A recent study suggests that blanket dismissal of signs of a childs gastroenteritis or gastroenteritis-like symptoms is not necessary for kids who later develop other tangible symptoms such as fever chills and pains.
Some parents worry that a medical evaluation may be needed in some situations but guidelines for its care vary Fraser Health Colleen Nash-Lam said adding that she hopes researchers can set further ground for future studies.
Some guidelines say a child should stay with their parents for three weeks unless infected she said. It gives parents time to figure out why they should vaccinate and also allows for interviews between parent and clinician about what they know about the patient and potential future diagnosis and treatment options.
The study appears online in the Journal of Gastroenterology and Digestive Systems. Although researchers noted some limitations the length of the study provided enough statistical heterogeneity for most of the pediatric gastroenterologists to find only a few cases.
All gastroenterologists at Baylor reviewed the information and agreed that if a child 1 year old develops gastrointestinal symptoms of gastroenteritis or anything suggests a fever an ear infection or any other lesions then they have a public health need to get medical evaluation said Dr. Daniel Vetter chief of gastroenterology at the Fort Worth Starkey Childrens Hospital which conducted the study.
If the physician states what they feel is reasonable to go to a specialist to determine if or not a child has MEELAS (Metabolic Encephalopathy) such as fever chills headache and confusion and pain in the eyes nose or head then that is a strong indication of a need to undergo medical testing. Children should follow up with a gastroenterologist if any of these symptoms occur.
No questions were asked about length of stay.
Colleen Nash-Lam said she hopes researchers will explore mucosal abnormalities and mucosal damage over time particularly during any chemotherapy treatments for COVID-19.
Children are young and they do not have the same opportunity for making discoveries as adults she said. There is clearly a need to identify their needs.
Drs. Vetter and Nash-Lam plan to follow up with more research.
Chronic mucositis can last years and can develop during childhood. So its important to determine if the condition continues to progress and need testing if a child in the study developed any of these symptoms. A pediatric doctor will do their best to keep the children out of hospital or else has to go back to the office Dr. Vetter said.
The gastroenterology team plans to improve resources both at Baylor Cornelia Medical Center and at the University of Virginia Medical Center.
An approximate salary is 69600 for two full years.
Baylor Cornelia Medical Center