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Daily Dose

Vomiting Kids

1:30 to read

Pick a virus ….and it is probably circulating in your area!  Seems we are at the peak of upper respiratory season, influenza like illness season and also vomiting and diarrhea season. In other words, lots of sick kids right now.

 

I just started seeing a lot of vomiting again!!  It is the worst for both the child and the doctor’s office where it seems many a child has vomited either in the car, coming up the elevator or in the exam room.  YUCK for all.

 

Remember, norovirus is the most common virus that causes vomiting and diarrhea and it is VERY contagious. Not only via “dirty hands” but it is also airborne…so in other words, those standing near by a child who is vomiting (parents, other sibs) are probably being exposed as well. That is the main reason you probably see an entire family who gets sick almost simultaneously.  

 

If your child vomits….DO NOT give them anything to eat or drink for at least 30 min. I know that is hard as they are asking for a drink,  but you need to give their tummy a minute to “recover” before challenging them with a few sips of Pedialyte or Gatorade.  A SIP is the key word too….tiny amount to start in hopes that they do not vomit again.  

 

I just saw a 6 year old little boy who had been vomiting several times during the night.  His Dad said that he had given him Zofran to help stop the vomiting (this is a prescription).  I use a lot of Zofran in children who are vomiting as it can go under the tongue.  But after the Zofran his son felt better….so he gave him strawberries and a waffle!! Surprise? He vomited again!!

 

Don’t be fooled and start trying to feed your child too quickly after they are vomiting. I know parents worry that “their child is not eating”, but fluids are the important part of staying hydrated. As one little boy told me, “ it feels like there are grasshoppers in my tummy”!! So well put. I grumbling tummy needs time to heal and frequent sips of clear liquids (no dairy) are the best way to prevent dehydration. As your child tolerates a small volume you can go up a bit and gradually increase the amount that they take.  I usually wait a good 4-6 hours after a child has successfully tolerated fluids before I even consider giving them food. Then I start with crackers, noodles or something bland (that I also don’t mind cleaning up) in case they vomit again.  

 

You are just wanting to make sure your child stays hydrated…tears, saliva and urine!  Keep washing those hands. 

Parenting

Norovirus Prevention: Tips for Swimming in Untreated Waters

2:00

With summer around the corner, lots of families will be headed to the lake for picnics, fishing and swimming. And not to rain on anyone’s parade, but every parent should be aware that the Norovirus loves untreated waters just as much as you and the kids do.

What is Norovirus? Noroviruses are a group of viruses that cause inflammation of the stomach and large intestine lining. They are the leading cause of gastroenteritis in the U.S.; In other words, severe vomiting and diarrhea.

Noroviruses are the same viruses that give you food poisoning – but they can also be active in waters that are untreated with chlorine such as lakes and ponds.

A norovirus outbreak in July 2014 was linked to a lake near Portland Oregon, and sickened 70 people. Those who swam in the lake were 2.3 times more likely to develop vomiting or diarrhea than those who visited the park but didn’t go in the water. More than half of those who got ill were children between 4–10 years old.

Experts believe the outbreak began after a swimmer infected with norovirus had diarrhea or vomited in the water and other swimmers swallowed the contaminated water. To prevent other people from getting sick, park officials closed the lake to swimmers for 10 days.

“Children are prime targets for norovirus and other germs that can live in lakes and swimming pools because they’re so much more likely to get the water in their mouths,” said Michael Beach, Ph.D, CDC’s associate director for healthy water. “Keeping germs out of the water in the first place is key to keeping everyone healthy and helping to keep the places we swim open all summer.”

Swimmers can help protect themselves, their families and friends by following a few easy and effective steps: 

Keep the pee, poop, sweat, and dirt out of the water!

•       Don’t swim if you have diarrhea or have been vomiting

•       Shower before you get in the water

•       Don’t pee or poop in the water

•       Don’t swallow lake or pool water

Every hour—everyone out!

•       Take kids on bathroom breaks

•       Check diapers, and change them in a bathroom or diaper-changing area–to keep germs away from the water.

Noroviruses, like other viruses, don't respond to antibiotics, which are designed to kill bacteria. No antiviral drug can treat noroviruses, but in healthy people the illness should go away on its own within a couple of days.

Children and the elderly are most susceptible to dehydration. Children should be given an oral rehydration solution (such as Pedialyte) to replace lost fluids and electrolytes. Avoid giving your child sugary drinks, which can make diarrhea worse, as well as caffeinated beverages, which can dehydrate them further.

Norovirus is very contagious and can be spread through contaminated food, water, or surfaces.

Summer is a time when families have more opportunities to have fun and spend time together. You can help make sure your picnic or day at the lake doesn’t include the side effects from a norovirus by adhering to the health safety prevention tips listed above.

Sources: http://www.physiciansbriefing.com/Article.asp?AID=699479

http://www.cdc.gov/media/releases/2015/a0514-norovirus-from-swimming.html

http://www.webmd.com/children/norovirus-symptoms-and-treatment

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