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What to do if my 11-month-old son has ear pain after diarrhea and vomiting?
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Pediatric Medicine
Question #30857
72 days ago
311

What to do if my 11-month-old son has ear pain after diarrhea and vomiting?

Client_5f176e

My Son is 11 months old. He is crying since 5 hours. So I had contacted a pediatrician and he told me to give him Colimex 1 ml. I had given him because he had diarrhea 2 times and vomiting 1 time in last 24 hours. But just now when I had touched his right ear he cried a lot. I had understood that he had some ear pain problem. What should I do now?

How long has your son been experiencing diarrhea?:

- 1-3 days

How many times has he vomited in the last 24 hours?:

- Once

Has he had a fever during this time?:

- No fever

Is he drinking fluids well?:

- A little, but not enough

Has he shown any other symptoms besides ear pain?:

- Cough or cold symptoms

How would you describe his crying?:

- Fussy but can be calmed

Have you given him any other medications besides Colimex?:

- No, only Colimex
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Doctors' responses

Hello, Based on your description, your 11-month-old son has had 2 episodes of diarrhea, 1 episode of vomiting, and is now crying, especially when his right ear is touched. Since he also has cough/cold symptoms, this raises the possibility of acute otitis media (middle ear infection), which is common in young children after a viral upper respiratory infection. The diarrhea and vomiting may be due to a viral illness and may or may not be related to the ear infection.

For now: • Continue offering small, frequent feeds and ORS to prevent dehydration. • Monitor his urine output and activity level. • If he is crying because of pain, a pain reliever is appropriate.

Prescription/Advice: • Syrup Paracetamol 15 mg/kg per dose every 6 hours as needed for pain or fever (do not exceed the recommended daily dose). • Continue ORS in small frequent sips after each loose stool. • Continue breastfeeding/formula feeds as tolerated. • Arrange an examination by a pediatrician today, as his ear needs to be examined with an otoscope. Antibiotics should only be started if an ear infection is confirmed. • Do not put any ear drops into the ear unless advised by a doctor.

Please seek urgent medical care immediately if he develops: • High fever • Persistent vomiting or inability to drink • Very few wet diapers • Ear discharge • Excessive drowsiness, difficulty waking, or inconsolable crying

Feel free to reach out again.

Regards, Dr. Nirav Jain Family Medicine Specialist

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Hello You did the right thing by contacting your pediatrician and giving Colimex as advised for possible colic. However, since your son cries more when his right ear is touched, it’s likely he has ear pain (possibly an ear infection), especially with recent diarrhea and vomiting.

What you should do now: - Contact your pediatrician again and let them know about the ear pain. Ear infections in babies can get worse quickly and may need specific treatment. - Monitor for warning signs: If your baby develops high fever, becomes very drowsy or unresponsive, has persistent vomiting, or you notice any discharge or blood from the ear, seek medical attention immediately. - Comfort measures: Hold your baby upright, offer fluids, and avoid putting anything in the ear.

Ear infections are common in this age group and usually treatable, but a doctor should examine your baby soon to confirm and start the right treatment.

Thank you

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Your observation of ear pain after giving Colimex for diarrhea and vomiting suggests that your son might be experiencing an ear infection or acute otitis media, a condition common in infants and often associated with upper respiratory infections. It’s important to address this promptly. First, check if he has a fever by measuring his temperature. Ear infections can sometimes develop after a cold or other illnesses that involve the respiratory system. Monitor for additional symptoms like fever, irritability, or continued crying, as these could be indicative of a more significant infection. Ensure he stays hydrated, especially since he’s had diarrhea and vomiting, as dehydration can worsen his condition. Offer small, frequent sips of water or an oral rehydration solution. Avoid giving anything else for pain without consulting a healthcare professional, considering his current medications and symptoms. Since you observed significant pain when touching his ear, it might be necessary to have him assessed by a pediatrician or go to an urgent care clinic. They can examine his ear with an otoscope to confirm if there’s an infection and decide if antibiotics are needed. Until you can see a doctor, keep him upright as much as possible; lying down can exacerbate discomfort. If he becomes lethargic, has a persistent fever, or shows signs of severe dehydration, such as reduced urination or persistent vomiting, seek medical attention immediately. These are warning signs that could indicate a more serious condition needing urgent care.

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Hello

Your son’s symptoms could be due to an acute ear infection (otitis media), which commonly develops after a cold and can cause significant pain, especially when the ear is touched. He should be examined by a pediatrician today so the ear can be checked with an otoscope. Antibiotics are only needed if an ear infection is confirmed.

In the meantime, continue offering small, frequent feeds (breast milk, formula, or oral rehydration solution) to prevent dehydration from the diarrhea and vomiting. For pain, you may give paracetamol (acetaminophen) 10–15 mg/kg every 4–6 hours as needed (maximum 4 doses in 24 hours), provided there is no allergy or contraindication. Avoid putting any drops or oil into the ear unless prescribed.

Seek urgent medical care immediately if he becomes difficult to wake, has repeated vomiting, develops a fever, has swelling or redness behind the ear, pus or blood from the ear, shows signs of dehydration (very few wet diapers, dry mouth, no tears), or if the crying becomes inconsolable despite pain relief.

Take care Feel free to reach out again

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Hello dear See as per clinical history it seems Otitis media Fortunately the pedestician has already prescribed collimex medication for fever and diarrhoea. But it seems emergency so i suggest you to please get in person consultation with pediatrician in person for better clarity Regards

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