Patient's question:
In the afternoon, the child said he had a stomachache, and by that evening, his temperature rose to 38 degrees Celsius. On the third night, his temperature was 38.5 degrees Celsius and accompanied by dry vomiting and poor appetite, still stomachache. In the morning of the third day, his temperature was 37 degrees Celsius, but he wasn't in good spirits. Three days ago, he had pneumonia and fever, and he received intravenous drips for eight days. In the past few days, he has been eating cold food...Doctor's answer:
The baby has a fever accompanied by abdominal pain and dry vomiting. It is recommended to rule out appendicitis, and secondly, consider the possibility of the baby having a gastroenteric type of fever.Recommendations:
Based on the baby's condition, it is advised to seek medical examination to rule out appendicitis. If appendicitis is confirmed, treatment should be administered based on the severity, either through conservative management or surgery. Additionally, consider the possibility of the baby having a gastroenteric type of fever. It is recommended to perform a complete blood count test to determine whether the infection is bacterial, viral, or mycoplasmal. Based on the results, appropriate antibiotic treatment should be selected.
Furthermore, if the baby's temperature is below 38.5°C, it is recommended to administer Qingkailing oral drops or Yanglingjiao granules. Additionally, ginger decoction can be used to deliver Yanglingjiao granules. If the temperature is above 38.5°C, it is advisable to actively administer Western medicine antipyretics to control the fever. Simultaneously, the baby should be encouraged to drink more fluids or consume ginger water.
Diet should be based on light, nutritious, and easily digestible liquid foods, with small, frequent meals to prevent vomiting. If necessary, traditional Chinese medicine (TCM) diagnosis and treatment should be considered for medication.