Fever, Diarrhea, and Cold Symptoms in Young Children - Pediatrics

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Cold, fever, and diarrhea?


Hello, doctor.
A couple of days ago, I inquired about my child's fever.
My daughter is one and a half years old.
She had a high fever from Monday to Thursday last week.
There were no cold symptoms, but her stools were looser.
She had a fever until Friday, when it subsided.
On Saturday, she had a fever again.
We went to the hospital for a urinalysis, X-ray, and rapid test, all of which were normal.
She has a cough and a runny nose, and today she no longer has a fever, but her stools are still somewhat loose.
The formula milk has been diluted.
She has been eating small amounts frequently.
She has taken some probiotics.
Could this be related to a viral infection? Is there anything specific we should be concerned about? Thank you.

Peipei, 30~39 year old female. Ask Date: 2015/11/02

Dr. Xiao Kaiwen reply Pediatrics


The cold virus can cause gastrointestinal symptoms.
Pay attention to whether there is mucus or blood in the diarrhea, as well as any foul odor (if present, it may indicate a serious bacterial gastroenteritis).
In addition to diluted milk, avoid vegetables, fruits, sweets, and greasy foods (diluted milk should not be consumed for more than a week to prevent nutritional deficiencies; if it exceeds a week, lactose-free oral rehydration formula can be used).
If diarrhea is severe, oral electrolyte solutions can be supplemented.
However, if dehydration occurs (evidenced by decreased energy levels, significantly reduced urine output, or crying without tears), please go to the hospital for intravenous fluid replacement.

Reply Date: 2015/11/02

More Info


When it comes to understanding fever, diarrhea, and cold symptoms in young children, it's essential to recognize that these symptoms can often be interconnected and may indicate a viral infection. In your case, your daughter, who is one and a half years old, has experienced a high fever, loose stools, and respiratory symptoms such as coughing and a runny nose.
Fever in children is a common response to infections, particularly viral infections. The body raises its temperature as a defense mechanism to fight off pathogens. In your daughter's case, the fever lasting from Monday to Thursday, followed by a return of fever on Saturday, suggests that she may be dealing with a viral illness that can cause intermittent fever. The absence of cold symptoms initially does not rule out a viral infection, as some viruses can primarily cause fever and gastrointestinal symptoms, such as diarrhea.

The loose stools you mentioned could indeed be related to a viral infection, especially if she is experiencing other symptoms like a runny nose and cough. Viral gastroenteritis, commonly referred to as the "stomach flu," can lead to diarrhea and is often accompanied by fever. Additionally, respiratory viruses can sometimes cause gastrointestinal symptoms in young children.
It's also worth noting that changes in her diet, such as diluted formula and smaller, more frequent meals, can be a natural response to her illness. Children often eat less when they are not feeling well, and it's crucial to ensure she stays hydrated, especially if she is experiencing diarrhea. Offering her fluids, such as oral rehydration solutions, can help prevent dehydration.

Given that her urine tests, X-rays, and rapid tests came back normal, it is reassuring that there are no immediate concerns for bacterial infections or other serious conditions. However, it is essential to monitor her symptoms closely. If her diarrhea persists for more than a few days, or if she shows signs of dehydration (such as decreased urine output, dry mouth, or lethargy), it would be prudent to consult a healthcare provider.

In terms of treatment, since you mentioned that she has been given some intestinal medication, it's essential to follow the advice of your healthcare provider regarding the use of medications. Over-the-counter medications for diarrhea should be used cautiously in young children, and it's best to consult a pediatrician before administering any medication.

As for the cold symptoms, if she continues to have a cough and runny nose, you can manage these symptoms with supportive care. Keeping her comfortable, ensuring she gets plenty of rest, and using a humidifier in her room can help alleviate her symptoms. If her cough worsens or if she develops difficulty breathing, it is crucial to seek medical attention promptly.

In summary, your daughter's symptoms appear to be consistent with a viral infection, which is common in young children. Continue to monitor her symptoms, ensure she stays hydrated, and consult with her pediatrician if you have any concerns or if her condition changes. It's always better to err on the side of caution when it comes to the health of young children.

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