Patient's question:
Gastroenteritis, cried for a long time at night, until he sleep onset time and cause 20100225, acuteDoctor's answer:
Disease Analysis: Acute intestinal enteritis is a common disease in infants under 2 years old (also known as infantile diarrhea). Its main symptom is diarrhea, which can be caused by improper diet and infections within or outside the intestines. Intestinal infections are most commonly caused by pathogenic Escherichia coli enteritis. Artificial feeding is more likely to lead to the disease compared to breastfeeding. This is not only because cow's milk is easily contaminated but also because breast milk contains mucopolysaccharides that promote the growth of bifidobacteria. Bifidobacteria can inhibit the growth of Escherichia coli. Intestinal infections, apart from bacterial dysentery, cholera, and salmonella typhi, other bacterial, viral, parasitic, fungal, and unexplained infectious diarrhea can all be referred to as enteritis. In children under 2, during autumn and winter, if there is epidemic diarrhea with egg-like or white watery stools without blood or pus, the possibility of rotavirus enteritis is high; if it occurs in summer, the likelihood of pathogenic Escherichia coli is greater; if the stool contains mucus or pus, bacterial dysentery, jejunal, or salmonella typhi enteritis should be considered.(1) For mild diarrhea, avoid indigestible foods and high-fat diets, and temporarily drink rice porridge, soy milk, yogurt, or skim milk. Breastfeeding infants should shorten feeding time. Children with severe diarrhea should be sent to the hospital immediately for treatment. For mild diarrhea treated at home, oral rehydration salts (available at pharmacies) can be used. Dissolve one packet in 500 ml of water and administer in small, frequent doses. For mild dehydration, 50 ml per kg of body weight per day; for moderate dehydration, 80–100 ml per kg of body weight per day. Gradually return to normal diet 3–4 days after vomiting and diarrhea improve.
(2) When a child has enteritis, it is best to perform a stool test or culture under conditions to confirm the diagnosis. For Escherichia coli enteritis, polymyxin B can be used at a dose of 50,000–100,000 units per kg of body weight per day, divided into 3–4 doses; or kanamycin at 50 mg per kg of body weight per day, divided into 3–4 doses. The course of treatment should not exceed 7 days to prevent dysbiosis.
(3) For jejunal enteritis, erythromycin ethylsuccinate can be used at a dose of 30–50 mg per kg of body weight per day, divided into 3–4 doses.
(4) For fungal enteritis, ketoconazole can be used at a dose of 20–60 mg per kg of body weight per day, divided into 3 doses.
(5) For viral enteritis, where antibiotic treatment is ineffective, the Chinese herbal medicine Zhuodan Zhixieling can be used: 5 ml per dose for children aged 1–3 years, 3 times daily; 10 ml per dose for children aged 3–7 years, 3 times daily, for the best effect.
Advice: Acute intestinal enteritis is a common disease in infants under 2 years old (also known as infantile diarrhea). Its main symptom is diarrhea, which can be caused by improper diet and infections within or outside the intestines. Intestinal infections are most commonly caused by pathogenic Escherichia coli enteritis. Artificial feeding is more likely to lead to the disease compared to breastfeeding. This is not only because cow's milk is easily contaminated but also because breast milk contains mucopolysaccharides that promote the growth of bifidobacteria. Bifidobacteria can inhibit the growth of Escherichia coli. Intestinal infections, apart from bacterial dysentery, cholera, and salmonella typhi, other bacterial, viral, parasitic, fungal, and unexplained infectious diarrhea can all be referred to as enteritis. In children under 2, during autumn and winter, if there is epidemic diarrhea with egg-like or white watery stools without blood or pus, the possibility of rotavirus enteritis is high; if it occurs in summer, the likelihood of pathogenic Escherichia coli is greater; if the stool contains mucus or pus, bacterial dysentery, jejunal, or salmonella typhi enteritis should be considered.
(1) For mild diarrhea, avoid indigestible foods and high-fat diets, and temporarily drink rice porridge, soy milk, yogurt, or skim milk. Breastfeeding infants should shorten feeding time. Children with severe diarrhea should be sent to the hospital immediately for treatment. For mild diarrhea treated at home, oral rehydration salts (available at pharmacies) can be used. Dissolve one packet in 500 ml of water and administer in small, frequent doses. For mild dehydration, 50 ml per kg of body weight per day; for moderate dehydration, 80–100 ml per kg of body weight per day. Gradually return to normal diet 3–4 days after vomiting and diarrhea improve.
(2) When a child has enteritis, it is best to perform a stool test or culture under conditions to confirm the diagnosis. For Escherichia coli enteritis, polymyxin B can be used at a dose of 50,000–100,000 units per kg of body weight per day, divided into 3–4 doses; or kanamycin at 50 mg per kg of body weight per day, divided into 3–4 doses. The course of treatment should not exceed 7 days to prevent dysbiosis.
(3) For jejunal enteritis, erythromycin ethylsuccinate can be used at a dose of 30–50 mg per kg of body weight per day, divided into 3–4 doses.
(4) For fungal enteritis, ketoconazole can be used at a dose of 20–60 mg per kg of body weight per day, divided into 3 doses.
(5) For viral enteritis, where antibiotic treatment is ineffective, the Chinese herbal medicine Zhuodan Zhixieling can be used: 5 ml per dose for children aged 1–3 years, 3 times daily; 10 ml per dose for children aged 3–7 years, 3 times daily, for the best effect.