What is Gastroenteritis? Gastroenteritis in Children

Gastroenteritis is an infection of the bowel that causes diarrhoea and sometimes vomiting. It is very common in young children and is mainly caused by stomach viruses.

HOW IS VIRAL GASTROENTERITIS CAUGHT?

The viruses can be easily picked up from other people who may have immunity but pass on the infection. Bacteria, usually on contaminated food and often spread by flies, can also cause the problem.

WHAT ARE THE SYMPTOMS OF STOMACH FLU?

•    Diarrhoea- frequent, loose, watery, greenish motions
•    Vomiting- usually early on
•    Abdominal pain- colicky pain may be present
•    Crying- due to pain, hunger, thirst or nausea
•    Bleeding- uncommon but sometimes seen in motions
•    Fever- sometimes present
•    Anal soreness

WHAT IS THE OUTCOME OF GASTROENTERITIS?

The fever settles in a day or so. The diarrhoea may last for up to 10 days, but usually lasts only 2 or 3 days.

WHAT ARE THE PROBLEMS OF STOMACH FLU?

The serious problems are loss of water and loss of minerals such as sodium chloride and potassium. The younger the child, the greater the danger. The main cause is persistent vomiting.

WHAT ARE THE DANGER SIGNS?

The danger signs are listlessness, difficulty in waking up, sunken eyes, very dry skin and tongue, pallor, and passing of scanty or no urine. If these signs are present, contact your doctor without delay. Your child may need admission to hospital.

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* Pre-Departure COVID-19 PCR  Swab & Serology Test for Travellers available at AIPC, Make your appointment at Tel: 6694 1661. Click here for more details.

WHAT IS THE TREATMENT FOR GASTROENTERITIS?

There is no special drug treatment for this problem. The inflamed bowel needs rest, and the body must have water and glucose.

DAY 1

Give fluids a little at a time and often, example, 50 ml every 15 minutes if vomiting a lot. A good method is to give 200 ml of fluid every time a watery stool is passed or a big vomit occurs.

The ideal fluid is a glucose and mineral powder that you can obtain from your pharmacist and make up according to the directions on the packet.

Alternatives are:
1.    Lemonade, not low calorie- 1 part to 4 parts water
2.    Sucrose, table sugar- 1 teaspoon to 240 ml water
3.    Glucose- 1 teaspoon to 240 ml water
4.    Cordials, not low calorie- 1 part to 16 parts water

WARNING: DO NOT USE STRAIGHT LEMONADE OR MIX UP THE GLUCOSE & MINERAL POWDER WITH LEMONADE OR FLUIDS OTHER THAN WATER

DAYS 2 AND 3

Reintroduce your baby’s usual milk or formula diluted to half strength, that is, mix equal quantities of milk or formula and water.

Do not worry that your child is not eating food. Solids can be commenced after 24 hours. Start with jelly, stewed apple, rice, porridge or non-fat potato chips. Avoid fatty foods, fried foods, raw vegetables and fruit and wholegrain bread.

DAY 4

Increase milk to normal strength and gradually reintroduce the usual diet.

BREASTFEEDING

If your baby is not vomiting, continue breastfeeding but offer extra fluids between feeds. If vomiting is a problem, express breast milk for the time being while you follow the oral fluid program.

RULES TO FOLLOW FOR DIARRHOEA AND VOMITING

• Give small amounts of fluid often
• Start bottle feeds after 24 hours
• Continue breastfeeding
• Start solid after 24 hours
• Maintain good hygiene- the problem is infectious

CONSULT YOUR DOCTOR IF:

• Diarrhoea is profuse, example, 8- 10 watery stools (Acute gastroenteritis)
  
• Vomiting persists
• Any of the danger signs are present
• Severe abdominal pain develops
• Diarrhoea persists or recurs with introduction of milk

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

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Gastrointestinal Tract Absorption of Nutrients

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Diarrhea Treatment, Learn what is Gastroenteritis, Management of Irritable Bowel Syndrome & Heartburn or GERD

AIPC is part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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Symptoms of COVID-19

Symptoms may appear 2-14 days after exposure to the virus.

People with these symptoms may have COVID-19:

• Cough
• Shortness of breath or difficulty breathing
• Fever
• Chills
• Muscle pain (Myalgia)
• Sore throat
• Headache
• Fatigue
• Nasal Congestion
• New loss of taste or smell
• Nausea / Vomiting
• Diarrhoea

Up to $400 per (Parent's) Medisave Account per year can be used for Vaccinations under the National Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

National Childhood Immunisation Schedule (NCIS) Singapore @ AMDA International Peace Clinic. Make your child's vaccination appointment at Tel: 6694 1661

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Other Medical Ailments - Influenza, Febrile Convulsions in Children, Anxiety Treatment, Treatment for Hepatitis B

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Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

Dr Don V H LAU   Chairperson of AMDA Singapore

MBBS (Monash), B.Med.Sc.(Hons) (Monash), Grad.Dip.Derm.(Wales,UK)

AMDA International Peace Clinic is a part of AMDA (Association of Medical Doctors of Asia). We are part of the network of AMDA Peace Clinics & Friendship Hospitals around the world. We participate in AMDA's worldwide Emergency Disaster Aid Relief missions, Social Development projects and Vaccination programmes.

AMDA, founded in 1984 has carried out more than 200 medical missions, contributing medical expertise and supplies in 65 countries over the last 36 years. AMDA holds General Consultative Status with the United Nations Economic & Social Council (UN ECOSOC) since 1995.

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Risk Factors of COVID-19 Complications

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For Medical Professionals

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AMDA International Peace Clinic

9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : info@amda.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Chairperson of AMDA Singapore

Medical Conditions Treatable with Chiropractic:  

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Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

AMDA International Peace Clinic

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·       Embedded earring stud

AMDA International Peace Clinic dedicates part of our profits to AMDA's Worldwide Emergency Disaster Aid Relief missions, Social Development projects & Vaccination programmes.

Dr Shigeru Suganami

Founder & President of AMDA - Association of Medical Doctors of Asia

INTERVIEW of Dr Shigeru Suganami, Founder & President of AMDA - Association of Medical Doctors of Asia, Medical Director of AMDA International Peace Clinic with Mr Ando of JPlus Magazine Singapore (in Japanese / Part 1 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 2 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 3 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 4 of 8)

AMDA Activities

AMDA Emergency Aid Relief Kumamoto Earthquake Apr 16