My son nearly died from this virus. He couldn't keep anything down.
The idea of treating fluids like medication is crucial. I gave my son 1 tsp. of liquid (whatever he would drink) every ten to fifteen minutes. Recommendations: pedialyte, weak tea (watered down, de-caff, not very sweet but a little bit), sprite, Popsicles, water, nothing with caffeine, watered down gatorade, watered down apple juice.
About the rash. Depending on how severe it is, you may want to take drastic measures. My son's was bleeding at one point. I had to rinse him off with water (I allowed water to drip off a cloth onto his bottom) every time he soiled his diaper. I allowed him to air dry and then I lightly dusted his bottom with corn starch - straight from the kitchen cabinet. (My mother would call this going Old School)
The problem with using thick pastes or ointments is the irritation it causes to wipe it all off. When your child is dirtying a diaper every 15 minutes, you can't wipe them that much and not cause further irritation.
The info below was taken from pediatrics (dot) about (dot) com.
Among the signs and symptoms that your Pediatrician will look at to determine if your child is dehydrated include:
* the amount of weight loss, which usually correlates to how dehydrated a child is (so 5 percent weight loss likely means that they are 5 percent dehydrated)
* how often and how much they are urinating (children with diabetes may continue to urinate frequently, even when they are severely dehydrated, so this isn't always a reliable sign)
* the presence of tears, a moist mouth and tongue, and whether or not their eyes are sunken
* their capillary refill (briefly press on your child's nail bed so that it blanches or turns white, and see how long it takes to return to normal)
* skin fold recall or skin turgor test (gently pinch your child's skin on their abdomen, hold it for a few seconds and then let it go to see how long it takes to return to the normal position)
Symptoms of Minimal Dehydration
Most children who are sick, either with a cold or mild stomach bug, will have minimal or no dehydration. These children are alert and appear well and have:
* normal thirst or may refuse some liquids
* a moist mouth and tongue
* normal to slightly decreased urine output
* less than 3 percent weight loss
* normal heart rate, pulses, breathing, and warm extremities
* capillary refill less than 2 seconds
* instant recoil on skin turgor test
* eyes not sunken (and/or fontanel in a baby)
Symptoms of Mild to Moderate Dehydration
Once their dehydration worsens, children may begin to feel tired, restless, and irritable, which makes it difficult to get them to drink more fluids. Other signs and symptoms of mild to moderate dehydration, for which you should usually call your Pediatrician, include:
* increased thirst
* a dry mouth and tongue
* decreased urine output
* 3 to 9 percent weight loss
* normal to increased heart rate and pulses, normal to fast breathing, and cool extremities
* capillary refill greater than 2 seconds
* recoil on skin turgor test in less than 2 seconds
* slightly sunken eyes (and/or fontanel in a baby)
Symptoms of Severe Dehydration
Severe dehydration is a medical emergency and you should seek immediate medical attention. These children appear lethargic (meaning they are difficult to keep awake) or may be unconscious. They also may have:
* poor drinking or may be unable to drink
* a parched mouth and tongue
* minimal or no urine output
* greater than 9 percent weight loss
* increased heart rate, weak pulses, deep breathing, and cool, mottled extremities
* capillary refill that is very prolonged or minimal
* recoil on skin turgor test in more than 2 seconds
* deeply sunken eyes (and/or fontanel in a baby)
Watch your baby closely and do not hesitate to take her back to the md. or urgent care or ER. Dehydration is your worst enemy.
My son got to the point where he couldn't cry any tears and he hurt when even slightly touched. He had been sick for only 2 1/2 to 3 days.
Let us know how she is doing please.