Eight-month-old baby with acute gastroenteritis

Patient's question:

The baby started having diarrhea on December 6th in the morning and had a high fever around 10 PM. They went to the hospital, received a fever-reducing injection, and were prescribed anti-diarrheal medication, but it didn’t work. On the 8th in the morning, they went to the (county) hospital for further tests and were diagnosed with acute gastroenteritis. After taking the medication, the baby has been having diarrhea ever since. The stool is light yellow, watery, sometimes looks like egg fragments, and is not well-formed, with constant leakage from the rectum. The baby’s spirits are not good, and they keep crying and fussing. The skin also lacks glow. The doctor said that this type of diarrhea will at least take a week to recover. Is it really going to take so long? The baby has lost a lot of weight, and it’s so heart-wrenching.

Doctor's answer:

Medical Analysis: Hello! Based on your description, your child's acute gastroenteritis is likely caused by rotavirus infection. Under active treatment, it indeed takes about a week to recover. Your child's skin lacks luster, which suggests the possibility of dehydration.
Advice:
1. If your child continues to have severe diarrhea and exhibits symptoms such as intense thirst, poor skin elasticity and dryness, reduced urine output, few tears, or sunken fontanelles, it indicates dehydration. In such cases, oral rehydration salts should be used actively. However, if your child vomits severely or cannot tolerate oral rehydration salts, intravenous treatment may be necessary.
2. It is recommended to add ribavirin granules for antiviral treatment.
3. The dosage of Smecta should be increased for effectiveness. There is no need to worry about overdose, as it is not absorbed in the intestines.
Doctor's Inquiry:

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