Patient's question:
The child next door is only a little over a year old. They said they have acute gastritis, with symptoms like stomach pain, diarrhea, vomiting, and fever. How could such a young child have acute gastritis? Is there a good treatment for it? Will it become chronic gastritis?Doctor's answer:
Here is the English translation of the provided text, with the original Chinese line breaks preserved:In autumn and winter, simple presentation of infectious diarrhea occurs because the climate turns cooler. In addition to paying attention to warmth, it is also important to consume more warming foods. At this time, the digestive system is relatively fragile and can easily cause discomfort due to external stimuli. Below, we will look at what medications for infantile enteritis should be noted and how to choose them.
1. If a child has enteritis, it is best to perform a stool test or culture for a clear diagnosis when possible. For E. 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 can be used at a dose of 50 mg per kg of body weight per day, divided into 3–4 oral doses. The course of treatment should not exceed 7 days to prevent dysbacteriosis.
2. For viral enteritis, antibiotic treatment is ineffective. Chinese patent medicine Zhuodan Zhixie Ling 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.
3. For mild diarrhea, avoid indigestible foods and high-fat diets. Temporarily consume rice soup, soy milk, yogurt, or skim milk. Breastfeeding mothers should reduce feeding frequency. Children with severe diarrhea should be sent to the hospital immediately for treatment. For moderate dehydration, 80–100 mL per kg of body weight per day should be administered. Gradually return to a normal diet 3–4 days after vomiting and diarrhea improve.
4. For fungal enteritis, clotrimazole can be used at a dose of 20–60 mg per kg of body weight per day, divided into 3 oral doses.
5. For Campylobacter jejuni enteritis, erythromycin ethylsuccinate can be used at a dose of 30–50 mg per kg of body weight per day, divided into 3–4 oral doses.