A 5-month-old baby with diarrhea has been receiving intravenous fluids for 4 days. When will it stop?

Patient's question:

Symptom Description: Diarrhea for more than a week, initially without occult blood, then with occult blood. Received intravenous drip. Stool still unformed. White blood cells: 1-2.
History of Treatment and Effect: In the early days of the baby's diarrhea, there were 4-5 loose, yellow stools with white blood cells 2-3. Oral medications included Ersun Granules for Children and Mimi Ai. After 2 days, laboratory tests showed positive occult blood, ++ white blood cells, and + red blood cells. The doctor recommended intravenous drip for 2 days: 50 mg of Xiyanping Injection and 1 g of Ceftriaxone Sodium for Injection. After 2 more days, laboratory tests showed negative occult blood, 0-2 white blood cells, and loose, yellow stools. The doctor advised continuing the same intravenous drip until the stool formed.

Doctor's answer:

Hello, in fact, regarding the child's bowel movement, personally I still consider it more likely to be bacterial gastroenteritis, with dysentery being less likely. However, it needs to be differentiated through a stool culture.
Advice:
1. Although dysentery is less likely, the treatment principles for bacterial gastroenteritis are basically the same. Currently, the treatment is appropriate, and the stool results indicate that it is showing signs of being effective.
2. Has the child already been treated for 4 days? The overall treatment duration is still slightly short. It would be advisable to continue treatment for another 1-2 days. If the bowel movements are not frequent, oral medication at home can also be considered.
3. Pay attention to diet—eat less and more frequently—to avoid overburdening the gastrointestinal tract. Rice soup and diarrhea formula milk can be used.
Wishing your baby healthy growth!

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