Any doctors about? Worried about dd

[Fisharefriendsnotfood]

Had an earlier post about how she has been overtired without explanation for about 4 weeks. Took her to gp and turned out she had a kidney infection. She finished a week of antibiotics on Wednesday.

She woke Friday with a temp. It has been consistently high, but I'm managing it with calpol and nurofen. She has a touch of diarrhoea and a cough also.

When she was diagnosed with the kidney infection I ordered some of the urine test strips. Today I tested her urine invade temp was related to kidney infection coming back but it was negative. However, it showed really high levels of 'Ketones'

I've had a google and it seems linked to diabeties.. What should I do? Emergency apt with doc on Monday?

a high level of ketones can happen if you are dehydtrated, or losing weight, as far as I know. (my dds breath smells of nail varnish- ketones- when they have tummy bugs ) so don't panic, but def worth getting her checked- call NHS direct to see if you need to go to an out of hours GP.

Helly's post is spot on, give nhsd a call 0845 46 47

Yep NHS

I'm sorry I'm not a doc, but as she is poorly and you are worried, I would get an out of hours appt.

Otherwise, in my painful experience, you spend the whole weekend fretting and churned up with worry, constantly thinking 'Have I done the right thing? Do they need to see a doc NOW?' Much better to go to GP's and avoid this.

Get advice asap, from the doctor treating her.

Why did ypu get the urine sticks if you don't understand the results? It will only worry you further if you try & self diagnose.

Dr Google is notoriously unreliable as the symptoms are taken out of context !

Keep plying her with fluids ( her wee should look like dry white wine not tea) and ring NHS direct.

So worrying when they are unwell but best to get help.

Has she eaten anything? If not that could give ketones - ds1 used to get cyclical vomiting and I would always smell the ketones on him (pear drops). They can also make you feel very nauseous, I used to give him sugared water.

Given that she's had a nasty infection etc then of course ring the OOH if you're worried. (In my area the OOH are quite helpful on the phone and will tell you if you need to be seen).

I think I'll wait till Monday. Seems that the ketones are likely from fever and dehydration. She doesn't seem unwell in herself except from when the medicine wears off and temp spikes. She is outside now running around not a bother on her.

Thanks for the replies

If there is also glucose in the urine with the ketones then you must call a doctor and not leave her. If however it is just ketones and she otherwise seems well then keep an eye on her. It would be worth taking a fresh urine sample to the doctor on Monday if she is still under the weather though.

saintly- what is cyclical vomiting? I'm asking as my dd (7) has had at least 6 episodes this year, which seems excessive.

Do the urine strips show glucose? If so and glucose & ketones in urine it could be diabetes & you need to go to out of hours doctor but ketones can also be starvation ketones due to other reasons so may just be due to illness / temp.
If you are worrying then get some advice.

Helly it's bouts of vomiting not linked to bugs or food poisoning etc.

I don't think ds1 actually had 'proper' cyclical vomiting as his was always linked to refusal to eat - so I think it resulted from low sugars and therefore had a recognised cause - but I do know a child who had it. It was very debilitating for him. Wiki has a good summary en.m.wikipedia.org/wiki/Cyclic_vomiting_syndrome#section_4

If she's dehydrated which is likely with diarrhoea coupled with the hot weather, don't give her plain water, get some oral rehydration sachets or failing that - fruit juice with a pinch of salt or very soupy soup, like a broth with enough salt. See NHS direct for advice on dehydration. That Vita Coco coconut water is great for rehydration but it's expensive.

Hope she feels better soon.

Bah forgot to tick en.m.wikipedia.org/wiki/Cyclic_vomiting_syndrome#section_4

That is interesting as she had only had one tummy bug ever until last year, and then in the past six months or so she's had so many, and missed a lot of school. Every time she gets a tummy ache, behind the tummy button, and then within a few hours the vomiting. Sometimes she is only sick once, sometimes many times over a few hours, it always stops within about 8 hours. Only once has her sister also been sick, although once or twice her sister has had diarrhoea a few days later. We assumed that she was just picking up a lot of bugs, but we did take her to the GP to rule out a grumbling appendix. Now I am wondering if it could be cyclic vomiting.

Might be worth querying if it happens again? Perhaps keep a diary of when it happens? Poor dd.

A diary is a good idea, she had an episode last week, about five or six weeks after the previous one. I think the longest she's gone without a bout is about 8 weeks this year. (sorry op to hijack your post, this is how I know about nail-varnish remover/pear drops smelling breath with bugs!).

Does sound like Cyclical Vomiting. Try suggesting it to doctor....it can often take years to diagnose if that is what it is. If you do get a CVS diagnosis, please contact me through mumsnet. My ds has it and we have seen the expert who happens to be here in LA and he has put ds on a regimen of nutrients (with no side effects) that seem to have "cured" him.

Thankyou Sofia. She is really frightened of being sick now, because it happens so often. She is quite thin and loses weight with each bout so it does worry me, aside from tooth enamel and the general horribleness of a day of sickness. Her school have queried how much she has missed too, so it is quite stressful.

Do migraines run in your family (maternal side)? Look up Dr. Boles and his papers on Cyclical Vomiting. There are quite good descriptions of what it is and the link to migraines.

Ds missed 5 weeks of 4th grade and 8 weeks of 5th grade from migraines and related illnesses. This last year he missed much less because he is at a very small flexible private school where he could go in even if he was vomiting or exhausted and they would accomodate him and let him take a nap whenever he was tired. If he had been in public/state school he would have missed many months of school.

Yes, migraines do run in the family- I have migraines with aura but without the pain, my mother had full on migraines that stopped after the menopause I think. I will check out the papers you mention.

Sounds like it is definitely Cyclical Vomiting or Abdominal Migraines.....I will send you a message through mumsnet and get you the articles directly if you respond and send me your email.