Five-year-old child has been taking Azithromycin for seven days. Now, they have a bloated stomach and vomiting. They have eaten.

Patient's question:

No

Doctor's answer:

Azithromycin is a broad-spectrum macrolide antibiotic that can cause gastrointestinal reactions, primarily diarrhea, nausea, vomiting, stomach cramps, mouth and tongue pain, and reduced appetite.
1.1 Its mechanism of action is related to motilin receptors. After azithromycin binds to motilin, it directly acts on the smooth muscles of the gastrointestinal tract, producing a contraction effect, which leads to the aforementioned gastrointestinal reactions. Smecta's main component is dioctahedral montmorillonite, which has a strong covering effect on the gastrointestinal mucosa. It can enhance the defensive function against attacking factors and restore the normal rhythm of intestinal motility.