Child Health  |  Gastroenteritis Pathway - Caregiver advice for children over six months




Child Health

Gastroenteritis Pathway - Caregiver advice for children over six months

Your child has gastroenteritis. This infection is usually caused by a virus but may be caused by bacteria.

This note tells you:
1. What you can expect and how you can help your child
2. How to recognise when you should get urgent advice
3. How to recognise danger signs


1. What you can expect and how you can help your child

Your child is likely to be much improved in one or two days but the diarrhoea might drag on for longer than this.

Keeping your child’s fluid up is very important to treat or prevent any dehydration. As a general rule, you can give your child as much fluid as they want until the diarrhoea stops.
If your child is already a little dehydrated, your doctor may give you more specific advice and arrange to review your child regularly.

Doctors often advise giving one teaspoon (5ml) of fluid every minute. This is effective even if the child is vomiting. An alternative is to give a quarter of a cup every 15 minutes.

Use these fluids
Plasma-lyte-O and Pedialyte are specifically designed for fluid replacement. If this is not available other fluids can be used instead.

You could use:
1. Breast Milk
2. Milk formula
3. Cow’s milk (only if the child is over one year old)
4. Clear soup
5. Lemonade (flat and diluted, one part lemonade with five parts of warm water)

Do not use:
1. Coke
2. Tea
3. Coffee or
4. Sports drinks

They are not suitable because they contain too much sugar or stimulants and may aggravate diarrhoea and worsen dehydration.

Other things to do:
1. Allow your child to eat if they are hungry
2. Encourage regular hand washing to prevent the spread of infection
3. Keep the bathroom and toilet clean
4. Keep your child away from other children
5. Consider applying a barrier cream (eg zinc and castor oil cream) to the nappy area to protect the skin.
In viral gastroenteritis, medicines are not usually helpful and may cause harm.


2. When you should get urgent advice

You can expect your child to improve so you should get urgent advice from a doctor or nurse if they get worse. Any one of the following may be a sign of the illness getting worse:

  • Not improving within 48 hours
  • Getting irritable or restless
  • Getting more thirsty
  • A very high fever
  • Persistent pain in the stomach or abdomen
  • Blood or mucus in the poos
  • Both vomiting and diarrhoea which persists for more than a few hours
  • Not passing much urine (dry nappies)


3. Danger signs

The following are danger signs. Dial 111 or contact a doctor immediately if your child has any of the following:

  • Mottled, grey or bluish skin
  • Drowsy, floppy or difficult to wake
  • Sunken eyes
  • Not able to drink
  • Appears to you to be very ill

Healthline is available for free, confidential health advice 24 hours a day.

Healthline nurses do not diagnose over the phone but will assess the situation and provide as the best
course of action.
Call 0800 611 116 from either a landline or a mobile phone

Your child may need a further check up

Your Doctor or nurse may want to check your child even if things appear to be going as expected.  If you have been advised to have a check up, write the details here:

Check up time and date:
At the following location:
Name of person doing the check up:
Phone number:

For more information visit: www.kidshealth.org.nz



Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.