3yo not well - seen Nurse and GP

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So my just shy of being 3yo DD has been unwell since Wednesday. She vomited 1am Wednesday but then was totally fine all day. This is the 3rd time in a month this has happened where she has vomited and then been fine and no one else in the house had the same, but then by 7pm Wednesday she vomited again (projectile this time). And that was it until 7am Thursday, but this time she wasn’t keeping anything down, she wanted drink constantly, but 20 minutes later it was back up. This was constant all day, between her napping. I called our GP because I was concerned that a. This is the 3rd episode in the last month, and b. She isn’t keeping anything at all down. Nurse asked could it be a bug (which she asked last time this happened), and I said no one in her nursery has a bug, no one in the house has etc. it’s also happened before. Nurse prescribed omeprazole just in case it’s reflux, also saw DD right tonsil is inflamed so keep an eye in case spots appear. Ice cream given for dinner just so had something, but it came back up.
DD vomited for the last time at 2am Friday morning. She woke up 9am Friday, had a little coco pops and a drink and went back to sleep 9.30 until 1pm. Woke up briefly and said wanted a sandwich but had one bite and spat out and went back to sleep until I woke her at 3.40pm, as I made another GP appointment because she was clearly very lethargic, only had a wee in the morning. She fell asleep on me in the waiting room. He checked her obs, all is fine except she has an ulcer on her tonsils and he said it was viral and that’s why she’s feeling a bit poorly, said to give her anything she wants, ice cream, fizzy (but flat) drinks, just so she replaces what she’s lost, and he prescribed amoxicillin, took her to the shop for chocolate, she had 1 little bite and didn’t want more. Sips of drinks And had 1 dose of amoxicillin but fell asleep on the sofa before last dose so I took her to my bed. Slept until 7am this morning, fairly good mood, smiling, wanted yoghurt, had 1 small spoonful, sips of drinks. Very unsettled then, complaining of leg pain and belly ache, crying but refusing calpol and amoxicillin, not happy at all. Wanted a hot dog for lunch, when we got them from the shop and made them at 11am she didn’t want it, wanted to sleep. And that’s pretty much it.

anyone had something similar with their child? Not sure if I need to ring 111 with her being lethargic and potentially dehydrated but I can’t win if she cries when I try and push a drink for her, or the medicine, it just comes out of her mouth when she’s crying.

It’s definitely true that people get tunnel vision like you say, and I include myself in that as I have constipation tunnel vision!! When our son was in hospital with blocked bowel none of us could feel it from examining his abdomen. Just keep it on your radar and as you say keep an open mind as to what could be going on.

I hope she feels better soon and that you have normality in your household soon x

ps , and sorry for going on about constipation, but our normally very hyper son was sofa bound with his constipation. Sleeping in the day etc which he hadn’t done since he was 1

No need to be. I totally understand. Constipation has been an issue in this house with older DD also suffering when she was young which caused repeated urine infections 🫣 it does more to a little one’s body than one thinks!

My DS has quite severe medical needs, he cant be dehydrated etc as will cause serious issues. He also has to take medicine even when he refuses.

If she has stopped urinating please take her to A&E ASAP

However if she is ok but still needing fluids/medicine

At wits end.

Will she drink from a baby bottle? Sippy cup?

To unfortunately force meds or mls of water or dioralyte in
Wrap her in a towel, arms in tightly. Hold her firmly on your knee. Put the syringe in her cheek to the back teeth. This forces her to swallow the medicine/water.

You feel awful resorting to this, but it was shown to us at the hospital and has been very helpful for us in keeping our son well and out of hospital

Keep offering ice lollies, jelly, yogurt, fruit, custard etc

I hope she feels better very soon. Its so hard when little ones are ill

You need to force the antibiotics and fluids into her. Swaddle in towel then force the syringe into the side of her cheek then blow on her face to get her to swallow. Not nice but it’s for her own good. And stop with the crap like fizzy drinks and ice cream. She’ll have more chances of keeping down plain water and toast.

You need to force feed the antibiotics and keep up with fluids. Otherwise she will get worse AND be dehydrated. And then she will have to be admitted to hospital.

a child cannot refuse antibiotics. You are the parent you have to get them in her. It’s not negotiable.

good luck!!

I’d try bribery for the antibiotics and fluids. Something she doesn’t usually get to do. Play with my phone was one I used to use. I prefer not to use force because it makes next time so much harder
Ice lollies are great because the cold helps to numb the sore throat and it’s a sugary liquid so it goes down more easily and gives energy.
One of mine was recently prescribed a numbing spray for their throat when it was very sore.
Sometimes eating/sucking a marshmallow can help

Update: DD didn’t have pretty much anything at all to eat yesterday, but she did drink squash and water (which she has been doing pretty much the whole time, but not much), we forced the antibiotics down through lots of tears last night. This morning she had a little cereal and again forced down the antibiotics and she vomited (first time since Friday 2am), so I phoned 111 and we had a GP appointment at the local hospital. Out of hours GP lovely and very thorough. Reassured us we were doing the best we can and she isn’t too bad but there is an infection somewhere clearly and mild dehydration and she could admit us if we wanted but the hospital might just push fluids before admitting to a bed for further checks etc. so we could either do that or take her home and watch and wait, push fluids, and we have her personal number to call if we are worried and she can admit us from there if needed. She also advised to stop the amoxicillin because that’s most likely the reason for the vomiting this morning, and the ulcer was very small and no other symptoms to warrant amoxicillin, urine was fine but concentrated due to the mild dehydration. So DH and I have decided we will stop the amoxicillin, and obviously carry on pushing fluids as we have been, small amounts regularly. She wanted a bit of soft cheese so she had a tiny bit of that but then didn’t want anything else to eat. She’s sleepy again and when she wakes we will push fluids again, see if she will wee (last wee was 4am, put her on the toilet before we left and when we came back and she couldn’t do anything), and if she can’t wee or is very lethargic again I will phone the GP (she’s at work until 8pm), so at least we won’t have to go through the process of calling 111 again, if needed.