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Parents and carers

Viral Gastroenteritis: A Guide for Parents

· Jun 18, 2025 ·

What is it?

Viral gastroenteritis, often referred to as a stomach bug, is an infection of the intestines caused by various viruses, such as norovirus, rotavirus, or adenovirus. It is highly contagious and can spread easily. Viral gastroenteritis is a common illness, particularly in children.

What symptoms do you get?

The symptoms of viral gastroenteritis usually include sudden onset of diarrhoea, which may be watery or contain mucus, as well as vomiting, stomach cramps, nausea, and sometimes fever. The usual duration of diarrhoea is 5-7 days and in most children it stops within 2 weeks. The usual duration of vomiting is 1-2 days and in most children it stops within 3 days.

How is it diagnosed?

Viral gastroenteritis is typically diagnosed based on the child’s symptoms and a physical examination by a healthcare professional. In most cases, specific tests to identify the virus causing the infection are not necessary, as the illness is usually self-limiting and resolves on its own without specific treatment. However, in severe cases or if complications are suspected, your healthcare provider may recommend stool tests or other diagnostic tests to rule out other possible causes of the symptoms.

What is the treatment?

Treatment for viral gastroenteritis focuses on relieving symptoms and preventing dehydration. ‘It’s essential to keep your child well-hydrated by offering frequent sips of sugary fluids, avoiding fizzy drinks. You can also consider oral rehydration solutions, such as dioralyte, which is available in supermarkets and chemists. You can also offer bland, easy-to-digest foods such as crackers, rice, bananas, and toast as tolerated. In some cases, your healthcare provider may recommend anti-nausea medications, but these are typically reserved for more severe cases or for children at higher risk of dehydration. To help prevent the spread, wash your hands with soap and water regularly, especially after going to the toilet, changing a nappy or before touching food. Your child should stay off nursery/school until 48 hours after vomiting and diarrhoea.

Remember, viral gastroenteritis is usually a self-limiting illness that resolves on its own within a few days to a week with proper care and hydration. However, it’s important to monitor your child closely for signs of dehydration, such as decreased urine output, dry mouth, or lethargy, and seek medical advice if you have any concerns.

Use this quick guide to know what signs to look out for in your child.

Unsettled baby

· Jun 18, 2025 ·

Having an unsettled baby is really common. It’s important to know what is normal, when to worry and what you can do to help. It is normal for a crying baby to make you feel overwhelmed. It’s okay to put your baby down in a safe place and walk away. Never shake your baby.

The ICON website is an incredibly helpful resource with great information to help you understand and manage your crying baby and your own well being.

When to worry:

  • Fever
  • Vomiting
  • Working hard to breathe
  • Rash that doesn’t go away when you press on it
  • Floppiness
  • Poor feeding
  • Gut feeling that something is wrong – you know your baby best!

Discomfort When Pooing (Dyschezia) in Babies

· Jun 18, 2025 ·

Infant dyschezia is a common problem seen in up to 10% of babies under 1 year, usually between 1 and 9 months of age. Dyschezia is a medical term for apparent discomfort around the time that a baby has a poo. It can often be mistaken for constipation, as the baby will cry, strain, and go red in the face for several minutes (up to half an hour) before passing a stool. However, it is different to constipation because the stool is soft (not hard) and the baby usually opens their bowels everyday or every other day.

Why does it happen?

Dyschezia happens because the baby is still developing their muscles in their abdominal wall (tummy) and their pelvic floor (bottom). These need to work together to allow the baby to pass stool comfortably. It is a process – just like learning to roll, walk and talk. For this reason it can take several weeks or months to fully resolve.

What NOT to do

If the stools are soft, there is no point in using laxatives or other medications for this condition – they won’t help the muscle coordination develop any faster. It’s also not helpful (and can be very harmful) to use cotton buds, suppositories, or other instruments in the baby’s bottom to relieve the stools.

What you CAN do

Some parents find that gently cycling their baby’s legs up to their belly can help (this probably helps relax the pelvic floor). Otherwise, your baby will benefit from any soothing comfort while they are crying– cuddles, talking/singing, a warm bath, carrying around, or sucking on a dummy if they have one. It might help to know that there is a theory that the crying is helpful to the baby because it increases the pressure in their abdomen which helps pass the stool – and is not necessarily a sign of pain or distress.

When to see your Health Visitor or GP

  • If the stools are hard or infrequent (less than 2-3 per week)
  • If the abdomen is very large (distended)
  • If there is lots of vomiting, or any green vomiting

 

Eczema

· Jun 18, 2025 ·

What is eczema?

Eczema is a common skin condition which usually first presents in childhood, affecting 1 in 5 children in the UK. It often runs in families and can be associated with other allergic-type conditions (also known as atopic conditions) such as hayfever, food allergies and asthma. Eczema can be variable from person to person, affecting different parts of the body and with different levels of impact on the individual.

What causes eczema?

Your skin is a natural barrier which protects you from the outside world whilst also keeping the moisture in. In eczema, the barrier doesn’t work as well as it should, allowing moisture to seep out and things from the environment to get in. This results in skin which is dry, inflamed and itchy due to a loss of moisture and irritation from particles in the environment.

Click here to watch a video on what eczema is and its symptoms

The skin in eczema is usually itchy and dry, and if severe can cause difficulties with sleeping and participating in regular activities. Sometimes the skin will bleed due to scratching, and over time the skin can become thickened due to repeated scratching.

Often these symptoms fluctuate, with episodes called ‘flares’; sometimes flares occur due to exposure to a trigger, at other times there is no clear cause.

Eczema can affect anywhere on the body, but typically is found in the joint creases in children, for example the knees and elbows. In babies it often begins on the cheeks.

 

 

Basic life support

· Jan 24, 2025 ·

If a baby or child has a cardiac arrest or a breathing emergency, Basic Life Support (also known as CPR) is an important skill for parents and carers to have. Knowing what to do in an emergency situation can make a real difference before additional help from the emergency services arrives.

It is highly recommended that parents and carers looking after children should go on a first aid course, to help develop the skills and confidence needed to know what to do.

Our videos show the technique to start Basic Life Support for infants and children, as well as what to do in the event of choking. In an emergency, always dial 999.

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