[40F] With daughters experiencing multiple symptoms

Patient Description

A 40-year-old female reports that her 18-month-old and 7-month-old daughters have been experiencing runny noses, swollen and pinkish eyes, diarrhea, and rashes on their buttocks for the past couple of days. The rashes are described as bright red, bumpy, and even bleeding slightly. The diarrhea is almost clear, has no smell, and is constant. Both daughters have had slight fevers and one instance of vomiting. They have not been in contact with anyone with similar symptoms or known allergens recently. The children attend daycare, but there is no known exposure to similar symptoms there. No medications have been administered to the daughters, and they have not shown signs of dehydration.

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Arora's Assessment

What might be happening

Based on the symptoms you've described for your daughters—runny noses, red and swollen eyes, diarrhea, and rashes on their buttocks—here are some possible explanations:

  • Viral Infection: It's common for children, especially those in daycare, to catch viral infections. Symptoms like runny noses, red eyes, and diarrhea are often seen with viral illnesses. The rash on their buttocks could be due to irritation from frequent diarrhea.

    • Treatment: Viral infections usually resolve on their own. Keeping your children hydrated and comfortable is key. Over-the-counter medications can help manage symptoms, but consult a pediatrician before giving any medication.
  • Allergic Reaction: Allergies can cause runny noses and red eyes. Diarrhea and rashes could also be a result of an allergic reaction to something they ate or were exposed to.

    • Treatment: Identifying and avoiding the allergen is crucial. Antihistamines can help with allergic symptoms, but again, consult a pediatrician.
  • Bacterial Conjunctivitis (Pink Eye): The red, swollen eyes could be a sign of bacterial conjunctivitis, which is contagious and can spread in daycare settings.

    • Treatment: Bacterial conjunctivitis often requires antibiotic eye drops, so a visit to the doctor is necessary.

What you can do

  1. Hydration: Ensure your daughters are drinking plenty of fluids to stay hydrated, especially with the frequent diarrhea.
  2. Diaper Rash Care: Use a barrier cream or ointment to protect their skin from further irritation. Frequent diaper changes can also help.
  3. Hygiene: Encourage good hand hygiene to prevent the spread of any potential infections.
  4. Comfort Measures: Use saline drops for their noses and a cool, damp cloth for their eyes to provide some relief.
  5. Monitor Symptoms: Keep a close eye on their symptoms. If they worsen or new symptoms appear, seek medical attention.
  6. Use MDandMe: You can use MDandMe to journal their symptoms, track progress, get insights, and share longitudinal medical notes with their provider.

What you should look out for

Seek medical attention if:

  • The diarrhea becomes severe or contains blood.
  • They show signs of dehydration (dry mouth, sunken eyes, decreased urine output).
  • Their fever persists or worsens.
  • The rash becomes more severe or spreads.
  • Their eyes become more swollen or start to discharge pus.

Remember, while this advice can help manage symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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6 mo ago

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People Also Ask


What are common causes of runny noses and red eyes in young children?

Common causes of runny noses and red eyes in young children include viral infections, allergies, and bacterial conjunctivitis. These conditions are often seen in daycare settings where children are exposed to various germs and allergens.


How can I treat diaper rash that is bright red and bleeding?

To treat diaper rash that is bright red and bleeding, use a barrier cream or ointment to protect the skin, change diapers frequently, and ensure the area is clean and dry. If the rash does not improve, consult a pediatrician.


What should I do if my child has constant diarrhea with no smell?

If your child has constant diarrhea with no smell, ensure they stay hydrated by offering plenty of fluids. Monitor their symptoms closely, and if the diarrhea persists or worsens, seek medical advice.


When should I seek medical attention for my child's symptoms?

Seek medical attention if your child's diarrhea becomes severe or contains blood, if they show signs of dehydration, if their fever persists or worsens, if the rash spreads or becomes more severe, or if their eyes become more swollen or discharge pus.


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