• Do not give anything by mouth for 3-4 hours after the last time patient vomited. Then only give small sips of clear liquids (7-up, Sprite, Ginger ale, pedialyte or watered down Gatorade)
  • Remember smaller volumes a little more often stays down longer than larger volumes less often
  • Absolutely no dairy or dairy products! (NO milk, cheese, yogurt, ice cream, cottage cheese, Pediasure, carnation instant breakfast or other instant breakfast drinks, hot chocolate or flavored coffee) for a minimum of 72 hours.
  • No fruit or fruit juices (no orange juice, sunny delight, apple juice, grape juice, or any other fruit juice) for a minimum of 72 hours
  • If tolerating clear liquids may slowly advance to a BRAT diet. If nausea and vomiting continues for longer than 24 hours call the doctor.


  • Diarrhea can be caused by many different things: disease (viral, bacterial, and parasitic), medication and diet. We will review the symptomatic treatment for viral diarrhea.
  • We start off the same as with nausea and vomiting.
    No dairy or dairy products (no milk, yogurt, pudding, ice cream, cheese, cottage cheese, macaroni & cheese, Pediasure, carnation instant breakfast, or other instant breakfast drink, no hot chocolate or flavored coffee)
  • No fruit or fruit juices (see above list) (except bananas and applesauce)
  • No greasy foods (no chicken nuggets, french fries, hot dogs, pizza, lunch meat)
  • Place on BRAT diet (SEE BELOW) until stools are normal.
  • If diarrhea lasts longer than 72 hours call the doctor.


  • Bananas (raw real bananas, baby food) No Banana Pudding
  • Rice (rice cereal, minute rice (no butter), infant cereal not mixed with cereal)
  • Applesauce (No other apple product. It has to do with how it is processed.)
  • Toast (dry plain cheerios (if patient is old enough), crackers (saltines not club or Ritz or gold fish), toast (no butter) or plain bread
  • HINT: (you can mix the applesauce in with the rice. Kids seem to like this combination)


  • Fever is a friend. It is your body’s way of fighting viruses and bacteria.
    Do not medicate unless temperature is greater than 101 on the thermometer (not by touching the forehead with your hand) or child is extremely uncomfortable.
  • Give Tylenol only. Do not alternate with Motrin unless Doctor told you to do so with current illness
  • If fever greater than 104 and not coming down with Tylenol call the Doctor


  • We recommend and encourage every family to learn CPR and First aide.
  • If you are interested in taking a CPR class, visit the Red Cross website for classes near you.


  • Ringworm is a fungal infection that is treated with over the counter LOTRIMIN CREAM apply 4 times a day for 14-21 days. The child can go to school or day care as long as it is covered.
  • If the ringworm spread to the scalp please call the Doctor.


  • Hand, foot and mouth disease is a common childhood virus. It is considered a viral illness. It is contagious. This virus is characterized (usual symptoms) by a fever, blister like sores in mouth, and rash or blisters on soles of feet and palms of hands. Can also be on chest or back, diaper area.
  • Patient may have increased saliva and feel pretty miserable.
  • Cool foods may feel better instead of hot foods. Stay away from spicy or acidic foods.
  • Treat with Tylenol for fever and discomfort. Call doctor for other treatment options.


  • 5th disease is a normal childhood virus that is characterized by a lace-like rash on cheeks and chest.
  • The cheeks may look like someone has slapped them. Once patient has this rash they are no longer contagious. They were contagious when fever was present (likely 3-5 days earlier). Often there is no fever or other signs of illness.
  • If any questions call the Doctor.


  • The CDC and the Arkansas State Health Department both highly recommend all children be immunized. The American Academy of Pediatrics and Dr. Cheshier also highly recommend children to be immunized. In our office we have the vaccine information sheets if you would like to educate yourself.
  • If you do not want to immunize your child you need to contact the State Health Department in Little Rock at 501-661-2169. They will send you the forms that are required to be exempt.
  • Here are some websites we recommend: