Patient's question:
The daughter is two years and two months old. Since the afternoon of the 24th, she has had some nausea and vomiting. On the 25th, she had a low fever and slightly elevated blood count. A stool test showed fat droplets scattered throughout the field of view. On the 26th, after the fever subsided, she began dry heaving. In the afternoon of the 27th, she stopped vomiting, but still felt nauseous and vomited 3-4 times a day, with small amounts each time. Since the 27th, she has been saying her stomach hurts and has constant bowel sounds. A follow-up stool test showed weak positive occult blood and fat droplets 20-35. She hasn't eaten for three days! It's driving me crazy!Previous treatment and effectiveness: She took and amoxicillin for three days. The was difficult to feed, and she barely ate any of it. How many more days will it take for her to fully recover? Can she drink milk?
Doctor's answer:
Hello, this situation warrants high suspicion of possible intestinal invasive bacterial infection. Amoxicillin is not very effective against intestinal bacteria, so it is not recommended to use it. At the same time, it is important to note that children should not use quinolone-class antibiotics. Currently, it is recommended to seek follow-up care in pediatrics as soon as possible for a routine stool examination and a careful check for pathogenic bacteria in the stool. In terms of treatment, intravenous administration of cephalosporin-class antibiotics is recommended. Currently, it is not advisable to consume milk.