Patient's question:
All symptoms started with a fever of 39 degrees Celsius, which came down after receiving intravenous fluids. The next morning, there was one episode of vomiting, followed by diarrhea with curdy stools accompanied by a fever below 38 degrees Celsius, which lasted for about 10 days. In the morning and noon, there was fever, but it returned to normal in the evening. There were a few purple spots on the buttocks and genital area, and the child was irritable and weak. About 10 days ago, in the morning, the child played outside when it was a bit cool, and the blood test results were normal. After the treatment, the fever subsided, but it started again the next day with a fever below 38 degrees Celsius.Doctor's answer:
Medical Analysis: Based on the current situation, it is considered to be gastroenteritis. It is necessary to determine whether it is caused by a viral infection or a bacterial infection.Recommendations:
1. A stool routine test should be conducted. If there are no pus cells or white blood cells indicating bacterial infection, antibiotics are generally not required. If antibiotics are necessary, narrow-spectrum antibiotics should be used.
2. Antiviral treatment, fluid replacement, and electrolyte supplementation should be provided. It would be better to conduct a blood electrolyte test and provide corresponding supplementation.
3. Montmorillonite powder, racemic dorzolamide granules, and quadruple live bacteria tablets can be used for symptomatic treatment.
4. A diet of easily digestible and light foods such as congee and noodles should be provided, while avoiding greasy and sweet foods.
Wishing your baby a healthy growth!