Patient's question:
What medication should be taken for toxic colitis with nausea, vomiting, dry cough, high fever, and sore throat? The symptoms started with dry cough, then high fever, followed by vomiting everything eaten. Last night, nausea and vomiting occurred twice, with thick, foul-smelling, fishy discharge, and a high fever of 39°C. Today, there have been many watery bowel movements, with persistent high fever above 38°C.Previous Treatment and Effects:
Yesterday, a hospital administered three bottles of intravenous fluids including Wypialin, Vitamin B6, and anti-inflammatory, fever-reducing medications. Today, at the Maternal and Child Health Hospital, a stool test showed positive for rotavirus, and a blood test confirmed gastroenteritis. The prescribed medications include Ribavirin granules, Montmorillonite, cross-linked lactic acid bacteria, and saline supplements.
Is it sufficient to take only these medications?
The child has previously had gastroenteritis and responded well to Cefixime. This time, it is not being used, and there is concern that the condition may worsen, requiring intravenous fluids.
Assistance Needed:
- Is it sufficient to take only these medications?
- Is an anti-inflammatory medication necessary? How should this be resolved?
- What diet should be followed?
A blood test was conducted, and the results are as follows:
- Hemoglobin: 100
- Hematocrit: 31
- Mean Red Blood Cell Volume: 71
- Mean Hemoglobin Concentration: 324
- Lymphocyte Percentage: 58.14
- Monocyte Percentage: 11.44
- Neutrophil Percentage: 30.14
- Eosinophil Percentage: 0.14
- Lymphocyte Absolute Value: 4.30
- Monocyte Absolute Value: 0.84
- Red Blood Cell Distribution Width: 15.7
These are the only abnormal results, but it is unclear whether it is a bacterial infection. Could the doctor please review this?
Doctor's answer:
Viruses are double-stranded RNA viruses and are the main pathogens causing acute infectious nausea and vomiting in infants and young children. Domestic survey reports indicate that the overall positive detection rate of rotavirus in children with acute nausea and vomiting is 39%, with the highest positive rate in the 6 to 12-month age group, exceeding 57%. The peak incidence occurs from October to December each year, hence it is also known as autumnal nausea and vomiting. Using low-dose interferon to treat rotavirus enteritis, with a daily intramuscular injection of 50,000 units, alternating for 7 days, achieves a total effective rate of 85.8%, significantly higher than the control group (57.1%), and significantly improves immune function after treatment.