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Home > News > Rise> When just water won’t do!
 
Article Published in "Rise"


August 15 , 2005

When just water won’t do!

Today we discuss a topic that is generally taboo at the breakfast table – so you may prefer to delay reading this one til later – but if you are responsible for the care of children, please make sure you DO read it.

Hopefully we're through the worst of the gastroenteritis season – a time that often results in many infants and young children being hospitalised from complications associated with the illness – most notably the critical effects of dehydration.

Gastroenteritis (gastro) is a common illness caused mostly by viruses. Viral gastroenteritis is more common in winter but bacteria and food poisoning can also cause gastro.

Symptoms of gastroenteritis include a fever, stomach pain, runny nose, cough, sore throat or a rash. Viral gastroenteritis may start with vomiting or diarrhoea. Vomiting usually settles quickly, but diarrhoea can last for a week or more.

Symptoms of bacterial gastroenteritis may be similar to viral gastro but the fever tends to be higher and lasts longer; stomach pains are often more severe and diarrhoea often has blood and mucus in it.

Medicines are usually not necessary or helpful in treating gastro. Sometimes vomiting, diarrhoea, fever and loss of appetite can make a child lose more fluid than they can keep down. This may lead to dehydration, which needs to be treated immediately.

Signs of dehydration include:

  • passing less urine than usual
  • increased thirst and dry mouth
  • sunken eyes
  • tiredness, irritability
  • deep breathing

    The more diarrhoea and vomiting there is, the more clear fluid a child needs to drink more frequently. Just water won't do.

    Clear fluids include oral electrolyte solutions (Gastrolyte TM , Gastrolyte-R TM , Repalyte TM and Hydralyte TM ) specially designed to replace fluids and body salts lost in gastroenteritis. They are available from chemists and are generally the best early treatment for gastroenteritis.

    If a child refuses to drink the electrolyte solution, a mixture of one cup of flat lemonade or fruit juice with four cups of tap water may help.

    The fluids will not stop the vomiting and diarrhoea, but should stop the child from becoming dehydrated. But remember, full strength fruit juice or fizzy drinks such as lemonade, cordial or Lucozade may actually increase diarrhoea and dehydration.

    It's important to remember that babies can become dehydrated very quickly with gastro. Any baby less than six months old who has gastro should be taken to a doctor immediately.

    For telephone advice in the Hunter, call:

    Kids Kare Line (02) 4921 2800
    2.45pm to 10.45pm daily

    After Hours GP Advice Line
    1300 130 147
    6pm – 8am Mon-Friday
    1pm Sat – 8am next business day


     

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