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40 degrees spiking temp and vomiting in 3 yo.

(41 Posts)
PavlovtheCat Sun 27-Jan-13 13:33:07

Ds is 3 had a spiking temp up to 40 (104) since Friday, reduced with ibruprofen, calpol not doing much. As the meds wear offs his temp sours and he is vomiting. Spoke to ooh doc yesterday who said he very likely has flu virus and he is going to feel poorly, main concern is monitoring for dehydration.

He has just thrown up his ibruprofen, about 10 mins after taking it. Full on hurled, so much liquid. Has spiked temp again at 40.

So question 1. Can he have it again? I am going to give him calpol although know its not going to help much

Question 2. Should I call ooh again? He is lethargic, but probably due to high temp? He has swollen raw looking gums, very dry lips, very very thirsty (is drinking lots, keeps asking) grinding his teeth. He has also complained of belly pains since he became unwell and keeps saying it hurts, and crying. He is sleeping a lot (not like him, he doesnt sleep!) Told gp most of this yesterday (all apart from gums as didn't notice that until today). He has peed once today, this morning when was pretty spritely. He ate toast then, only a little, but something.

After vomiting he had a rash, but it may have been how I held him as I put him back into his cool bath from earlier to clean him, and they appear to have gone, he has blotches which seem to come and go, like heat rash, on his arms. They turn white when pressed.

How do I know when I am being a worried mum because by boy is sick and I don't like it and can't make it all better and when I am worried meaning something more needs doing that I am not doing now?

PavlovtheCat Sun 27-Jan-13 13:34:06

And he doesn't want to be touched,kissed, hair stroked. He wants to be very still only.

PavlovtheCat Sun 27-Jan-13 13:56:09

Anyone? He is asleep now, temp reduced to 39.6 as he is completely naked with a towel around him, slightly open to get some air. He not been able to do that before as he was awake wouldn't let me, as he was cold.

alibobins Sun 27-Jan-13 14:08:21

I would ring ooh for advice sad
Sometimes you can give the dose again but they will ask you the relevant questions to decide. Hope he feels better soon.

RooneyMara Sun 27-Jan-13 14:12:13

Oh Pavlov sorry to hear this.

Yes, OOH again I think. Try and get someone to come out to you.

I'm wondering if it might be tonsilitis or similar from what you describe.

RooneyMara Sun 27-Jan-13 14:14:22

and tell them about the sleeping a lot - that's always the most significant thing I find, they respond to that iykwim.

DoctorAnge Sun 27-Jan-13 14:15:48

He sounds extremely poorly doesn't he.

I would call OOH.

dikkertjedap Sun 27-Jan-13 14:46:26

Does he not want to be touched because he is in pain? How is he with bright lights?

I would take him to A&E TBH, it could be flu, but then again it also fits with meningitis. You don't have to have the rash to have meningitis, you also don't have to have all the symptoms. In A&E they can positively exclude meningitis, your OOH/GP cannot do this. If A&E are concerned they can take a blood test and lumbar puncture if necessary, GP/OOH cannot do this.

Hope he gets better soon.

PavlovtheCat Sun 27-Jan-13 15:07:03

He is fine with bright lights, which I know for sure as I opened the blinds and the sun moved around right into his eyes. Although he squinted, I asked him if he wanted m to close the blinds he said no, and eyes adjusted.

I have given him calpol, high dad is back home from being away and asked what special treat he wants from the shop. He wants strawberry milkshake, burger with cheese but not pickle or sauce or onions grin and us sitting up on me watching Thomas the tank engine on YouTube. I am going to see if he drinks milkshake (although I know bad idea) then call them again. Temp is now 39.5.

He is not in pain when I kiss, touch etc, he just brushes me away 'no more kisses mummy, just want to be like this no touching' so guess it irritates him.

I was wondering tonsillitis too.

PavlovtheCat Sun 27-Jan-13 15:31:52

Ok he has perked up with calpol, temp reduced to 38.9, still high but not as bad. He asked for milkshake, burger without saue, pickles or onions! So Dh has just gone out to get it for hm (having just come back from weekend.

He asked to get up, fell backwards, but smiled 'oh, I fell down' so a little of s normal of there.

A good sign? Shall I see if this continues, or call ooh anyway? With something like meningitis, can it appear to get better then worse, or does it just get worse?

RooneyMara Sun 27-Jan-13 15:39:10

I don't know Pav. It seems to be variable from what I have read, but the fact he is alert andresponsive makes me think, very good sign smile

I think when they just don't move, wake or talk to you then you know to panic iyswim.

It is so horrid when they are ill isn't it, I cannot bear it - and how on earth are you coping with your poorly back as well?

See if he eats, see if it stays down and the temp stays down a bit. If it goes right way up again and won't come down with ibuprofen, or if you cannot wake him then it's time to act - but meanwhile I'd see how you go for a while.

gallivantsaregood Sun 27-Jan-13 15:46:31

If you can get ibuprofen or paracetamol duppisitorues from chemist I would. My DS' gut shuts down when he is so hot and vomits everything. Paracetamol suppositories although not pleasant to give, work well.

ConfuzzledMummy Sun 27-Jan-13 15:53:01

It sounds like he might be getting better but if he starts being sick again or becomes very sleepy I would definately take him to A&E. Poor little mite hope he's better soon!

PavlovtheCat Sun 27-Jan-13 17:33:07

Insane! Gone from being so poorly I was very worried to just got up for the first in hours and hours. His temp is reduced right down to 38.2 and clearly made a huge huge difference to how he feels. He has eaten none if the burger, none of the milkshake. Obviously hungry as asked for toast, but won't eat it. Says his belly hurts but think it might be because he is hungry? He has only eaten equivalent of half slice toast in 3 days and has lost lots of weight. It's very obvious that he has sad

He is very cute, slowly wondering around with sticky up hair on that way sick children do just as they feel better. Has just put dds pants on his head to make me laugh!

rooney I have absolutely no idea how I have coped this weekend to be truthful. A wing and a prayer and a very fab 6 yr old dd. Dh is now here and taken over the fort, cooking a late roast. Not sure I will be in any state for it though as I have just taken some very powerful medication grin now my responsibility baton has been passed over. He is fully briefed on ds and how he has been and is under strict instructions to call OOH if his fever peaks again and / or sick again with expectation to take him to be seen.

PavlovtheCat Sun 27-Jan-13 17:34:46

gall didn't know you can get ibruprofen suppositories, I am going to get some for the energency box. Thank you for that advice.

rubyslippers Sun 27-Jan-13 17:35:51

Sounds very similar to something my dd had a couple of weeks ago

We were told to give diorylite, breadsticks etc very plain, bland food

Avoid dairy for 24 hours as well

RooneyMara Sun 27-Jan-13 17:40:32

oh I am so glad that he has perked up. I'd put money on it being his little throat. Hungry but can't eat makes me think that as well as the high temps.

He may need antibiotics if it's that so don't be worried about calling the oOH.

Also being hungry will make him fed up in itself - if you can get anything down him, just a looly to suck or something, it'll help. I think tonsillitis picks up quite quickly with the right A-bs x

PavlovtheCat Sun 27-Jan-13 17:40:56

I agree actually about dairy, prob good job he didn't drink milkshake! How long did it take for dd to recover ruby? It's so unpleasant isn't it? My dd has Ben so neglected this weekend. I promised her we will do something special when I am better myself.

RooneyMara Sun 27-Jan-13 17:41:09

and I'm glad you have finally got some respite!

heronsfly Sun 27-Jan-13 17:41:33

One of my dds could not tolerate too many doses of ibruprofen, it used to make her vomit, a real vicious circle because she had a couple of febrile convulsions and calpol never really seemed to work quick enough or for long enough,my gp told me that ibuprofen can be very harsh on little tummies, glad your ds seems to be on the mend.

rubyslippers Sun 27-Jan-13 17:42:30

It took about 36 hours after the last puke for DD to be recovered

And I agree ots horrid - my DD also spikes very high fevers which are scary

PavlovtheCat Sun 27-Jan-13 17:45:55

rooney he won't take anything past his lips. Milkshake is his fave, offered him a spoon to lick it from even, tried carton fruit juice (apple, his fave) blueberries, ice cream, pasta, porridge, prawns! All his fave food. Even my last special chocolate.

Just got to keep trying. He has also stopped drinking his juice/water so that needs to be kept an eye on. Progress absolutely but not our woods yet.

RooneyMara Sun 27-Jan-13 17:49:49

I think in that case there's a danger of dehydration...do keep an eye but also, if you can get him seen tonight and started on antibiotics - just in case it is his throat - the sooner he'll be able to drink and eat again.

Sorry to harp on. It's just that they can deteriorate a lot without fluids and need their strength to fight off the infection. I'm sure you know all this stuff x

PavlovtheCat Mon 28-Jan-13 08:10:46

he slept ok, woke with fever in the night, eased with meds, but food hurts to eat, really really crying. he has no fever, and walked downstairs to kitchen but looks terrible! DH thinks he looks better, and doesn't think he needs to see the gp. but i think differently.

PavlovtheCat Mon 28-Jan-13 08:11:48

oh meant to say he is drinking though.

taketheribbon Mon 28-Jan-13 10:43:37

If he still has the rash, I'd take him to the docs to check for scarlet fever. Scarlet fever starts with a very sore throat.... I know this because it's going round dd's school at the moment.

Scarlet fever needs antibiotics to clear up you see.

Hope he feels better soon.

hellhasnofurylikeahungrywoman Mon 28-Jan-13 10:45:39

Go with your instinct. No decent GP would mind seeing a poorly 3 year old that has been unwell for a good few days.

PavlovtheCat Mon 28-Jan-13 11:05:47

DH took him to gp, who had records from call over the weekend anyway. He has a 'virus' and his throat is covered in ulcers. not got any infection which warrants anti-biotics apparantly - tonsils, ears, chest fine.

cant give him ibruprofen as he has not eaten much, so only calpol. and ride it out. also need to provide urine sample as he had cloudy wee although his last one was ok, he is going to check he doesn't have a uti. he thinks probably not but will rule it out.

he has eaten a little bit of yoghurt and temp is rising again. it's going to take a few days to clear i think. both ds and i are snuggled in bed.

DorisIsWaiting Mon 28-Jan-13 11:20:26

Pavlov are you still in Devon? DD3 was similar with temps over christmas. When she came out in a rash on her torso (lacy type rash) I took her to OOH and turns out she had Slapped Cheek. Speaking to other mums locally since there seems to be an epidemic in the South West this year.

DD3's tempretures lasted 2 weeks (almost to the day) with calpol and brufen daily. She was sick one day but fine after that and kept complaining of a sore throat. DD1 also got it (since we've been back at school) and she was only hot for 2 days. DD2's not shown signs yet but the incubation period is 7 to 21 days. I may be barking up the wrong tree but it's a thought...

DorisIsWaiting Mon 28-Jan-13 11:21:21

Forgot to say Slapped Cheek knocked dd3 sidewise (normally very resilliant!) it was really really nasty.

PavlovtheCat Mon 28-Jan-13 11:59:35

don't think it's slapped cheek, as the rash is gone, i think it's heat rash as it seems to come up with the fever and disappear as he cools down. He does have rosy cheeks but that's because even when fever is down, he is still running slight temp I guess, and cheeks are now a little dry.

He is clearly feeling much better, as he keeps hassling me to put thomas on the laptop and is doing the irritating grabbing of my cheeks to get my attention grin.

PavlovtheCat Mon 28-Jan-13 11:59:51

oh and yes doris still here!

DorisIsWaiting Mon 28-Jan-13 12:58:11

Rash only lasted 24 hours with dd3 and dd1 didn't have one at all. They did both have Very rosy cheeks which came and went.

TBH it sounds exactly like dd3's presentation. (DD1 wasn't sick) DD3 did seem to be sick with the worst of the teps at the start.

PavlovtheCat Mon 28-Jan-13 15:16:27

I wonder why they don't check for these things? Maybe it makes little difference to the treatment? This GP never gives antibiotics. DS had an ear infection once and he said he wanted to give him a few days to fight the infection first even though there was def an infection. But, to give him credit, DS worked through it on his own. Yes, would have got through it quicker with the antibiotics, but, GP really opposed to using them and as such he has only had one course in his life (but, that time, gp left it too long!)

BeaWheesht Mon 28-Jan-13 19:12:05

It sounds just like when ds has slapped cheek right down to the ulcers - ds had about 50 in his mouth on his throat and tongue hmm

PavlovtheCat Mon 28-Jan-13 19:20:18

bea if it is slapped cheek, does he need antibiotics?

He is eating nothing. He has so many ulcers. His gums are swollen and red raw around his little teeth and there are lots of tiny ulcers everywhere not just on his throat.

He tries to eat, cries, and then refuses more. he is drinking ok, but not loads. He tried to have a bit of my chocolate, and cried so hard because it hurt.

How long can he not eat before it becomes a problem? He had the stinking coughing bug before christmas and it has taken until about 2 weeks ago for his appetite to return from that, he had little appetite for about 4wks, so he has no reserves. And even when on top form, he is not a huge toddler.

So far today he has eaten a couple of mouthfuls of yoghurt (bearing in mind his mouth is tiny) and two mouthfuls of jelly. yesterday he had two small pots of yoghurt before bed (not all of it, just the 'middle' of the pot) and a bite of toast. Day before he had 4 bits of pasta which he threw up. Friday he ate nothing. Thursday he ate nothing.

mummytopebs Mon 28-Jan-13 21:37:57

My dd gets terrible ulcers have they given him a mouth spray ie difflam to spray on? Also slushes are a god send when she gets them. If there is no improvement I ould take him back to gp or a and e as dd has been admited with hers a couple of times for iv anti virals x Hope he starts to improve

DorisIsWaiting Mon 28-Jan-13 22:54:14

Slapped cheek is a virus (parovirus but not the same as animals get) so antibiotics don't work. It's just a case of sitting it out till he feels better and treating the symptoms. Ice cream and yougurt are cold and soothing to sore mouths throats.

I hope he starts to feel better soon. I really would not have guessed dd3 had slapped cheek had I not taken her to OOH (and I'm a nurse!)

PavlovtheCat Tue 29-Jan-13 09:00:41

mummy DH and I spoke about that yesterday, as gp gave him no spray, and I was surprised, so I presumed that he is too young? Difflam spray is great, so maybe I will go and see if I can get something suitable for him.

He is much much perkier this morning, went the night without spiking temp as meds wore off, which is the first night that has happened.

But, he is still not eating anything offered him jelly, ice cream, milkshake. He took a couple of mouthfuls of jelly and yoghurt at first, but now won't touch it.

The ulcers are horrific. It looks like he has tons of plaque all over pretty much all his teeth but they are ulcers! as well as those on his throat.

DH said the doctor mentioned slapped cheek (he drip feeds info, he would so not get on well here!) and also Hand, Food and Mouth, but ruled the latter out after a good check of DS all over apparantly. He was pretty certain, which DH needed him to be, as DH is a chef. However, I am thinking DH might need to consider taking a few days off work, just in case it is (he has not worked since he has been poorly, been away).

PavlovtheCat Tue 29-Jan-13 09:01:38

doris the parovirus - is that the one that can be responsible for causing croup or is that a different one?

PavlovtheCat Tue 29-Jan-13 09:03:20

and I can't even clean his teeth! I am not even going there.

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