Orris

My mother has diarrhea, i have given her 200ml of in nacl 0.9. now she is feeling so cold

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This sounds like it could be a medical emergency. Please act quickly.
Feeling cold after diarrhea and IV fluids can mean your mother is going into shock (severely low blood pressure from dehydration/fluid loss). This is dangerous.
Do this RIGHT NOW:
  1. Call emergency services (ambulance) immediately - do not wait.
  2. Lay her flat and elevate her legs slightly (unless she has trouble breathing).
  3. Keep her warm with a blanket.
  4. Do NOT give her anything by mouth if she is confused or very weak.
  5. Monitor her breathing and consciousness - if she stops responding, start CPR.
Warning signs of serious shock:
  • Feeling very cold/clammy skin
  • Rapid weak pulse
  • Confusion or drowsiness
  • Pale or bluish skin
  • Very low or no urine output
200 ml of normal saline is a very small volume for someone losing fluids through diarrhea. She likely needs much more IV fluid urgently and proper medical assessment in a hospital.
Please call emergency services or take her to the nearest emergency room immediately. Do not delay.
Is she conscious and responding to you right now? Is she able to speak? That will help me give you more specific guidance while you wait for help.

Her pulse is 102

A pulse of 102 (tachycardia) confirms her body is under stress - her heart is racing to compensate for fluid loss. This is a red flag.
Her current picture:
  • Diarrhea (ongoing fluid/electrolyte loss)
  • Feeling cold (poor circulation to skin - blood shunting to vital organs)
  • Pulse 102 (tachycardia - compensatory response)
  • Only 200ml IV saline given (far too little to replace losses)
This is early/compensated shock. She needs emergency care NOW.
What to do immediately:
  1. Call an ambulance or rush her to emergency right now - do not wait for her to get worse.
  2. While waiting/traveling:
    • Keep the IV line open if you have one - give more saline as fast as she can tolerate
    • Lay her flat, elevate legs 15-30 degrees
    • Cover her with a blanket (she feels cold because blood is leaving her skin)
    • Do NOT give oral fluids if she is vomiting or very weak
  3. Watch for these danger signs that mean she is getting worse:
    • Pulse going above 120 or becoming very weak/thready
    • She becomes confused, drowsy, or hard to wake
    • Skin becomes mottled, very pale, or bluish
    • She stops urinating
    • Blood pressure drops (if you can check it)
In the hospital she will likely need:
  • Large volume IV fluids (at least 1-2 liters rapidly)
  • Electrolyte replacement (potassium, sodium)
  • Blood tests (electrolytes, kidney function, blood count)
  • Stool tests to find the cause of diarrhea
  • Possibly IV antibiotics depending on the cause
Please go to emergency now - pulse of 102 with cold feeling and diarrhea is not something to manage at home.
Is she conscious and talking to you? Is the diarrhea bloody or watery? This helps assess severity while you get her to hospital.

Bp is 110/80

BP 110/80 is actually reassuring - she is not in frank shock yet. Her body is still compensating.
Current picture reassessed:
  • BP 110/80 - borderline low-normal but holding
  • Pulse 102 - still elevated (tachycardia)
  • Feeling cold - likely from dehydration and poor peripheral circulation
  • Only 200ml saline given so far
This is early/compensated dehydration, not full shock yet. But she can deteriorate quickly if fluid losses continue.
What to do now:
Fluids are the priority:
  • If you have IV access and more saline - give another 500ml over the next 30-60 minutes
  • If she is conscious, not vomiting, and can swallow - give ORS (Oral Rehydration Solution) to drink slowly alongside the IV
  • If no ORS available, mix: 1 liter clean water + 6 teaspoons sugar + 1/2 teaspoon salt
Monitor every 15-30 minutes:
  • Pulse (aim to get it below 90)
  • BP (watch that it doesn't drop further)
  • Mental alertness - is she responding normally?
  • Urine output - has she passed urine recently?
Go to hospital if ANY of these happen:
  • BP drops below 90/60
  • Pulse rises above 120 or becomes weak
  • She becomes confused or drowsy
  • Diarrhea is bloody
  • She cannot keep oral fluids down
  • No urine in 4-6 hours
  • She does not improve within 1-2 hours
How old is your mother? Does she have any other conditions like diabetes, heart disease, or kidney problems? Those would change how aggressively she needs to be treated.

She also took water of basil seed

Basil seeds (Sabja/Tukmaria) are generally safe and can actually be helpful here.
Basil seeds in diarrhea:
  • They are high in soluble fiber, which can help bulk up loose stools
  • They have mild anti-inflammatory properties
  • The water helps with hydration
  • They are a traditional home remedy for diarrhea in many cultures - not harmful
So the basil seed water is fine and may actually help a little. No concern there.
Her current status summary:
ParameterValueAssessment
BP110/80Borderline acceptable
Pulse102Elevated - needs fluids
Temperature sensationColdPeripheral vasoconstriction
IV fluids given200ml NaCl 0.9%Not enough yet
Oral intakeBasil seed waterHelpful, continue
Right now the most important things are:
  1. Keep giving fluids - more IV saline if available, plus ORS or basil seed water orally if she can drink
  2. Recheck her pulse and BP in 30 minutes - is the pulse coming down?
  3. Has she passed urine since the diarrhea started? That is an important sign of kidney function.
Can you tell me:
  • How many times has she had diarrhea today?
  • Is she still having episodes now?
  • How is she feeling - more alert or still weak?
  • Does she have a fever?
This will help me tell you whether she is improving or needs to go to hospital urgently.

Is giving milk bad

Yes, avoid milk right now.
Here is why:
During diarrhea, the gut lining gets damaged. This temporarily reduces the enzyme lactase, which is needed to digest the lactose (sugar) in milk. Even people who are normally fine with milk can become temporarily lactose intolerant during a diarrheal illness.
What milk can do:
  • Make diarrhea worse and more frequent
  • Cause bloating, cramping, and gas
  • Increase fluid losses further
What she SHOULD drink instead:
GoodAvoid
ORS (best option)Milk
Basil seed water (already giving - good)Fruit juices (too sugary)
Plain clean waterSoft drinks / soda
Weak plain rice water (kanji)Coffee or tea
Diluted coconut waterAlcohol
The BRAT diet is also good for food if she feels hungry:
  • Bananas
  • Rice (plain white)
  • Applesauce
  • Toast (plain)
These are easy to digest and help firm up stools.
Most important right now - is she still having diarrhea episodes? Has her pulse come down from 102? Keep monitoring her BP and pulse every 30 minutes and let me know if anything changes.
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