Patient's question:
A 2-year-old child vomits everything they eat. They only vomit if they eat something; otherwise, they don't vomit. They also have diarrhea and fever. The fever was treated with antipyretic injections, but the vomiting persists. It has been three days now. What illness should be considered and how should it be treated?Doctor's answer:
The child may experience nausea and vomiting due to indigestion. When fever occurs, physical cooling is essential. If the temperature is below 38.5°C, do not give fever-reducing medication. It is recommended to give the baby probiotics and smectite. It is crucial to ensure the baby drinks plenty of water, as nausea and vomiting can easily lead to dehydration. Avoid picky eating, and try to establish regular bowel movements. When symptoms recur, you can use pediatric spleen-strengthening powder, pediatric stomach-strengthening and food-digesting tablets, and gastrokinetic drugs. Additionally, you can supplement with gluconate of zinc and multivitamin tablets.