Patient's question:
The baby's poop is very liquid, like egg flower.Doctor's answer:
Disease Analysis: Methods to Stop Diarrhea with FoodThe following foods not only provide essential nutrients for infants but also have a certain effect in stopping diarrhea.
1. Rice Water: Grind rice powder or milk powder into a fine powder, stir-fry it until golden brown, then add water and a moderate amount of sugar, and boil it into a thin porridge. Rice water is easy to digest, and its carbonized structure has a good adsorptive effect, making it the first choice for infant diarrhea.
2. Carrot Soup: Carrots are alkaline foods, and the pectin they contain can form stools, adsorb pathogenic bacteria and toxins in the intestines, and are a good food for stopping diarrhea and inhibiting bacteria. The preparation method is as follows: wash the carrots, cut off the stems, chop them into small pieces, cook them until soft, strain them with gauze to remove the residue, and then add water to make a soup (500 grams of carrots with 1000 milliliters of water). Finally, add sugar and boil. Serve 2–3 times a day, with 100–150 milliliters each time. Stop using it once the diarrhea improves.
3. Apple Puree: Apples are also alkaline foods, containing pectin and tannic acid, which have adsorptive, astringent, and anti-diarrheal effects. Take a fresh, soft apple, cut it in half, and scoop it into a puree with a spoon.
Guidance:
Home Treatment Methods:
The principle of treating infant diarrhea is to reduce the burden on the intestines, regulate diet, strengthen care, eliminate the cause, control infection, correct water and electrolyte imbalances, and provide symptomatic treatment.
1. Dietary Regulation:
(1) For mild or non-infectious diarrhea (usually without fever or other signs of infection, no mucus or blood in the stool, no significant abnormalities in tests, or only a small amount of fat globules), reduce the amount of feeding and extend the feeding intervals. Temporarily stop or reduce supplementary foods. For artificially fed infants, you can give diluted milk or rice water as easily digestible foods, then gradually increase the milk intake.
(2) For severe diarrhea requiring intravenous fluids, fasting for 6–12 hours or longer is necessary. Once vomiting and diarrhea subside, gradually restore the diet, starting with small amounts and thin liquids, then increasing to thicker foods. Mild cases may recover in 3–4 days, while severe cases may take 5–10 days to return to normal eating.
2. Strengthened Care:
Observe and record the nature of vomiting and diarrhea, including frequency, amount, and urination time and volume. Change diapers frequently and clean the buttocks to prevent urinary tract infections and diaper rash.
3. Control of Infection:
Use antibiotics based on the condition of intestinal infection, primarily targeting Escherichia coli. Current medications include:
- Trimethoprim-sulfamethoxazole (Children’s Tablets): 1–2 tablets in the morning and evening for 2–6-year-olds (double the first dose); 2–4 tablets in the morning and evening for 6–12-year-olds, or 5–10 mg/kg of Berberine, taken twice daily.
- Alternatives: Neomycin, Furazolidone, or Pipemidic Acid.
For severe toxicity symptoms, Ampicillin and Gentamicin can be administered intramuscularly. If ineffective after 2–3 days, switch or add another medication.
- Staphylococcus aureus infection: Use Oxacillin or Erythromycin.
- Viral infection: Use Amantadine, Chinese herbs like Daqingye and Banlangen.
- Fungal infection: Use Nystatin or Clotrimazole.
For extraintestinal infectious diarrhea, treat the extraintestinal infection accordingly.
4. Symptomatic Treatment:
(1) If vomiting does not stop after fasting, use Sodium Phenobarbital (5–7 mg/kg per dose, intramuscularly), or Chlorpromazine, Vitamin B@6, or Aemuler.
(2) Avoid using antidiarrheal agents in the early stages of diarrhea. If symptoms improve but diarrhea persists, use Tannalbin, Bismuth Subcarbonate, or Aluminum Hydroxide. Alternatively, take 1–3 ml of Egg Oil three times a day.
(3) For abdominal distension, apply heat to the abdomen and perform rectal gas discharge. Oral Lactobacillus or intramuscular Neostigmine can be used. Severe abdominal distension in late diarrhea is often caused by hypokalemia, requiring immediate potassium supplementation.
(4) For poor appetite, use Pepsin, Pancreatin, or Polyenzyme Tablets.
5. Fluid Therapy:
Fluid therapy includes correcting dehydration, acidosis, and electrolyte imbalances. For mild dehydration without vomiting, oral rehydration is recommended. The formula is: 3.5 g of sodium chloride, 2.5 g of sodium bicarbonate, 20 g of glucose powder, and 1.5 g of potassium chloride, dissolved in 1000 ml of water. The dosage is 50–60 mg/kg, to be taken in small, frequent doses over 4–6 hours. If dehydration is partially corrected, additional fluids should be added based on the loss during vomiting and diarrhea.
Lifestyle Care:
Nursing for Infant Diarrhea
- Non-breast milk foods: Choose easily digestible options that suit the child’s taste, avoiding foods that take a long time to digest. Opt for starchy foods like rice porridge or vegetable porridge, and make them soft. However, do not force the child if they refuse to eat. It is not a major issue if the child does not consume non-breast milk foods for a short period.
- Breastfeeding infants: Do not wean them easily if they develop diarrhea. Instead, shorten each feeding session and let them eat the first half of the milk. The first half of breast milk contains more protein, is easier to digest, and is rich in nutrients, while the second half has more fat, which is harder to digest. If necessary, the mother can drink a large glass of diluted salt water 30–60 minutes before feeding to thin the milk, then breastfeed the child.
- Hydration with preferred drinks: When dehydration occurs due to diarrhea, replenishing fluids is crucial. Offer more drinks the child likes, such as boiled water, juice, or vegetable juice. If diarrhea is severe and accompanied by vomiting, frequent fluid replenishment is essential.
- Gradually increasing non-breast milk foods after recovery: After severe diarrhea subsides, the digestive system may take some time to return to normal. Do not immediately resume the original non-breast milk foods. Start with thick, sticky foods for complementary feeding, then gradually reintroduce normal foods after a few days. Meanwhile, continue taking a probiotic supplement like Shengyongyuan Children’s Probiotic for a period until the child’s intestines fully recover.