my daughter 5 yo, presented two nights @0100 ago w/ acute onset n/v and abd discomfort, her abd was - for point tenderness, rebound pain, or regidity, that continued thru the day, she was afebrile until about 1600 at which point she spiked to 103, I gave her tylenol, the following morning she was afebrile and seemed to be cleared of the n/v. Last night my 4 yo son started w/ the same sx also afebrile, now the female is c/o abd pain and nausea again, she remains afebrile. I suspect a viral etiology with the delayed onset of the sibling. Since her sx have now reached a 3 day point, do I need to take her to the ped for eval or continue to treat her at home, thanks, RN
Hi, By what you say I feel that both the kids are having viral illness as it spread in two members of the same family. I will explain to you how a viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further.