Patient's question:
4 has already started having diarrhea, but it has been getting better since yesterday. Yesterday, he only had one episode, and this morning, he hasn’t had any yet. He has been unwilling to eat congee and rice cakes (which he used to enjoy) since the 29th. Even after taking medicine (Children’s Seven-Star Syrup and Jianpi Ningjiao Gel, both sweet), he still wants more. Yesterday, he only ate a little bit of porridge and a plain bun (which he can eat). He drank 300 ml of anti-diarrhea formula and only about 50 ml of water. A few nights ago, when he cried, he would drink 300 ml of water, but last night, after waking up from crying, he only drank 20 ml. He won’t drink from the bottle unless it’s held. He has been crying since 1:30 a.m., about every half hour. He has become very thin, and his thighs are wrinkled and loose, with very little muscle. Could he have indigestion? He keeps needing to be held, and they won’t let you sit and hold him.Doctor's answer:
Increased urine output is also one of the symptoms of dehydration. If there is no urine, it means that kidney failure has already occurred due to dehydration. A child will never develop malnutrition in just one week. However, long-term poor spleen and stomach function can lead to malnutrition. Based on your description of the medical history, the child does not have a fever, and it was correct not to use the cold medicine. The Mai Shen Appetite Stimulant Oral Liquid could be tested a few times. Since the child cries as soon as the congee and rice cakes are in their mouth, it is best to temporarily avoid feeding these and give them only the nausea and vomiting formula. If necessary, it is recommended to consult another doctor or visit a higher-level hospital for further examination.