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I have a new child that has been here about 3 months. Most of the time the child has had diarrhea. The mom and dad are separated. The mom admitted to feeding the child entire meals of fruit. At first I kept telling them he had diarrhea but hadn't sent him home because they had said its fruit. I just kept warning them I would have to send him home. So now on Monday he had diarrhea and I called at 11 for them to pick him up. Told him he couldn't come back until Wed. He dropped him off this morning. I asked how the diarrhea was and he said he had a solid poop. Proceeded to show me a picture that he had on his phone of a solid poop. Didn't look very solid to me. It was a loose poop in a little pile. I pointed out it didn't look all that solid, but wasn't diarrhea. He said that oh yeah it was really solid. bull. I asked if the mom said she had given him fruit again and he said no. She said she gave him nothing. The Aunt had told me the mom doesn't like being told what to do, doesn't want to take any advice. So I think this is not going to get resolved. So I am thinking now with the next bout of diarrhea I send him home. Out for 24 hours and tell them maybe they should start looking for daycare somewhere else.
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I would consistently exclude until mom either gets the point that she needs to change his diet. Or takes him in for a check up. If yu get any flack about excluding or eventually if y need a dr note, I would term.Originally posted by Lorna View Post -
I did insist on a doctor note. but the dumb doctor just wrote them a note saying he wasn't contagious and should be able to go to daycare. Apparently doctor didn't even take a stool sample. So totally not right for him to write a note saying he wasn't contagious when he didn't know for sure.Comment
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That's why when I require a doctors visit, I send mom with my OWN FORM.Originally posted by Lorna View Post
On that form it states the symptoms I SEE. The frequency and how long it's been going on it detail.
I don't trust that parents are going to really tell the doc what they should.. Ad then e doc doesn't have enough information to make a good decision.Comment
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Stool samples won't show anything if the diarrhea is due to too much fruit, too much sugar etc.
If it happens, regardless of the excuse, exclude. If they come back and it happens again, exclude. Keep up with your 24 hour exclusion rule and let them term themselves if they don't want to do what they need to do to calm his gut. No one can afford to take that much time off work.Comment
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I had a dcm giving a dck QUARTS of OJ every evening and then getting upset with ME when I sent home for diarrhea! They FINALLY changed his diet, but it took a LOT of convincing and calling for pick up on my part.Originally posted by Willow View PostComment
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That is an awesome idea! Anyway we could get a copy of this form?Originally posted by Cradle2crayons View PostComment
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My niece and nephew used to spend one week at dads and one week at moms. Their stool was always soft/running. Nothing was wrong with them. We ended up determining it was changing between the two different diets each week. I know that if I change up my diet, things change.
Now both kids are with mom full time and the stool is much firmer.Comment
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I am so lucky my childcare provider worked with me when ds had that problem years ago. we kept a food diary both of us wrote down Everything he ate and the amount. We started with an elimination diet then slowly added back in.
found he could not have pork fat. so ham, bacon etc was out.... and only up to 1/4 cup of milk products a day. that includes in baked goods... she was a lifesaver.
If I had not been doing this she would have sent us home for sure.It:
: will waitComment
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I had this issue with a child, he was here for 2 yrs. I complained all the time. You know what the parents told me "its normal for the child to have diarhea type poop" thats what the doctor told them and then dad says that his poop is the same way. whatever.Comment
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I exclude for diarrhea that I believe to be illness related or that just becomes too much to handle (making messes). I have a child now who is believed to have Crohn's disease. His mom told me about his stools at the interview. I wouldn't exclude him unless I believed it to be caused by something else (his stools, while lacking consistency, are fairly consistent).Comment
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Here is the form I use. I don't know what C2C's looks like but mine is similar to what OP should have had parent bring to their doctor.Originally posted by missheather View PostLast edited by Blackcat31; 10-12-2014, 07:55 AM.Comment
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Personally I wouldn't term for non-illness related diarrhea. Some people actually DO have diarrhea like stools only. I have a 3.5yr old DCB who often has very soft stools but I know it's not contagious as he's always been like that for over a year. The only reason I would send a child home is with a worry of other children contracting what said child has. If its dietary I don't understand what the problem is especially with a dr's note. Is it that you don't want to change his diarrhea diapers? If child is otherwise healthy I'm not sure what the problem is?Comment
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All of my kids have been this way. We tried elimination diets with a couple of them, couldn't come up with anything. They just have non formed stool, always. We eat a very rounded healthy diet.Originally posted by TwinKristi View Post
MnMum married to DH 9 years
Mum to Girl 21, Girl 18, Boy 14.5, Boy 11Comment
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I don't do diarrhea- I don't care what is causing it or what a dr says. I will work with loose stool to a certain extent- if there is a know and unavoidable cause- but the runs are not in my pay grade.Originally posted by TwinKristi View Post
And IF a child had typical BM's that were diarrhea like- the parents should share that at enrollment AND be willing to figure out the cause. In addition be willing to eliminate the cause when it is found.
I would send home until 24 hours of firm stool every time- they will change the diet or term themselves.
As BC says- their problems shouldn't be your problems!
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