Patient's question:
Hello!Doctor, my son is 22 months old. The day before yesterday, he had abdominal pain and good digestion, with vomiting. Today, he has diarrhea with loose, yellow stools. What could be the cause, and what should I do?
I urgently look forward to your reply. Thank you!
First follow-up question: Hello!
Thank you very much for your patient explanation.
I would like to ask if, due to diarrhea, he cannot eat greasy foods, can he drink fish soup or bone soup (where the fat is frozen on top in the refrigerator and then removed)? Is it necessary to avoid certain foods? Since his immunity is low, can he add ginseng or cordyceps to the soup to boost his immunity?
Doctor's answer:
Hello: Active is sufficient!(1) Dietary therapy
Appropriate nutritional supply during diarrhea is very important for promoting recovery, reducing weight loss and growth stagnation, shortening the recovery time after diarrhea, and preventing malnutrition. After diarrhea stops, continue to provide a nutrient-rich diet and add one extra meal daily for two weeks to catch up on normal growth. Children with malnutrition or those in the recovery phase of chronic diarrhea may need a longer period until malnutrition is resolved.
(2) Care
For infectious diarrhea, attention should be paid to disinfection and isolation. Monitor vomiting, bowel movements, and urination. Administer water or saline solutions for oral rehydration on schedule and control the speed of intravenous fluid infusion. Strengthen eye care to prevent aspiration from vomiting. Turn the patient frequently to prevent secondary pneumonia.
(3) Controlling infection
Viral gastroenteritis is primarily treated with dietary therapy and supportive care, and antibiotics are not needed. Non-invasive bacterial acute gastroenteritis is often self-limiting, and supportive therapy alone may lead to recovery. However, antibiotics should still be used for newborns, infants, weakened children, and severe cases. Invasive bacterial gastroenteritis 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: Discontinue the original medication.