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*» BETTER CHILD * Convulsions, blood in their stool or vomit, or severe pain » Symptoms lasting longer than five to seven days, and beyond two weeks » Any child with a chronic condition such as heart disease or immune disorders Dr Rothberg reassures parents that if symptoms aren't severe, home care can help: » Keep fluids up » Continue breastfeeding and offer extra feeds + Don't stop usual milk unless diarrhoea lasts beyond two weeks » Use commercial rehydration powders » Dilute juice if it’s the only fluid they'll take, but avoid fizzy or sugary drinks “The World Health Organization also recommends making an oral rehydration solution by mixing one litre of boiled water with six teaspoons of sugar and half a teaspoon of salt,” adds Dr Rothberg. “Let it cool and offer small sips after each loose stool or bout of vomiting.” THE POWER OF PREVENTION “The best defence we have against rotavirus is vaccination,” says Dr Rothberg. In South Africa, the oral Rotarix vaccine is part of the national immunisation schedule, given at six and 10 weeks of age, and up to eight months if missed. “It's a weakened form of the virus, which trains the immune system in the gut to respond quickly if exposed,” she explains. “It's safe, effective, and has saved millions of lives worldwide by reducing severe diarrhoea, even though mild infections can still occur,” says Dr Rothberg. The vaccine is available at Dis-Chem Clinics, with bookings in-store, online at www.dischem.co.za, via the App or by calling 0861 117 427. Unfortunately, there is no cure for rotavirus, and antibiotics won't help: “the cornerstone of treatment is replacing lost fluids, either orally or, in severe cases, with a drip,” says Dr Rothberg. She also warns never to give children anti-diarrhoeal or anti-vomiting medication, as these can have dangerous side-effects. Zinc and probiotics are sometimes included as supportive treatments during recovery and may help promote gut wellness. “Vaccination won't prevent every episode of diarrhoea or vomiting, so basic hygiene is vital,” she adds. “Wash your hands thoroughly after changing nappies, after toilet visits, and before preparing food or formula. These small habits protect not just your child, but your whole family.” In the end, prevention, early recognition, and quick action are key. With the right steps, parents can help stop a common childhood virus from becoming a life- threatening emergency. = Source: Dr Judy Rothberg - Paediatrician
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