectum, then it will be elevated at a rate above + 38 ° C. The temperature determined in the oral cavity is considered to be high if the thermometer is more than + 37.2 ° C, and when measured in the armpit - at a rate greater than + 37.3 ° C (in a newborn - more than + 37.5 ° C).
Symptoms and possible causes, what to do?
The most common occurrence in a child of a combination of two symptoms, such as fever and bouts of vomiting, is characteristic of infectious diseases. However, this is not necessarily a sign of infectious lesions of the digestive tract. Quite a common situation is the baby vomiting with acute respiratory viral infections, scarlet fever, pharyngitis, bronchitis and similar diseases.
Consider the causes of vomiting and high temperature in more detail:
|
Possible reason |
Manifestations in a child |
What should parents do |
|
Intestinal infection |
Recurring episodes of vomiting, frequent loose stools, fever, complaints of abdominal pain, lethargy, loss of appetite |
Call the pediatrician and, even before the arrival of the doctor, begin to use means that prevent dehydration of the child. |
|
Diseases with high fever (ARVI, flu and others) |
Vomiting, headaches, body aches, fever up to 38-39 ° С |
Make a call to the pediatrician at home so that he prescribes the treatment of the underlying disease |
|
Poisoning |
Weakness, general malaise, lack of appetite, lethargy, abdominal pain, vomiting, fever, loose stools |
Seek medical attention immediately, after the first episodes of vomiting and loose stools, give the child solutions for rehydration. |
|
Infectious or catarrhal diseases with cough (sore throat, whooping cough, pneumonia and others) |
Attacks of severe cough, against which vomiting appears, complaints of sore throat, fever, general weakness |
Refer to the pediatrician to clarify the diagnosis and begin the correct treatment of the underlying disease. |
|
Meningitis |
Severe weakness, photophobia, fever, bouts of vomiting, restless behavior or lethargy, refusal to drink and eat, rash, cramps and other neurological symptoms |
Immediately call an ambulance, because such a disease is a danger to the life of the child. |
|
Acetonemic syndrome |
Abdominal pain, repeated bouts of vomiting, fever, peculiar smell from the urine of the child, as well as from the air that he exhales |
Call the pediatrician, and start giving your child medications that contain glucose. |
|
Acute surgical diseases (appendicitis, pinching of the hernia, peritonitis and others) |
Fever, abdominal pain, vomiting episodes, weakness |
It is important to call an ambulance as soon as possible, because these pathologies are dangerous to the health and life of the baby. |
|
Heatstroke |
Fever, lethargy, nausea, dizziness, dry, reddened skin, vomiting, rapid breathing, rapid pulse |
Immediately call an ambulance and until the doctor arrives, put the child in a cool place with his head turned to the side. |
Without diarrhea
Both vomiting and temperature are the protective reactions of the body to the effects of various external factors. And if changes of a chair did not join them, then the child’s intestinal function is not disturbed.
Usually, the absence of diarrhea in a child with vomiting and high temperature is characteristic of diseases of the respiratory system, when the appearance of vomiting was provoked by high rates on a thermometer. As a rule, such vomiting can be single, and the child is limp and capricious. Also often provokes vomiting factor is a strong cough.
With diarrhea
The clinical picture, including episodes of vomiting, fever and loose stools, often indicates the presence of food poisoning or acute intestinal infection.
In such cases, the body of the baby is trying to remove toxins or harmful microorganisms not only through vomiting, but also by accelerating the movement of food through the intestines, which is manifested by diarrhea.
Call a doctor or ambulance
The combination of vomiting and fever is very dangerous for the child, so in most cases the kid should call the doctor.
You can not hesitate to seek medical help in such cases:
- Severe diarrhea joined vomiting.
- Vomiting repeated many times.
- Symptoms appeared after overheating or long exposure to the sun.
- Vomiting prevents otpaivat child.
- The condition of the child has greatly deteriorated.
- You have noticed the symptoms of dehydration.
- In the masses allocated by the child during vomiting there is an admixture of blood.
Rules of first aid before the arrival of the doctor
- Reassure the child, as vomiting always scares the baby. Wash the baby and give a little water to rinse the mouth.
- Stay near the baby and do not leave the child alone after vomiting. If the baby is lying, it is better to turn his head to the side or put a pillow so that it is slightly raised.
- Immediately after vomiting, give the baby a lot of drinking, but in small portions. The best choice would be special pharmaceutical solutions to restore the balance of minerals and water in the body. Alternate them with plain water, dried fruit compote, and rosehip decoction. Start giving a teaspoonful every 5-10 minutes, and then gradually let us drink more, but a maximum of 1/2 cup at a time.
- It is advisable not to feed the baby after vomiting for a while. But, if the child asks to eat, give him a low-fat and viscous food, such as rice porridge or jelly. If the baby is breastfed, feeding with maternal milk or formula is not canceled with vomiting and temperature.
No drugs should be given to the child until the doctor arrives and the diagnosis is made. This not only can interfere with the doctor in determining the cause of health problems, but can also further aggravate the condition of the baby.
Symptoms of dehydration
You should be alerted by the following signs:
- The baby has very dry skin (it becomes less elastic), the mucous on the lips dries out.
- The baby cries without tearing out.
- Lack of urination for the last 3-4 hours and more.
- Deteriorated general condition, irritability, lethargy.
- In infants also note the loss of body weight and the sinker of the spring.
Treatment
Since vomiting is characteristic of various diseases, its treatment will cause the onset of this symptom. Specific treatment of vomiting in children is not carried out with special medicines, but affects the underlying disease. If vomiting is repeated, you should definitely take measures to prevent dehydration. This is especially important if the child is small.
It is also important to ensure that the vomit does not get into the respiratory tract of the crumbs. Better to give candle suppressants or injection.
Signs that treatment helps
Observing the child and observing the prescriptions of the pediatrician, the parents will understand that the treatment has a positive effect when:
- The number of attacks of vomiting decreased, and then vomiting stopped.
- Body temperature returned to normal.
- The child has improved health.
- The kid became more active and had an appetite.
