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| The chart below summarizes common childhood illnesses and ailments that present with: vomiting, diarrhea, gas, constipation, tummy aches, poor appetite, bloody stools, and/or poor weight gain. Note: This chart is only a guide and should not replace your doctor's advice. |
Illness/Ailment/Skin Condition | What Are The Signs and Symptoms? | Is It Contagious? |
| Blood Infection Requires immediate medical attention | High fever, vomiting, diarrhea, irritability. Sometimes the only symptom is fever. Sleepy, lethargic; pale; respiratory problems; fluctuating temperature. | Can be, depending on the culprit |
Cat Scratch Disease | Chronically swollen, tender glands in neck, head, and under arms, especially if child has been bitten or scratched by a cat; mild fever; headache; fatigue; poor appetite. | No |
| Colic | Cries uncontrollably for more than three hours/day, three days/week for at least three weeks, may be most intense in evening; alternately pulls up and extends legs; may be gassy. Most common in babies under age 3 months. | No |
Constipation | Less frequent bowel movements (especially if none in three days); obvious discomfort while passing stool; dry, hard stools. Usually starts with the introduction of solid foods at age 4 to 6 months. | No |
Dehydration | More than six hours without a wet diaper; dry mouth; lethargy; sunken soft spot on head; sunken eyes; skin that does not bounce back when pinched and released; irritability; increased heart rate and respiratory rate. | No |
Flu | Severe cold symptoms, dry cough, stuffy/runny nose, fatigue. Possibly fever over 103° F, shortness of breath, wheezing, malaise, loss of appetite, vomiting. Onset is usually abrupt. | Yes; contagious from 2 days before symptoms appear and until approximately 1-2 weeks after symptoms have disappeared |
| Food Allergy Requires immediate medical attention if severe | Occurs after contact with a particular food. May have dry, itchy rash on various parts of the body. May present with itching and swelling of face, lips, and mouth; hives; watery eyes and runny nose; vomiting, diarrhea, or difficulty breathing. | No |
| Food Poisoning (E.Coli, Salmonella, Shigella, etc.) | Vomiting, diarrhea mixed with blood or mucous, fever, body aches, abdominal pain. | Yes; until diarrhea stops and stool is formed. |
| Gastroesophageal Reflux Disease (GERD) | May eat well or refuse food. May cry suddenly (resembling colic). Frequently spits up or vomits. May lose weight. May wheeze, cough, or gag. | No |
| Gastroenteritis (Stomach Flu) (Viral-Rotavirus) | Diarrhea; vomiting; abdominal pain; fever; chills; achiness. If bacterial infection, blood may be present in stool. | Yes; until diarrhea and vomiting have stopped. |
Hepatitis (A,B,C) | Fever; listlessness; vomiting; loss of appetite; jaundice (yellowing of the skin and eyes). May be asymptomatic (no symptoms). | A-Yes; through stool of infected person. B- Yes; through contact with blood and body fluids of infected person. C- Yes; through contact with blood and body fluids of infected person. |
| Incarcerated (Strangulated) Hernia Requires immediate medical attention | Lump in the genital area (inguinal hernia) or near the belly button (umbilical hernia) that suddenly becomes larger, harder, or darker, and cannot be easily "pushed back in". May vomit. | No |
| Intussusception Requires immediate medical attention | Sudden onset of pain; vomiting; lethargic; passing bloody, mucous stools. | No |
| Lactose Intolerance | Fussiness after feeding; gas; bloating; diarrhea; foul-smelling stools. | No |
| Meningitis (Group B Strep and Strep Pneumoniae) Requires immediate medical attention | High fever, vomiting, irritable, poor appetite, bulging soft spot on head; stiff neck; sensitivity to light; lethargy; poor feeding; diarrhea; cold hands and feet; rash or blotchy skin; difficulty breathing; seizure. | Yes; can be contagious up to 2 weeks (depending on the culprit). |
| Milk Allergy Requires immediate medical attention if severe | Hives; rash; trouble breathing; wheezing; swelling; vomiting; diarrhea; gas; blood in stool; failure to gain weight usually occurring immediately or within a couple of hours after ingesting milk. | No |
Milk Protein Intolerance | Gas; diarrhea; vomiting; colic; bloating; bloody stools; refusal to eat; eczema; coughing; wheezing usually occurring immediately or within a couple of hours after ingesting milk. | No |
| Overfeeding | Vomits during or after large feedings. | No |
| Overheating | Flushed face, irritability, lack of appetite, damp hair, and/or heat rash due to warm environment. | No |
| Poisoning Call Poison Control Center immediately (800-222-1222) or 911 if breathing becomes labored or baby becomes unconscious. | Vomiting; diarrhea; excessive perspiration; fatigue; convulsions; labored breathing (wheezing, apnea, stridor, etc.); unconsciousness. | No |
| Pyloric Stenosis Requires immediate medical attention…THIS IS A MEDICAL EMERGENCY! | Forceful "projectile" vomiting after feeding which can lead to dehydration; persistent hunger; weight loss; lethargic. May have infrequent bowel movements. May become jaundice. | No |
| Reye's Syndrome Requires immediate medical attention | Associated with taking aspirin. Abrupt, persistent vomiting occurring with recent viral infection; drowsiness; personality changes; fever; diarrhea; convulsions; seizures; or may become unconscious. Very rare but can be fatal. | No |
Roseola (Sixth Disease; Baby Measles) (Herpes Virus 6 or Herpes Virus 7) | Sudden onset of high fever between 101° and 105°F for two to five days; irritable; bulging soft spot; swollen glands in neck; runny nose; diarrhea; swollen eyes. May have runny nose before or with the fever. After fever breaks, a rash appears on torso, spreading to neck, face, and arms. | Yes; through respiratory droplets, saliva, or feces. |
Teething | Drooling, gum sensitivity, irritability, biting/gnawing, difficulty feeding, difficulty sleeping, runny nose, loose bowel movements, low-grade fever. May pull on ear. | No |
Thrush | White patches in mouth and on tongue that looks like milk but does not scrape off easily (and is not painful). May be irritable and refuse to eat. | Yes; until after 24 hours of anti-fungal treatment. |
| Urinary Tract Infection | Irritability; cloudy, bloody, or foul-smelling urine; fever. May have vomiting and/or diarrhea. | No |
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Author : Diba Tillery RN, BSN, IBCLC, CPST






