Has vomiting, diarrhea, tiredness, arms and leg pain. Serious?
Patient: I have a 5 year old who woke up Monday throwing up. She only threw up once but has had diarrhea for the last couple of days and has been very tired. Today she woke up complaining of arm and leg pain and we carried her down the stairs. She ate a good breakfast this morning which was the first solid meal she has had in a few days. She did walk from a little after that but is very tired. Is this a simple stomach bug or something more serious with the arm and leg complaints? Doctor: Hi, Thanks for posting your query. Do you have fever/ spasmodic abdominal pain/ nausea or vomiting/ acidic belching? With the available described symptoms, there could be possibility of acute viral gastroenteritis. Myalgia is an integral prodromal symptom of viral infection. You should consult with internal medicine specialist/ pediatrician and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, and serum electrolytes. Viral infection has also some effect on liver and that's why loss of appetite and fatigue is very common with viral infections.You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics. You should maintain your hydration by taking potassium rich liquids. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava