Need some advice on poorly DD ... Please!

[ShadowsShadowsEverywhere]

DD had been really poorly with virus since last weekend, running a fever, not eating, barely drinking, runny nose and coughing non stop. Thurs night an ambulance was sent when I called OOH because the coughing had stopped but she seemed to be working a bit harder to breathe than normal. Paramedic said her oxygen sats were a little low but that she didn't think she needed to go into hospital because she was able to cry (which IME with asthmatic DS isn't always accurate but fine) they advised we take her to OOH doctor instead. Her dad took her and came back with amoxicillin. We are now on day three of the anoxicillin and there's still ho improvement at all, still running a temp even with calpol, still barely drinking, very little food at all (think maybe a yoghurt a day if I really force the issue) but obv I'm more concerned about fluids. She's still having periods where I'm not happy with her breathing but think it's probably a lot of phlegm that she can't shift making it harder to breathe as she's avoiding coughing because she says it hurts.
She has just been sick again and she's burning up yet again so it's back in a tepid bath and more calpol to try and bring the fever down.

My concerns are as follows. I don't feel this is "normal" toddler illness, to be running a fever for 7 days, same symptoms, same severity of symptoms for all tht time doesn't seem right. She's not moving around at all during the day, spends all the time laying on the sofa dozing. She's sleeping 14 hours a night. If it were an infection I'd expect to see a slight improvement by now with the amoxicillin?

I don't drive so getting her to the doctors again is problematic so I wanted some advice before I drag her back in. Does this sound right for a virus? Am I right to be concerned?

It's worth mentioning that DS and I were both ill with the cold symptoms at the same time she was and have both fully recovered, although I know everyone reacts differently.

Any advice would be gratefully received. TIA

[Slippersandacuppa]

How old is she? There's a lot to be said for mother's intuition so I'd be tempted to go to A&E again (can a friend help out?). That's a long time for a little person to be poorly. Our lovely GP always says to go in if there is no improvement. Better to be safe.

[FancyPuffin]

I think after 3 days of anti-bs and no improvement it would be a good idea for her to be seen again. If it were me I'd be concerned enough to want her checked again.

Give 111 a call and take her to OOH that way they can give her a good check over and listen again to her chest and checks 02 sats.

Hope she's feeling better soon.

[Effiewhaursmabaffies]

Ooh again, or take her to the emergency dept. The antibiotics may nt be effective. It better to be a pain in the ass mother than the alternative.

[ShadowsShadowsEverywhere]

Oh I knew I'd miss something out of the OP! She's 3, will be 4 in April.

Sadly no one around to help me out today, I'd have to taxi it in with both of them. (Younger brother)
I might ring GP first thing and see if I can get a home visit. I really wasn't happy with her breathing thurs night, as a long term asthmatic with an asthmatic 2yo son I was recognising things that would make me reach for an inhaler if it were me or him. Paramedic was convinced she was fine though despite the low sats, said it was likely just phlegm? I know it's daft with no medical training etc but my gut feeling is that there's something not right respiratory wise. Like I said in the OP, several times since thurs her breathing hasn't been right, tummy and chest sucking in more than normal, audible sound with each breath as though it's hard work. It eases again though and then I think I'm overreacting

[FannyFifer]

Did you try her with ventolin inhaler when breathing has been bad?

[ResultsConfusion]

No that doesn't sound right op. Medically trained people aren't always right, they're human and can make ill judgements as anyone can so if you aren't happy with what they said and are still concerned for your dd there's nothing wrong in going to see someone again. From what you've said I'd definitely go back as it doesn't sound right at all.

[ThisIsYourLife]

I used an inhaler on non asthmatic Ds when he was having a croup attack, saved a trip to hospital as it immediately eased his breathing. I am not a doctor though so I'd call ooh again OP.

[ShadowsShadowsEverywhere]

Argh, I didn't call OOH because she seemed a bit better and I thought I could ring GP in morning and request a home visit.
I think she's worse if anything, vomitting which hadn't happened at all until today. Twice in 5 hours, temp back up. I don't know what to do right now, whether to call GP for home visit in morning or try and ring OOH now. That would involve taking her in though, I don't think OOH do home visits and my other child is teething and needs sleep. Times like this that I wish I wasn't a singe parent.

[fusspot66]

You know you won't rest till she's been seen. She needs A and E for the temp, the breathing, the dehydration. Can't their father help you get their?

[jacla40]

Get her checked again. When my asthmatic dd was younger she would sometimes vomit when struggling with her breathing.

Poor little thing. Hope she feels better soon.

[sliceofsoup]

Its been so long, I really think you need to take her in. She is so little and it can all turn very quickly. I know its a pain with having to take the younger one, but she sounds really really poorly.

[Phoenixfrights]

Yes call ooh again and tel them she is vomiting, not drinking much and running a fever even with calpol.

I don't want to scare you but a friend had similar with her DS and he had pneumonia.

[Idiotdh]

I would just ring. When the dr calls back explain you have no transport. Sometimes they visit it depends on their set up.

[Idiotdh]

Of course the vomiting could be the ABX.. But equally, she's not getting her ABX now she is vomiting them back up.

[Phoenixfrights]

Sorry posted too soon. He had pneumonia and needed to be admitted for IV antibiotics and oxygen.

[lemisscared]

you need to get her seen. call an ambulance if you have no other way. is there anyone who can look after the other child? their father?

[ShadowsShadowsEverywhere]

Father is not answering phone. Is either asleep or already at hotel (works away during week sometimes leaves sun night)
Right. I'm going to call OOH in the hope they send someone out OR tell me to attend A&E. Pneumonia has crossed my mind a few times. I just can't shake this feeling so I'm not going to leave it. She is really really sick. Cross with myself for not pushing it more on thurs.

[wtftodo]

Please call ooh or go to a&e and call a friend if possible (?) to mind your son. This sounds q like my daughter who. Had pneumonia (at 13m).

[AnotherStitchInTime]

She need to be seen, she is displaying multiple amber warning signs according to the NICE traffic light guidance. If she were already an inpatient on the paediatric ward I work on and she displayed those symptoms we would ask for a doctor to review her within half an hour. It sounds as if she will need IV antibiotics and fluids.

Count her breaths per minute, above 40 worrying needs to see a doctor urgently, above 60 call 999. Ideally should be 25-35.

Her heart rate should be under 140 beats per minute, felt at the neck or wrist. Fever, infection and dehydration can cause elevated heart rates.

Try to get some fluids into her whichever way you can. Ice chips, cubes, lollies, sucking a damp cloth, syringe it into her mouth. Tepid baths and sponging are not advised as they can cause vasoconstriction which raises core body temperature. It can also result in shivering which can raise core temperature further. Remove clothing, bedding and cool the air in the room using a fan (not on body directly) as ways of reducing the fever.

What did the paramedics say her oxygen saturation was on Thursday?

[Binkleflip]

have pmd you op, pack up your kids and get a cab to a&e right now, good luck.

[Butterfly13]

How is it going?

[shugfish]

Take her to A&E please. She sounds like the sort of person that should be in my A&E department getting treated.

[ShadowsShadowsEverywhere]

I hadn't seen the last lot of replies until now ... Have rung OOH and they said they were sending someone out. Now I've seen the A&E responses I'm now wondering whether I should wait for the someone from OOH or take her to A&E ... Although tbh by the time I've rung a taxi and got the kids in it, done the 15min journey with stop to get money out to pay said taxi the OOHs person may be here. Times like this I kick myself for not having a car. She marked it as urgent because of the lack of urine output today and said someone should be here within the hour.

[Butterfly13]

I think the Dr will send her to a&e...
In the mean time, pack a overnight bag for you all. Will be surprised if you are let out. Sounds like she needs a drip at very minimum

[Binkleflip]

phone again and say you want someone there now or you are getting a cab to a&e, be packed and ready to go because there is a good chance an ambulance will be called regardless.