A child has vomiting and diarrhea without fever - what to do?

Causes of vomiting and diarrhea in a child without fever

Many factors can influence the occurrence of diarrhea and vomiting. Doctors divide the causes into groups: pathological, physiological. The latter appear actively in the period up to 3 years, when the first teeth appear.

In primary school and preschool age, anxiety arises associated with being away from home and homework, which will lead to vomiting and diarrhea. Pathological causes include: intestinal infections, food poisoning, allergies, dysbacteriosis, exacerbation of gastrointestinal diseases, helminthiasis.

Intestinal infection

Vomiting and diarrhea in a child without fever may occur due to rotavirus or unwashed hands disease. Symptoms usually appear 3 days after infection. During an average of 2 days of incubation period, the baby does not show signs of infection.

Intestinal infection is a parasitic disease. It is transmitted 90% through unwashed hands when the baby touches objects affected by the virus. In other cases, infection by airborne droplets is possible. The peak incidence occurs between the ages of 3 and 5 years, when the child attends preschool.


Most often, vomiting and diarrhea in a child are caused by gastrointestinal infections.

If one preschooler carries the infection, the rest of the children will get sick in 90% of cases.

Rotavirus occurs with an increase in temperature if the baby experiences the infection for the first time. With repeated infection, as a rule, immunity is developed and the disease progresses more easily.

The child's symptoms may include:

  • diarrhea;
  • vomit;
  • nausea;
  • stomach ache;
  • the skin takes on a grayish or pale tint;
  • dehydration of the body.

If the infection is severe, convulsions and loss of consciousness may occur. They are associated with prolonged dehydration of the body, when parents cannot independently stop vomiting and diarrhea in the baby.

Diarrhea always accompanies rotavirus, since the infection affects the intestines. Due to pathogenic microflora, stool can increase up to 15 times a day. There are sometimes mucus in the stool, indicating an inflammatory process. Rotavirus always goes away with nausea, which turns into vomiting if not treated in a timely manner.

The symptom occurs due to simultaneous damage not only to the intestines, but also to the entire gastrointestinal tract. Parents often note that diarrhea and vomiting do not alternate, but occur simultaneously. A sick child does not get off the potty or toilet and vomits.

Dehydration occurs when vomiting occurs along with diarrhea. The body loses a lot of fluid. Doctors advise immediately giving the baby special electrolyte solutions or plain water, which allows you to quickly flush out the infection from the body and replenish the fluid balance.

Dehydration is easy to recognize; the child complains of severe weakness. Sometimes children cannot get out of bed on their own, walk to the toilet, or take a few steps. Loss of consciousness may occur due to excessive dehydration and loss of strength.

Food poisoning

Vomiting and diarrhea in a child without fever are characteristic of toxic infection. Low-quality, expired store-bought and home-made products can cause damage to the body.

Causes toxic infection due to dangerous toxins contained in foods, unwashed vegetables and fruits. In 40% of cases, children are poisoned by confectionery, pickled foods, milk, smoked meats, canned food, and exotic foods.

Children are more susceptible to toxicological infections than adults. This is due to the lack of enzymes that bind and remove toxins. The child’s intestinal function is underdeveloped; the microflora of the organ cannot independently cope with harmful substances.

If a low-quality product enters the body, it takes from half an hour to a day before the first signs of illness appear. At the beginning of the disease, the child feels chills, weakness, abdominal pain, and cramps in the intestines. The course of the infection can vary depending on the age of the patient, the type of pathogenic bacteria, and the amount eaten.

Food poisoning is characterized by:

  • increased weakness;
  • chills;
  • vomiting or nausea;
  • diarrhea;
  • the child refuses to eat;
  • severe pain in the abdominal cavity;
  • drowsiness;
  • spasms in the intestines.

A poisoned child goes through 3 stages of food poisoning: asymptomatic, toxicogenic period and convalescence stage. The second period has severe symptoms; in the third, the body recovers.

Help should be provided within the first hour after symptoms appear.

If the baby vomits more than 2 times, you urgently need to replenish the water and electrolyte balance with liquid, a special drug - Regidron.

Vomiting and diarrhea in a child with food poisoning without fever appear due to a reaction to the invasion of toxic infection.

Thus, the body tries to remove harmful substances. In case of food poisoning, it is important to seek emergency help in time, before the child becomes dehydrated and toxins begin to destroy the functioning of organs.

Dysbacteriosis

During intrauterine development, the baby's intestines are not filled with beneficial bacteria; the organ is sterile. After birth, with the first application to the breast, bifidobacteria and lactobacilli contained in the woman’s colostrum become colonized.

Dysbacteriosis manifests itself as an intestinal disorder that occurs due to an imbalance of microflora, when harmful bacteria predominate over beneficial ones. In newborns, the disease develops due to late breastfeeding, non-compliance with the diet by the young mother, and early introduction of complementary foods.

According to statistics, children who are bottle-fed and mixed-fed are predisposed to dysbacteriosis, with frequent changes of formula.

In children after one year of age, the disease develops as a result of previous intestinal infections, unbalanced nutrition, weakened immunity, and taking antibiotics.

Dysbacteriosis is often caused by helminthic infestations, hormonal disorders, unfavorable psycho-emotional state, and predisposition to an allergic reaction.

Dysbacteriosis manifests itself as symptoms:

  • seething, rumbling in the intestines;
  • abdominal cramps;
  • bloating, increased flatulence;
  • diarrhea or constipation;
  • nausea or vomiting;
  • lack of appetite.

Dysbacteriosis is usually called a disease, which is incorrect from a medical point of view. This is a condition accompanied by a reduced content of beneficial bacteria in the intestinal microflora and an excess of pathogenic ones. Sometimes dysbiosis can be a separate sign of a disease: gastritis, duodenitis, colitis, etc.

Allergic reaction

An allergy occurs when a component enters the digestive tract that is not tolerated by the child. The result is severe abdominal pain, leading to diarrhea and vomiting. Unpleasant symptoms will continue until the entry of the allergic substance into the body stops.

If the product is intolerant, the stool becomes liquid and mixed with mucus. Diarrhea occurs more often than vomiting. The presence of signs depends on the severity of the baby’s condition. Along with diarrhea, severe chills, abdominal pain, nausea and vomiting may occur. If the allergy does not cause inflammation and is treated on time, the child’s body temperature does not rise.

Increasing the level of acetone in the body

Normally, every healthy person has acetone in the body, but laboratory tests should not reveal the component. When this element is detected in a baby’s blood or urine test, they speak of acetonemia. As a rule, the condition indicates diabetes mellitus. More often, a lack of glucose in the blood leads to pathology.

The baby cannot fully produce the necessary enzymes in the blood to process glucose. As a result, the acetone level rises.

An increase in the level of acetone in the urine or blood is accompanied by a number of symptoms:

  • arrhythmia;
  • rare urination;
  • diarrhea;

  • increased body temperature (not always);
  • excessive sweating, drowsiness;
  • skin becomes dry;
  • excessive vomiting after eating or drinking water;
  • smell of acetone in urine;
  • loss of consciousness.

If doctors detect acetone in a child’s urine, the little patient is urgently examined in an inpatient setting. Elevated levels of the component sometimes result in coma.

Inflammation of the gastrointestinal tract

Vomiting and diarrhea in a child without fever often occur during exacerbation of chronic gastrointestinal pathologies. Gastritis, ulcers, duodenitis, pancreatitis, cholelithiasis, biliary dyskinesia, enterocolitis during the inflammatory process have similar symptoms. It is difficult for a non-medical professional to determine what is causing vomiting and diarrhea.

The cause of exacerbation of chronic gastrointestinal diseases is:

  • unfavorable environmental conditions;
  • non-compliance with diet;
  • wrong lifestyle;
  • eating too cold or hot foods;
  • decline of the immune system;
  • frequent colds, stress.

Depending on the pathology, the patient is treated in an inpatient or outpatient setting.

Enteritis

When an inflammatory process occurs in the mucous membrane of the small intestine, we speak of enteritis. The disease occurs due to poor nutrition, somatic pathologies, helminthic infestations, and allergies. Enteritis often occurs as a concomitant disorder during exacerbation of chronic gastrointestinal diseases.

Enteritis can be acute or chronic. In the second form, the baby is bothered by periodic pain in the lower abdomen, heaviness, bloating, flatulence, diarrhea or constipation. When the process is acute, vomiting, diarrhea, rumbling occur, and particles of undigested food are present in the stool.

Metabolic disorders

Substance volume disorders are rare in pediatrics. The condition is not a separate disease; it occurs against the background of disruption of the digestive tract, false hunger, and lack of physical activity.

Studies have shown that the speed of food digestion is influenced by many factors:

  • quality of products;
  • chewing food (on the run, in large pieces or thoroughly);

  • fluid deficiency;
  • hypothyroidism;
  • lack of vitamins and minerals;
  • lack of physical activity;
  • overweight;
  • high intake of protein foods

You can notice manifestations of slow metabolism by the following signs:

  • the child constantly wants to eat;
  • overweight;
  • acne on the nose, forehead, back;
  • diarrhea gives way to constipation;
  • nausea when overeating.

Parasites

Helminthic infestations are typical for preschool children. When visiting a kindergarten, where children are constantly exposed to the environment, toys, and other household items, it is easy to become a carrier of a parasitic infection. It is not difficult to notice the presence of pinworms or roundworms in a child’s body if you look closely and observe the baby.

As a rule, infected children have a decrease or, on the contrary, an increase in appetite, weight loss, and a strange rash appears on the body, like an allergic one. The stool alternates with constipation and diarrhea, sleep deteriorates, anal itching occurs, nausea appears, and nails begin to peel. A special analysis called a coprogram will help you find out exactly about the presence of parasites in the body.

Appendicitis

The disease is characterized by an acute inflammatory process of the appendix of the large intestine. The cause of the development of pathology is poor nutrition, parasitic infection, ingestion of feces and indigestible objects into the cecum, congenital anomalies of the organ and its torsion.

Symptoms of appendicitis differ in adults and children. In the latter case, the body’s reaction depends on the stage of the pathology. Uncomplicated appendicitis is asymptomatic in 90%. The baby has minor nagging abdominal pain, nausea, and lack of appetite.

At the destructive stage of the disease, the following occurs:

  • pain in the lower abdomen, sometimes radiating to the navel area;
  • vomit;
  • diarrhea or constipation;
  • increased body temperature;
  • loss of appetite;
  • Shchetkin-Blumberg symptom (sharp pain when pressing with a hand in the projection below the navel, on the right);
  • increase in abdominal size;
  • flatulence;
  • severe spasms.

At the slightest suspicion of appendicitis, parents should call an ambulance. Appendicitis at the stage of acute inflammation (empyema) can lead to perforation of the appendix and death.

When to see a doctor

In most cases, symptoms of intestinal flu in children go away without complications. Dr. Komarovsky advises seeking help from a doctor if the following factors occur:

  • the baby vomits every 12 hours and has diarrhea five times a day;
  • signs of dehydration + nausea;
  • the total duration of the illness without fever exceeds 3 days;
  • blood and mucus are observed in the excrement;
  • allergies are observed during treatment and feeding;
  • My stomach hurts a lot for more than 3 hours.

You should seek help from a gastroenterologist or pediatrician in case of pathology immediately if the baby has previously undergone chemotherapy.

Call a professional pediatrician to your home. Otherwise, you risk causing serious problems. One-time treatment will not help!

Causes of vomiting in a child without fever

Children aged 1-2 years should be considered; in infants, vomiting is often associated with a normal reaction of the body associated with reflux of the newborn. To avoid this reaction, you need to hold the baby in a “column” position after feeding, select the right formula, and do not overfeed the baby.

In children under one year old, the following diseases can cause unpleasant symptoms:

  • gastroesophageal reflux (if it does not go away after a year, you need to see a doctor);

  • pylorospasm (spasm of the pylorus, causing mild periodic vomiting without disturbance of stool);
  • pyloric stenosis (profuse vomiting due to a defect in the structure of the muscular layer of the stomach of a congenital nature);
  • congenital esophageal diverticulum.

After a year, a child may experience the following pathologies, characterized by vomiting without diarrhea:

  • traumatic brain injuries;
  • intestinal obstruction;

  • gastritis;
  • inflammation of the pancreas;
  • GSD (cholelithiasis);
  • psychogenic vomiting due to nervousness;
  • cholecystitis;
  • acute gastroduodenitis;
  • appendicitis;
  • food poisoning.

The listed diseases can be sluggish, latent, and not accompanied by an increase in body temperature.

Causes

In the first years of a baby’s life, it is difficult to determine the onset of diarrhea from ordinary, liquid stool. If the baby is breastfed, the stool will have a porridge-like consistency, which is normal. Young parents begin to sound the alarm due to their inexperience. It is important to know and be able to distinguish the normal state of affairs from pathology. Pediatricians have several options when the stool is normal, don’t worry:

  • In the first weeks of life, the baby will defecate up to eight times a day. The discharge is yellow and has a sour, milky odor. If your baby has white lumps in his stool, don’t worry, this is because the digestive system is trying to normalize its work and get used to new living conditions;
  • From the age of two months, bowel movements occur much less frequently - up to five times a day. The discharge itself becomes harder and acquires a dark color.

As new foods are introduced into the child’s diet, the stool changes, becomes thicker, and changes color. Pediatricians identify several main causes of diarrhea in a baby without fever and vomiting.

Diet disorder

The following aspects fall into this category:

  • improper introduction of complementary foods or infant formula. Sometimes parents are in a hurry with this process; the child’s body does not yet produce the necessary enzymes that digest food;
  • binge eating. Observed in infants and preschool children, a large intake of food disrupts the normal functioning of the digestive system, intestinal motility increases, which provokes diarrhea;
  • unbalanced diet. Eating too heavy, unhealthy food disrupts the normal functioning of the child’s stomach;
  • low quality products. Spoiled “treats” are rich in pathogens that lead to diarrhea (the body tries to get rid of toxins).

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Intestinal dysbiosis

The problem is characterized by an imbalance of intestinal microflora, is a common cause of diarrhea in children of all ages, and causes a lot of inconvenience. Infants suffer from intestinal dysbiosis due to imperfections in the digestive system and dietary errors. Older children get sick for a number of other reasons:

  • developmental abnormalities or diseases of the gastrointestinal tract;
  • taking antibiotics and other medications;
  • helminthic infestations;
  • recent intestinal infections;
  • chronic diseases that are accompanied by a significant decrease in immunity;
  • inflammatory processes in other organs.

Infectious diseases

Diseases of the digestive system and other organs can be caused by various bacteria and viruses. Diarrhea is often a symptom of the following ailments:

  • initial stages of dysentery, salmonellosis. A few days later, diarrhea is accompanied by symptoms of general intoxication of the body;
  • “dirty hands” diseases. The category includes gastroenteritis, enterocolitis, colitis;
  • viral and bacterial diseases of the respiratory tract that occur in acute form: sore throat, ARVI, pneumonia and others. With such pathologies, loose stools cause intoxication of the child’s body with waste products of pathogenic bacteria.

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Enzyme deficiency

Nowadays, pediatricians are increasingly diagnosing a special pathology - lactase deficiency (congenital or acquired). During this disease, the body has little or no lactase enzyme, which promotes the absorption of milk sugar (lactose). The congenital disease is noted by parents immediately after the birth of the baby: the baby experiences foamy, loose stools with a sour milk smell, and colic that bothers the baby after each feeding.

With this pathology, the baby is prescribed to switch to artificial feeding with a special lactose-free formula. In addition to the most common enzyme deficiency, there are other types: celiac disease, congenital chloridorrhea.

Pathologies of non-infectious etiology

Loose stools are not always caused by the activity of pathogenic microorganisms. Diarrhea in a baby sometimes indicates the following pathologies:

  • manifestation of an allergic reaction, additionally rashes, redness, and itching appear on the baby’s body;
  • appendicitis, bleeding in the gastrointestinal tract;
  • as a result of heat and sunstroke;
  • parasitic infection (pinworms, tapeworms, ascariasis).

Causes of diarrhea in a child without fever

Abnormal bowel movements occur due to physiological or pathological reasons. For psychogenic diarrhea, when a child experiences diarrhea due to a nervous disorder, anxiety, or anxiety, treatment is not required. You can cope with the problem if the cause lies in poor nutrition. If loose stools do not go away after following the diet, you should contact your pediatrician.

Diarrhea without vomiting can be caused by:

  • infectious disease;
  • enzyme deficiency;
  • intestinal dysbiosis, often occurring without vomiting, nausea may occur;
  • reaction to medications;
  • food allergies.

Psychogenic vomiting and bear sickness

Here the reason is purely functional and it is located in the head. This kind of disorder occurs in children from preschool age as a reaction to excessive excitement and fear. The body expresses its protest and rejection.

Often it is enough to establish contact between parents and child. In advanced situations, consultation with a psychotherapist is required.

Of course, these are only the most common diseases, disorders and conditions. The world of symptoms is diverse. And each of them is important in the overall picture of the disease. Therefore, if signs that worry you appear, do not delay diagnosis until later, consult a doctor.

Be healthy!

Causes of vomiting and diarrhea without fever that are safe for a child’s life

There are situations when parents can cope with the situation of vomiting and bowel dysfunction on their own. Typically, such disorders are associated with the body's physiological response to the environment or internal disorders.

Physiological regurgitation

Typically for newborns, does not require special treatment. Occurs in 70% of children under one year of age; it occurs as a result of milk or formula from the stomach back into the esophagus.

The reason for frequent regurgitation is the peculiar shape of the stomach, the short length of the baby's esophagus , and the immaturity of the sphincter, characteristic of newborns. These manifestations disappear with age. You should worry about regurgitation after 1 year, when the problem may be associated with gastroesophageal reflux.

Teething

When teething, minor stool upset may occur and body temperature may rise. The baby will be capricious, put everything in his mouth, and cry in his sleep.

It is easy to recognize teething; you need to touch the baby’s gums with a clean hand. If they are swollen, red or white, or a crack or hole is visible, you can expect a new tooth to appear. As a rule, the first baby teeth appear after 3 months.

There are several ways you can help your baby at home. Pediatricians recommend applying special cooling and analgesic agents (Kalgel, Cholisal) to the problem gums or giving the baby more chews. Nowadays they sell special biting objects that can be cooled and have a calming effect.

Psychogenic vomiting

It can occur at any age, from newborns to older adults. The second name is somatic, as it is associated with a psychological disorder, experiences that affect the functioning of the gastrointestinal tract.

Associated symptoms of psychogenic vomiting include:

  • nausea or vomiting;
  • spasmodic pain in the abdomen;
  • increased sweating;
  • lowering blood pressure;
  • cardiopalmus.

Younger schoolchildren and preschoolers suffer more from the disease. For the former, the disorder is often associated with passing an exam, unpreparedness for a lesson, or a competition; for the latter, it is with separation from home and separation from parents for a long time.

Methods and rules of treatment

How to treat diarrhea in a child? First of all, establish the cause of the pathology; depending on the pathogen, treatment is prescribed. Parents can provide first aid to the baby on their own; in case of simple illnesses, diarrhea can be easily dealt with at home.

Therapy for diarrhea in a child consists of taking several medications that perform very important functions. An integrated approach to treatment speeds up the recovery process and has a positive effect on the child’s condition.

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Restoring water-salt balance

The main danger for the baby is dehydration. Along with loose stools, the body loses beneficial salts and substances. The main treatment for diarrhea in children and adults is fluid replacement. Rehydration should be carried out immediately after diarrhea is detected. To prepare a special solution, use pharmaceutical products. Regular breastfeeding is ideal for infants.

The following medications are used for oral rehydration:

  • Glucosolan;
  • Regidron;
  • Citroglucosolan.

Pour one sachet of the product with boiled water (the proportion is indicated in the instructions). Give the resulting solution to your baby throughout the day. If it is not possible to give your child a ready-made medicinal product, prepare it yourself: dissolve a teaspoon of sugar, salt, and half a dessert spoon of soda in one liter of water. Use in the same way as pharmaceutical products.

Sorbents

Additionally, help the child’s body cope with toxins formed as a result of poisoning or intoxication during the course of an infectious disease. Sorbing agents bind the intestinal contents and promote their rapid elimination. Children are allowed to take the following anti-diarrhea medications:

  • Smecta;
  • Activated carbon;
  • Enterosgel;
  • Polysorb;
  • Polyphepan and others.

Take the medications with boiled water or dilute the medicinal powder in it. Use all medicinal products as directed and follow the instructions.

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Probiotics

Anti-diarrhea tablets contain beneficial bacteria that normalize microflora and are often used for intestinal dysbiosis. Applicable:

  • Hilak Forte;
  • Linux;
  • Bificol;
  • Lactobacterin and others.

The following diarrhea medications will help you cope with bacterial intestinal infections:

  • Phthalazol;
  • Enterol;
  • Levomycetin;
  • Sulgin.

Antibiotics are used quite rarely; it is generally undesirable for young children to use potent drugs. Unjustified use of antibiotics can harm the health of the baby. It is forbidden to prescribe any medications to your child on your own; consult your pediatrician first.

Folk remedies and recipes

Natural medicines will help children cope with diarrhea; they are easy to prepare, they cope with the task perfectly, and are absolutely safe for the baby:

  • decoction of pears. It is better to use dried fruits, they can be found at any time of the year;
  • starch solution. Take a teaspoon of starch for half a glass of cold water. Cook according to the jelly principle, you can sweeten it a little, give your child a glass of the drug 2-3 times a day;
  • Give your baby a few tablespoons of rice porridge, hard-boiled without salt and in water. You can also use rice water (50 ml per child three times a day);
  • infusion of pomegranate peel. Dry the product, pour 1 teaspoon of the drug with a glass of cold water, boil for no more than a quarter of an hour, let it brew for 2 hours. Give the resulting product to children a tablespoon three times a day.

Be sure to follow a special diet: exclude fried, fatty, too spicy and salty foods, and forbid your child from eating sweets. Porridge with water, lean meat, compotes, and mineral water are perfect.

When to call a doctor. Symptoms of dehydration

Sometimes parents try to help the baby on their own, wasting time trying to save them. If secondary vomiting and diarrhea occur after taking medications, you should call an ambulance.

It is easy to determine dehydration in a baby by symptoms:

  • the mucous membranes of the mouth and tongue become dry;
  • saliva viscosity increases;
  • body temperature rises;
  • fever appears;
  • excessive exhaustion, the child sometimes cannot move;
  • the skin becomes gray.

If vomiting and diarrhea occur in a baby, it is necessary to urgently call an ambulance as soon as symptoms appear. Babies are physiologically unable to drink much, which makes the situation worse. Only doctors can help. The sooner parents seek help, the greater the chance of further outpatient treatment. In other situations, children are taken to the hospital.

Which doctor should I contact?

If a child has diarrhea and vomits without fever, his condition should be carefully assessed. If there are no further symptoms of trouble, you should contact your local pediatrician. However, if a one-year-old baby vomits after falling and hitting his head, it is necessary to consult a neurologist - it may be a concussion.

If a baby has frequent stomach upsets (once every two to three weeks), it is advisable to visit a pediatric gastroenterologist - the baby may have congenital pathologies of the gastrointestinal tract that interfere with the ability to properly absorb and digest food. For example, frequent diarrhea and vomiting can be caused by a congenital flexure of the gallbladder, in which bile refluxes into the esophagus. Diarrhea can be caused by a reflex relaxation of the sphincter muscles. All these pathologies require observation by a specialist; sometimes children undergo surgery to correct the pathologies. However, most often the causes of vomiting and diarrhea are poor quality food or individual intolerance to individual components; other scenarios are quite rare.

Attention! If such conditions recur frequently in a child, despite proper nutrition, a stool test should be performed for protozoan eggs. Perhaps the cause of nausea and loose stools is a helminthic infestation.

First aid rules before the doctor arrives

If a child feels sick, vomits, or has loose stools, you need to act immediately. First aid rules include fluid intake - drinking plenty of fluids. It is advisable to always have Regidron, Pedilight, Oralit in your home medicine cabinet. The drugs allow you not only to replenish water reserves in the body, but also salts and potassium, which are lost during the process of intoxication.

Powders are used in the form of a solution; the correct dose is prescribed in the instructions for the drug. In the first 5 hours, if the baby is dehydrated, give 5-15 ml of solution every 10-15 minutes.

It is important that the child drinks it in small sips. When the condition improves, the dosage is reduced over time (every 20-25 minutes). If the baby cannot drink the solution, you need to use a syringe (without a needle) and inject the medicine through the cheek.

If there are no necessary medications in the house, salt, baking soda, sugar, potassium chloride, and boiled water can save the situation. The components are mixed in the following proportions: for 1 liter of liquid, 4 teaspoons of sugar, 0.5 teaspoons of salt, soda and potassium. Stir the solution thoroughly. You can use it within 24 hours.

Treatment with drugs: groups of drugs, names, instructions

Treatment tactics depend on the pathology leading to vomiting and diarrhea. Treatment is prescribed, as a rule, after relief of intoxication and dehydration of the body. As soon as the little patient feels better, drug therapy begins.

DiseaseTreatment tactics
DysbacteriosisAntibacterial drugs if bacterial dysbiosis is detected.
Medicines are prescribed after testing for sensitivity to antibiotics. Agents that restore microflora (probiotics and prebiotics): Acepol, Bifidumabacterin, Bifiform. Diet (remove sweets, flour, fatty, salty, smoked, foods that cause flatulence from the menu). Drugs are selected depending on the type of pathogen.
GastritisEnzymatic preparations if necessary (Creon, Panzinorm, Pancreatitis). Medicines to reduce the production of hydrochloric acid (ranitidine, famotidine). Taking antacids (Maalox, Phosphalugel, Almagel). Morbents for diarrhea and vomiting (Activated carbon, Smecta, Enterosgel). Antispasmodics for severe pain (Buscopan, Duspatalin, No-shpa). The gastroenterologist prescribes antibiotics if necessary. A diet that includes foods that do not irritate the gastric mucosa.
Gastroesophageal reluxFollowing a diet (do not overfeed the child, give only healthy food). Drugs that reduce the negative effects of hydrochloric acid on the esophagus (Fanitidine, Ranitidine). Cerucal to stimulate motor activity of the stomach.
Food poisoningSorbents, drinking plenty of fluids (Regidron), gastric lavage.
AllergyIt is treated by taking sorbents for diarrhea and vomiting, plus antihistamines (Zodek, Zyrtec, Suprastin).
Intestinal infectionWhen the temperature rises - Cefekon, Nurofen. Sorbents for removing toxins, Regidron for preventing dehydration and removing harmful components. Antiviral drugs as recommended by a doctor (Viferon suppositories). Dieting. Stool hardening medications should not be given.
Parasitic infectionAntihelminthic drugs (Tanaxol, Helmintox, Nemozol).

Treatment

If a child has vomiting and diarrhea without fever, treatment directly depends on the cause:

  • food poisoning – Polysorb, activated carbon, Bifidumbacterin;
  • intestinal infections – Nifuroxazide, Enterosgel, Prema Kids;
  • inflammatory processes - medications depend on the cause, for bacterial etiology antibiotics are prescribed, for parasitic etiology - anthelmintics;
  • allergies – Suprastin, activated carbon;
  • overeating, indigestion - normalization of diet, Pancreatin;
  • parasites – Piperazine, Mebendazole or other anthelmintics, determined by the doctor based on test results, additionally Prema or Bifidumbacterin;
  • dysbacteriosis – yogurt in tablets, Prema Kids.

In case of psychogenic disorders, you need to protect the child from strong emotions and contact a neurologist, as in the case of diseases of the central nervous system. Pyloric stenosis and spasms require prior consultation with a doctor and diagnosis in order to select the appropriate treatment.

To prevent dehydration, give Regidron or Gidrovit - they restore water and electrolyte balance. The child should drink clean water in large quantities.

Nutrition for diarrhea and vomiting in a child without fever

To prevent indigestion, vomiting and other gastrointestinal disorders, you need to follow these dietary rules:

  • divided doses 3-5 times a day;
  • daily first course - soups or broths;
  • fibrous cereals and fiber-rich foods must be included in the diet;
  • fruits and vegetables, the simplest ones are apples, cabbage salads;
  • avoid large portions and overeating;
  • avoid long periods of fasting;
  • Avoid eating fast food.

If there is such a possibility, it is better to immediately consult a doctor or call a pediatrician at home so that he can accurately determine the cause and prescribe what to treat. Many conditions that are accompanied by vomiting and diarrhea without fever in children are similar in other symptoms and can only be distinguished by a specialist. If you have symptoms of emergency conditions, you should not delay calling an ambulance so as not to endanger the child’s health.

Author: Vladislava Matveeva, doctor, especially for Mama66

Nutrition: rules, list of products

Vomiting and diarrhea in a child without fever, as a rule, goes away quickly; the baby needs energy replenishment. At first, after the condition has eased, the baby should be given steam omelettes, rice porridge with water, pumpkin, buckwheat or oatmeal.

You can eat boiled eggs in limited quantities - no more than 1-2 per day. Prepare steamed cutlets: fish, lean chicken or beef, rabbit, turkey. Babies can include pumpkin, carrot and zucchini puree in their diet. On the second day, it is possible to consume fermented milk products with a fat content of no more than 2.5%.

Inflammatory processes in the gastrointestinal tract

The most famous - and you all know it - is gastritis. Now almost every schoolchild suffers from it. But besides it, there are peptic ulcers of the stomach or duodenum, duodenitis (inflammation of the mucous membrane of the duodenum), pancreatitis (inflammation of the pancreas), cholecystitis (inflammation of the gallbladder).

They manifest themselves not only with vomiting and diarrhea, but also with abdominal pain. Moreover, at the beginning of the disease it brings more suffering and depends on the location of the affected organ and the severity of the disease.

If mom or dad has the above diseases, the child is automatically at risk (the so-called hereditary predisposition).

Treatment is prescribed after examination and diagnosis. Diet plays a key role in this. The meals are fractional, gentle, with the exception of dishes that irritate the mucous membrane (fried, smoked, salted, overly seasoned).

Drink

If you become dehydrated in the first hours, you should take Regidron or its analogues. If your health improves, you can give your baby rice water, a weak infusion of St. John's wort in the absence of an allergic reaction, or a weak rosehip drink. How do you know that treatment is helping?

It is easy to understand that therapy has a positive effect on the child if you carefully monitor his condition. The child's vomiting and diarrhea stop, his appetite appears, and on the second or third day his stool becomes normal. The skin changes from gray to pink, a healthy shade, weakness disappears, the temperature normalizes, the baby begins to play, lead an active lifestyle, and take walks.

Article design: Mila Friedan

Causes

  1. Symptoms in a child such as vomiting, diarrhea, fever and weakness are primarily characteristic of infectious diseases. There are quite a lot of them: rota virus, enterovirus, salmonellosis, staphylococcus, dysentery. Depending on the severity of the disease, in addition to vomiting and acute diarrhea, the child’s temperature rises to very high levels - 39 or more. Intestinal infections require medical intervention; treating them at home is unacceptable.
  2. A child may experience nausea, vomiting and diarrhea with fever due to infectious diseases not related to the gastrointestinal tract - otitis media, pharyngitis, meningitis, influenza, pneumonia
  3. Food poisoning. As a result of poisoning with low-quality food, symptoms such as diarrhea, vomiting, nausea appear, and the child’s temperature rises to 38 - 38.5.
  4. Allergic reactions, both food and those resulting from taking medications. In the presence of diarrhea and vomiting, the child’s temperature rarely rises above 37.
  5. Such symptoms are not uncommon in children after long-term use of antibiotics. The result of taking antibacterial drugs is an imbalance between beneficial and harmful intestinal microflora, hence severe digestive upset.
  6. Stomach diseases. There are many of them: gastritis, pyloric stenosis, pylorospasm, duodenitis, gastroesophageal reflux. The temperature does not rise to high levels, but other ailments are quite strong.
  7. Gallbladder problems
  8. Lesions of the central nervous system. This is especially true for children under one year of age. Vomiting, diarrhea and fever in a one-year-old child may indicate high intracranial pressure, and a neurologist will tell you how to treat such a disease.
  9. The child accidentally swallowed something inedible; there is a foreign body in the gastrointestinal tract
  10. These signs may indicate teething
  11. Adverse psychological factors. This reaction is especially often caused by being forced to eat.
  12. Abrupt climate change
  13. Unbalanced diet, “adult” food inappropriate for age
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