Patient's question:
What are the reasons for a three-year-old child having white-colored diarrhea?Doctor's answer:
Hello:(1) Appropriate nutritional supply during dietary therapy is very important for promoting disease recovery, reducing the degree of weight loss and growth stagnation, shortening the recovery time after diarrhea, and preventing malnutrition. After the diarrhea stops, continue to provide a nutrient-rich diet and add one snack daily for two weeks to catch up on normal growth. Children with malnutrition or those in the recovery period of chronic diarrhea may require a longer duration until malnutrition is restored.
(2) Nursing care for infectious diarrhea should focus on disinfection and isolation. Pay attention to vomiting, bowel movements, and urination. Administer water or saline solutions for oral rehydration on schedule and control the speed of intravenous fluid infusion. Strengthen eye care to prevent aspiration from vomiting. Turn the patient frequently to prevent secondary pneumonia.
(3) For viral enteritis, dietary therapy and supportive therapy are the main approaches, and antibiotics are not required. Acute enteritis caused by non-invasive bacteria is often self-limiting, and supportive therapy alone may lead to recovery. However, antibiotics should still be used for newborns, infants, weakened children, and severe cases. Invasive bacterial enteritis generally requires antibiotic treatment.
1) Escherichia coli: Gentamicin, pipemidic acid, ofloxacin, furazolidone, certain cephalosporins, cotrimoxazole, berberine, ampicillin, etc.
2) Campylobacter fetus: Erythromycin, gentamicin, chloramphenicol, furazolidone, ofloxacin.
3) Yersinia enterocolitica: Gentamicin, chloramphenicol, ofloxacin, cotrimoxazole.
4) Salmonella typhimurium: Ampicillin, gentamicin, ciprofloxacin, cefazolin, cefotetan.
5) Staphylococcus aureus: Discontinue the original antibiotic and use vancomycin.