GP advice & NHS guidelines different - what do I do? DS vomiting and diarhhoea

[Cosmo89]

DS 8mo.
Vomited up 2 feeds yesterday (one in the morning, one in the evening, so I didn't cotton on he was properly ill until the evening).

Can't keep any milk feed down today. I have tried giving milk 3 times - different amounts. Also has a bit of runny poo I thin, but has only had it once today so hard to tell.

I have spoken to the GP. He says don't feed milk, feed only dioralyte (or however it is spelt). NHS guidelines say to offer milk feeds as normal.

I'm not particularly worried - he seems relatively ok in himself - though he is very cry-y I think because he's hungry. He's now turned down the water/dioralyte mix so I might try another feed in a minute. (and I haven't got his temperature yet, DP bringing a baby thermometer back home tonight as the forehead and digital one are impossible use on him). He won't go down for a nap though, probably because he's hungry, which is very irritating as I'm sure he'd feel quite a bit better. GRrrrr to illnesses.

Breastfed or formula?

If breastfed then keep feeding little and often.

If formula fed then give milk and dioralyte unless vomiting very severe then just dioralyte for a while.

If you have a syringe (like the ones you get with calpol) try to get some dioralyte in by slowly dribbling it into his cheek. In paediatric A&E (took dd1 when she had similar bug) they mixed with a small amount blackcurrant cordial as kids really don't like the flavour. They told me 5ml for every 5 mins. You can do the same with milk if the dioralyte starts staying down. I find freezing dioralyte into lollies helps as they suck them slowly, similar thing to the syringe. Blackcurrant dioralyte and apple juice lollies went down well here.

I'm with the GP uunless breastfed. Agree little and often is the key. Has he had any wet nappies today ?

No wet nappies really.
And he's formula fed. I think the fact that he's just brining up so much of the feeds means that I'm going to lay off for a while.
How do I tell
Thank you Stitch for the advice re the syringe- hadn't thought of that, but I guess it'll have to be if necessary. He did taje a 6oz bottle of it this lunchtime so I was hoping he'd be ok. apparnetly no.
He's finally gone to sleep and I'm hoping he'll rest for a while so his body can repair itself and do some proper healing. He's frantic too.
I know I'm going to sound supremely selfish (and it is supremely selfish) but I'm really exhausted. I've just been pacing him up and down all day.

Well, that lasted 15 minutes.

The other thing is try a cup/srygine rather than bottle, which may just hit the back of his throat and make him gag (learnt the hard way when dd had tonsillitis)

Feed small amounts often, very small amounts as that is more likely to stay down. Offer water and rehydration solution.

The advice used to be to stop formula but now its to let them have it but small amounts and if over 6mths then water/fluids as well.

Bfed babies should continue to feed.

If he doesn't gave wet nsppies and seems dehydrated get him to a Dr as little babies can get poorly quickly and he may need a drip to help rehydrate him.

When you say dry nsppies are they totally dry? It can be hard to tell with disposables if they have weed. Can you leave him nappykess to see him wee and see what colour it is?

When was the last time he had a wet nappy?