vomiting loose motion fever zifi zocef ondem,Pediatricianonline (muru*****)

i have 2.5 years old female child. She got vomitting. On consulting doctor, he given ondem syrub and advised to take for 2 days. But after one day intake, she got fever. Again we consulted doctor. He suggested combiflam syrub and zifilb syrub for 2 days. But after one day intake, i.e. on third day, baby got diarrhoea. Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub for 3 days. At the time of giving zocef, baby vomitted everything. After few minutes we have given to baby enterogermin. I want to (a)know whether the treatment is correct (b) whether enterogermin will cure the disease.


i have 2.5 years old female child. She got vomitting.

===== vomiting in children of this age is commonly due to throat infection and less often due to gastritis.

On consulting doctor, he given ondem syrub and advised to take for 2 days.
====== it works, but is not required in simple cases unless vomiting is persistant. treatment of throat infection if any, should be the prime concern.


But after one day intake, she got fever.
====== fever has no relation to vomiting unless its a part of ongoing throat infection.

Again we consulted doctor. He suggested combiflam syrub and zifilb syrup for 2 days.
==== well, they do work on fever and bacterial infection respectively.

But after one day intake, i.e. on third day, baby got diarrhoea.
========ZIFI is known to cause diarrhea in some, though less chances with zifilb. The diarrhea of such kind isnt watery, but is in the form of yellow loose stools 4-6 times a day.
If it is watery diarrhea or diarrhea with mucus flecks or blood, more likely it may be a fresh intestine infection. vomit8ing may persist if its intenstine infection.

Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub
======= enteroigermina is a drug currently not marketed for use in diarrhea. It may help in reducing the duration of some diarrheas.
zocef as i recall it contains cefuroxime, is a good choice of antibiotic in throat infection and typhoid fever but not for routine use in diarrhea.

. At the time of giving zocef, baby vomitted everything.
====== children vomit strawberry flavoured syrups easily. If proper precautions not taken they may spit out any medicines. please read an article at my site on "how to administer medicines to babies".

I want to (a)know whether the treatment is correct
========== a doctor cannot comment on correctness of any tretament unless he examine sthe child. its likely that i may miss out some clinical finding which your doctor may have found on examination. my answer is just interpretation of the details you provide. the extra details of symptoms and their chronology will help me come to better conclusion. My job is not to replace your doctor nor to give you any advice against your doctor. Its just to make you understand what and how it is going and what it seems to be.

(b) whether enterogermin will cure the disease.
====== did your doctor reach to a conclusion what disease he is planning to treat? did you get a stool or blood test done? enterogermina doesnt cure any disease it only tries to maintain colon flora and reduces duration of diarrhea in some cases.
Also read other articles/answers on loose motion at my website.
ALso please read "vomiting" at my "site".

please feel free to reply at website.


REPLY AND PART II ANSWER:

If zifilb syrup is causing diarrhea why it is being prescribed by doctors ?
====== well every drug has some side effects that may not be seen in all patients.

After taking this only she had 2 times yellow colored loose stools.
==== it may be possibly because of that, but cant be proven.

enteroigermina was given by doctor though it is not marketed as per your words.
====== its is marketed but not for loose motions, well it may come to market soon for loose motions once research is complete. many drugs may be prescribed by doctors even though they are not licensed at individual benefit / risk.

We have not applied typhoid vaccine so far. Doctor is not telling that baby is having typhoid.
=== i too did not tell that this is typhoid. its unlikely. However typhoid is one of the many reasons for which zifi or zocef may be given. well, it may be given in any other bacterial infection that may be susceptible to it.

He told after curing the curring problem, we can go for typhoid vaccination.
========= nothing wrong in it. It need not be typhOid in this case. many things in medicine are difficult to prove and they are the interpretation of individuals clinical judgement. It may not mean that one is wrong and other is right all the time. well, it wasnt the curing problem either.


Baby is not having throat infection also. Hence why zocef is being given by my doctor. ?
====== zocef is an antibiotic. throat infection is one of teh reasosn for which it may be given. But theer are many other reasons when your doctor may find zocef suitable for some infection. its an individual judgement, and what i explained to you is just the most likley possibility.


Whether i have to change my doctor? He is suggesting 3 ways of prescription : (1) continue the current prescription or (2)admit for 3-4 days in one big hospital which he suggests or (3) take some injections from him at his clinic itself for 5 days.
========= such decisions need to be taken individually. you can always go back to previous doctor any time in case you change the doctor. it may be that the next doctor may not be as good as your current doctor. AS long as a doctor is qualified, i suggest you to trust the doctor. If in doubt, consult another. Amongst the 3 options given i feel , let the doctor decide the treatment what is in best favour of your child. May be the best which he would have preferred for his own kid?

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> Date: Mon, 24 Dec 2007 09:51:06 -0800

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> Name:
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> Please be brief and avoid too many medical terms i have 2.5 years old female child. She got vomitting. On consulting doctor, he given ondem syrub and advised to take for 2 days. But after one day intake, she got fever. Again we consulted doctor. He suggested combiflam syrub and zifilb syrub for 2 days. But after one day intake, i.e. on third day, baby got diarrhoea. Again on consultating doctor, he has prescribed enterogermin-oral suspension and zocef syrub for 3 days. At the time of giving zocef, baby vomitted everything. After few minutes we have given to baby enterogermin. I want to (a)know whether the treatment is correct (b) whether enterogermin will cure the disease.
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