How to deal with diarrhea in a 5-month-old baby

Patient's question:

What to do if a young child has nausea and vomiting? For the past 1.5 days, they have been having bowel movements every 4 to 5 hours. The stool is slightly green, in pieces, and watery.
Previous treatment and effectiveness: They have taken Montmorillonite, Mimi Ai, Baoji oral liquid, and Huoxiang Zhengqi oral liquid. They have seen doctors, but there has been no significant improvement...

Doctor's answer:

The condition is classified into infectious and non-infectious categories based on the cause. It is a clinical syndrome characterized by nausea and vomiting, induced by multiple pathogens and multifactorial causes. The onset age is typically under 2 years old, with approximately 50% occurring in infants under 1 year.
Recommendations:
1. Dietary Therapy: For mild cases, increase milk intake and substitute with rice gruel, sugar, etc.; for severe cases, fasting for 8–24 hours is recommended, with intravenous fluid supplementation.
2. Fluid Therapy:
(1) Oral Method: Suitable for mild dehydration or mild nausea. Fluid intake should be estimated at 100 mL per kg of body weight per day, administered in divided doses.
(2) Intravenous Fluid Method: Used for moderate to severe dehydration.
3. Prevent Infection: Antibacterial medications should be administered based on the underlying cause.
4. Symptomatic Treatment:
- For nausea and vomiting, oral administration of bismuth carbonate or light acid protein (0.3 g) three times a day may be used.
- For aiding digestion, oral administration of pepsin mixture (1 mL per year of age) three times a day, or one multi-enzyme tablet three times a day, is recommended. Adjust treatment based on symptoms.
It is advised to consult a doctor for specific treatment and medication based on your child's condition and seek early medical attention. Wishing your child a speedy recovery!
The above recommendations are for the issue of "Nausea and Vomiting in a 6-7 Month Old Infant." Hope this is helpful to you. Wishing you good health!

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