Patient's question:
Big, previously in good health, this time the illness, 1. has always been breastfed, around 2:30 PM today, 2. gave some Beibinye milk powder, about 4 hours later, due to the baby crying, breastfed again, only ate a few mouthfuls and then vomited a lot. After vomiting, the baby's condition was very good, smiled immediately. About 4 hours later, breastfed again, and vomiting occurred again, the same as the previous time. The vomit only contained milk, no color or solid objects were found. Treatment history and effectiveness: thought it was a cold, took the temperature, 35.9 degrees. What kind of help is needed: Is this situation a complication or a normal condition. Very worriedDoctor's answer:
According to your description, the indigestion is caused by indigestion, one of the most common diseases affecting children's health. The main reason is that the digestive organs of infants and young children have not yet matured, making them unable to adapt to changes in the quality and quantity of food. Therefore, if feeding is improper, if there is an imbalance in body temperature and internal secretions, or if they encounter an infection, it is easy to cause dysfunction of intestinal digestion and absorption, leading to children's indigestion. The treatment for children's indigestion can generally adopt the following methods:1. Dietary therapy: Adjust the diet to reduce the pressure on the gastrointestinal tract. In the early stages of the illness, early fasting can be adopted, usually lasting 6 to 12 hours, with the specific duration determined based on the child's nutritional condition. For mild cases with poor nutritional status, the fasting period can be shorter, while for severe cases with better nutritional status, the fasting period can be slightly reduced. During this time, only warm water or weak saline can be given, and then the diet should be gradually restored. It should start with thin to thick, and from less to more, gradually returning to a normal diet within 3 to 5 days according to the condition. If breastfeeding, the frequency of feeding and the duration of each feeding should be increased, and supplementary foods should be temporarily stopped. The mother should eat less greasy food to increase the fat content in the milk. If bottle-feeding, rice water or dissolved milk (preferably yogurt) can be given first, and the frequency and amount of feeding should also be increased.
2. Careful nursing: Oral care and various cleaning and sterilization training should be done. Feeding should be frequent, and after defecation, the anus should be wiped with warm water to prevent recurrence of diaper rash. The child's abdomen should be kept warm to reduce abdominal pain caused by excessive intestinal peristalsis.
3. Appropriate fluid supplementation: Due to vomiting and nausea, children not only lose a lot of fluids but also a significant amount of sodium. Therefore, in the early stages, they should be given small amounts of weak sugar or saline solution multiple times. They can also consume some orange juice and calcium tablets. Additionally, sulfonamide drugs or antibiotics can be used to suppress infection.