Patient's question:
The baby, who is almost four and a half months old, has been suffering from diarrhea and poor gastrointestinal health, leading to poor complexion, significant weight loss, and crying from 8 to 9 p.m. in recent days. Although there was some improvement earlier, diarrhea has returned today. With the weather getting colder, the baby doesn’t like some of the supplementary foods I’ve been giving him (Chinese yam, coix seed, steamed eggs, and Full Gold High Calcium). I’m living with my sister, who also has a four and a half-month-old baby. We eat the same nutritious foods, and her baby is growing well and is very chubby. Her milk is also good. Why is that? How can I properly care for my baby’s physical growth?Doctor's answer:
Hello: Based on the child's condition, some Mamiai can be given to the baby to drink.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 time after diarrhea, and preventing malnutrition. After diarrhea stops, continue to provide nutrient-rich foods and add one extra 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) Care
For infectious diarrhea, attention should be paid to disinfection and isolation. Monitor vomiting, bowel movements, and urination. Administer water or saline solutions for oral rehydration on schedule and control the rate of intravenous fluid administration. Strengthen eye care to prevent aspiration from 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.