What should I do if a child has vomiting and diarrhea?

Patient's question:

Patient Age: 1.5 years
Detailed Condition and Purpose of Consultation: Vomiting, diarrhea tonight, vomiting or diarrhea after eating. What should I do???
Duration of Current Illness: November 19, 18:00~23:45
Current General Condition: Already asleep, but still having diarrhea.
Other: Today my husband and I took him to the mountain for a walk.

Doctor's answer:

Hello: It may be caused by unclean food.
1. Antibiotics: Bacterial enteritis can be treated with antibiotics. Due to the changing resistance of bacteria, 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. This can lead to prolonged recovery, affecting the child's nutrition and health.
2. Intravenous infusion: The most dangerous complication of diarrhea is dehydration. Children are more prone to dehydration than adults, and severe cases can lose more than 10% of their body weight. The mortality rate due to dehydration can reach 30%. Rehydration can reduce the mortality rate to below 5%, making intravenous infusion the best treatment for diarrhea. In severe cases, the intestines become swollen and unable to absorb fluids, leading to frequent diarrhea after drinking water. In such situations, children must receive intravenous treatment to replenish saline and glucose. If acidosis is severe, alkali solutions should be administered, and potassium should be if 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 treatment for diarrhea.
3. Diet: In severe diarrhea, food should be temporarily withheld to allow the gastrointestinal tract to rest. Once the condition improves, rice water or diluted skim milk can be given first, gradually increasing the concentration. Prolonged fasting should be avoided to prevent malnutrition, and vitamin supplementation should also be noted. Some children, as well as those with allergic diarrhea, may require special dietary treatment under the guidance of a doctor. Diarrhea in children may seem common, but it is also the most deadly disease. Therefore, in severe cases, do not self-medicate; seek medical advice and a prescription.

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