Patient's question:
Hello doctor, I hope you can answer my question in your busy schedule. Thank you!My daughter got intestinal inflammation on November 13th, and a stool test showed red blood cells and white blood cells. I didn’t understand the details, but the doctor looked at the test results and said it was intestinal inflammation. He prescribed Ceftiofuran granules (Sifusu), Jinduangui, and Xingspi Yang'er granules. She took them for three days, and another stool test said her stool was normal. I thought she was better and stopped taking the medicine. The child was fine for a week, but after that, she refused to eat, slept less, and her stool was thick in the front and thin in the back. I didn’t take it seriously. On November 31st, in the morning, I woke up as usual and gave her...
Doctor's answer:
Hello:1. Antibiotics: Bacterial gastroenteritis can be treated with antibiotics. Due to the gradual change in bacterial resistance, medication should be guided by a doctor and taken as prescribed. Some patients stop medication as soon as their symptoms improve, only to develop chronic colitis due to insufficient treatment, which may persist and affect the child's nutrition and health.
2. Intravenous Infusion: The most dangerous complication of diarrhea is dehydration, and children are more prone to dehydration than adults. Severe cases may experience dehydration exceeding 10% of their body weight, with mortality rates reaching 30%. Rehydration can reduce mortality rates to below 5%, making intravenous infusion the best treatment for diarrhea. During severe illness, the intestines may swell and fail to absorb fluids, leading to vomiting after drinking water. In such cases, children must receive intravenous treatment to replenish saline and glucose; alkaline solutions are added if acidosis is severe, and potassium supplements are given if potassium is deficient. In addition to providing nutrients, fluids, and electrolytes, intravenous infusion also has a role in stopping diarrhea. When all oral anti-diarrheal medications are ineffective, intravenous infusion becomes the best option for stopping diarrhea.
3. Diet: During severe diarrhea, food should be temporarily withheld to allow the gastrointestinal tract to rest. After the condition improves, rice water or diluted skim milk can be introduced, gradually increasing the concentration. Prolonged fasting should be avoided to prevent malnutrition, and vitamin supplementation should also be noted. Children with special dietary needs or those with allergic diarrhea should consult a doctor for guidance. Although diarrhea in children may seem common, it is also one of the most deadly diseases. Therefore, severe cases should not self-medicate but must seek medical attention and a prescription from a doctor.