How to treat prolonged diarrhea in children

Patient's question:

5 days without eating or drinking, only breastfeeding, with very smelly stools, and already having a high fever. The fever stopped after enema; then continuous nausea and vomiting, Montmorillonite powder and lactobacillus capsules for treatment.
Condition: After taking the medicine for 4-5 days, it has disappeared, and it's getting better. What should I do? The test showed some white cells...

Doctor's answer:

Adjust the child's diet properly to reduce gastrointestinal stress. Some parents go to great lengths to feed their children high-fat, high-protein foods like chocolate, milk, and eggs, thinking this will compensate for the loss caused by nausea and vomiting. Unaware, they inadvertently increase gastrointestinal pressure, prolonging the duration of nausea and vomiting. At this time, it is advisable to give the child easily digestible foods, such as rice soup, sugar and salt hot water, or even temporarily restrict bowel movements, to allow the gastrointestinal function to fully recover and slow down the overall healing process.
Third, pay attention to preventing your child's abdomen from getting cold. The abdomen of young children is easily chilled, and children suffering from nausea and vomiting already have accelerated intestinal motility. If their abdomen is further exposed to cold, the intestinal motility will increase, worsening the condition.
Second, pay close attention to protecting the child's buttocks. Due to frequent bowel movements, the skin and mucosa around the anus will inevitably sustain varying degrees of damage. Parents should pay special attention to the anal area during care. After defecation, use soft, absorbent toilet paper to gently wipe or dampen soft gauze with water and gently clean. After cleaning, apply a small amount of ointment to prevent diaper rash. It is also essential to change diapers promptly to prevent urine-soaked diapers from rubbing against the skin and causing further breakdown.
For used toilet utensils, diapers, and clothing or bedding contaminated with industrial pollutants, they should be disinfected and sterilized promptly to prevent repeated infections or transmission to others.
Preventive measures
The best way to prevent nausea and vomiting is to control the entry of pathogens, or "disease from the mouth." Educate children to wash their faces before meals and after using the restroom. Do not let them drink untreated water or eat unclean food from street vendors. Encourage outdoor activities to enhance their adaptability to climate changes and strengthen their resistance to bacteria. For infants, maintain lactation hygiene, sterilize feeding utensils, and ideally boil and sterilize them daily. Prepare food fresh and avoid leftovers or refrigerated food for convenience. Mothers changing diapers should always keep their breasts clean, change their underwear frequently, and minimize the risk of transmission. Additionally, pay attention to the cleanliness of toys. When children put toys in their mouths or put their hands in their mouths after playing, it creates a significant opportunity for infection, which is often overlooked by young parents.

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