Patient's question:
What should I do if my baby always has diarrhea and vomiting?Please ask the doctor to check what's wrong with him?
Doctor's answer:
Hello, there are many causes of vomiting in children. It is recommended to go to the hospital for further examination. On the basis of a comprehensive physical examination, special attention should be paid to abdominal signs and neurological examination, and fundus examination and digital rectal examination may be performed when necessary.Auxiliary tests:
1. Stool and urine routine tests and other examinations.
2. X-ray examination, CT, or MRI.
Treatment:
(1) Etiological treatment.
(2) Symptomatic treatment.
1. For severe vomiting, fasting for 4 hours is necessary. Except for gastric perforation, normal saline or 1-2% sodium bicarbonate solution can be used for gastric lavage. Pay attention to lateral positioning to prevent vomit from being inhaled into the trachea.
2. After vomiting stops or decreases, small amounts of thick, warm, easily digestible food, or liquid diets such as rice soup, can be given.
3. For dehydration or electrolyte disorders, fluid replacement and electrolyte supplementation should be administered promptly as needed. If there is peripheral circulatory failure, it should be treated according to circulatory failure.
4. For frequent vomiting, antiemetics and sedatives such as luminal, somnifen, and domperidone suppositories should be given. Metoclopramide should be used with caution.
5. Spasmolytic drugs such as belladonna mixture, atropine, 654-2, propantheline, and 1-2% procaine (1-2 ml/year/each time) can also be selected according to the condition. However, note that improper use may mask symptoms and hinder diagnosis.
6. For intracranial hypertension and cerebral edema, dehydration agents such as mannitol and hypertonic glucose solution can be used for treatment.
7. Acupuncture often selects acupoints such as Neiguan, Zhongwan, and Zusanli.