Patient's question:
A two-year-old child has had a cough for two weeks, which hasn't been too severe. But since yesterday, the cough has become more intense, and vomiting occurs when coughing excessively. A chest X-ray at the hospital showed no issues, and there was no pneumonia. However, the test for Mycoplasma pneumoniae came back positive.At 4:30 PM today, they took a pack of azithromycin granules mixed with milk. At 8:30 PM tonight, after playing intensely, they had a severe cough and vomited. I want to know if the azithromycin is still effective after nearly four hours of vomiting. Could it have been vomited out before being absorbed, thus not taking effect?
Doctor's answer:
First to be proven is that azithromycin primarily has a bacteriostatic effect, not an antibiotic effect. Additionally, azithromycin has a significant impact on the gastrointestinal tract, making it more likely to cause coughing and dry vomiting in children. It is recommended that you stop taking azithromycin and switch to amoxicillin, combined with fishy grass particles. Also, drink more water, avoid spicy foods, and avoid diarrhea. I hope this helps, and wish you a speedy recovery!