Patient's question:
Please ask the pediatric specialist; I have a little grandson who is nearly ten months old and has had diarrhea for nearly ten days. In the first few days, it was just loose stools, and I started giving him Mamiai and Simida, but it didn’t improve. So, I took him to the pediatric hospital for IV fluids. After two days of IV fluids, not only did it not get better, but it got worse. He has been having ten or more watery, white stools with a slight greenish tint. Before the IV fluids, his stool test showed no bacteria, but after the IV fluids, it tested positive for bacteria. How should this be treated? We are truly at a loss. My little grandson is usually very healthy, fair-skinned, and plump with a good digestive system. This is the first time he has had diarrhea. Despite the severity of the diarrhea, the child is still in good spirits and has a good appetite. Currently, we are controlling his...Doctor's answer:
Hello: Treatment of Pediatric Diarrhea:(1) Dietary Therapy
Appropriate nutritional support during diarrhea is crucial for promoting recovery, reducing weight loss and growth stagnation, shortening the recovery period after diarrhea, and preventing malnutrition. After diarrhea subsides, continue to provide nutrient-rich diets with one additional meal daily for two weeks to catch up on normal growth. Children with malnutrition or those in the recovery phase of chronic diarrhea may require a longer duration until malnutrition is resolved.
(2) Nursing Care
For infectious diarrhea, attention should be paid to disinfection and isolation. Monitor vomiting, bowel movements, and urination. Administer water or saline-containing oral rehydration solutions on schedule and control the rate of intravenous fluid infusion. Strengthen eye care to prevent aspiration due to vomiting. Turn the child frequently to prevent secondary pneumonia.
(3) Controlling Infection
Viral enteritis is primarily treated with dietary therapy and supportive care, and antibiotics are not required. Non-invasive bacterial acute enteritis is often self-limiting, and supportive therapy alone may lead to recovery. However, antibiotics are still recommended for newborns, infants, weakened children, and severe cases. Invasive bacterial enteritis generally requires antibiotic treatment.
1) Escherichia coli: Gentamicin, pipemidic acid, ofloxacin, furazolidone, certain cephalosporins, cotrimoxazole, berberine, ampicillin, etc.
2) Campylobacter fetus: Erythromycin, gentamicin, chloramphenicol, furazolidone, ofloxacin.
3) Yersinia enterocolitica: Gentamicin, chloramphenicol, ofloxacin, cotrimoxazole.
4) Salmonella typhimurium: Ampicillin, gentamicin, ciprofloxacin, cefazolin, cefotaxime.
5) Staphylococcus aureus: Discontinue the original treatment.