Patient's question:
Condition Description: Detailed condition and consultation purpose: My little one has had diarrhea for about 10 days. We have been giving her Mimi Love and Smecta, and during the medication period, her bowel movements occurred twice a day. At the same time, we have been feeding her with special formula for diarrhea. However, as soon as we stop the special formula and switch to regular formula, the frequency of her bowel movements increases, and the stool becomes abnormal, resembling a scrambled egg consistency. The only positive point is that her child's mental state is still okay. Please help me consult an expert on how to handle the situation based on my little one's condition.First follow-up question: My little one has seen many doctors, some of whom said it was autumnal diarrhea, while others said it was enteritis. Anyway, they all gave different answers.
Doctor's answer:
Hello: Treatment of Pediatric Diarrhea:(1) Dietary Therapy
Appropriate nutritional support during diarrhea is crucial for promoting recovery, reducing weight loss and growth stunting, shortening the recovery time after diarrhea, and preventing malnutrition. After diarrhea stops, continue providing nutrient-rich diets with an additional snack daily for 2 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) Nursing Care
For infectious diarrhea, attention should be paid to disinfection and isolation. Monitor vomiting, bowel movements, and urination. Administer water or saline-containing oral rehydration solutions on schedule and control the rate of intravenous fluid infusion. Strengthen eye care to prevent aspiration of vomit. 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 can usually be cured with supportive therapy alone. 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, cefazolin, cefotetan.
5) Staphylococcus aureus