Fall to help baby diarrhea problem to solve

Autumn diarrhea in clinical practice has three characteristics, namely, “cold”, vomiting, diarrhea. Children are often begins abruptly, begins as a fever, body temperature measured at between 38 ~ 39.5 ℃, cough, clear nasal mucus flow and other “cold” symptoms, accompanied by frequent vomiting, stomach contents and spit milk; followed by 24 hours began to appear within the diarrhea varies from several times a day, as many as dozens of times, thin stool, showing samples of water or egg soup-like, and sometimes white rice soup-like, multi-no special stench smell.

Severe diarrhea can cause dehydration acidosis and electrolyte disorders, stimulation of malnutrition, if not promptly treated, may occur hemorrhagic shock and thus life-threatening.

Treatment and care for the important Q & A

Q Does diarrhea, use of antibiotics?

A national survey showed that the treatment of diarrheal diseases in the autumn of antibiotics usage up to 50% to 80%, showing that the phenomenon of abuse of antibiotics is more common. In fact, China’s treatment of diarrheal diseases that 70% of acute watery diarrhea, mostly caused by viruses or bacteria producing toxins that can not antibacterial drugs, as long as the well fluid therapy, choice of microecological agent (such as Lizhuchangle or bifico, etc.) and mucosal protective agents (eg, Smecta, etc.), most children can be cured; about 30% of Latin America, mostly in children with sepsis can attack bacteria such as Shigella, invasive E. coli, salmonella, etc. caused continue to advocate the use of sensitive antibiotics. Typically use one of the local and effective antimicrobial agents. Such as the medication 48 hours condition did not improve, then consider replacing an anti-fungal drugs. Misuse of antibiotics can cause resistant strains of bacteria growing at the same time can also be secondary to intestinal flora imbalance, fungal enteritis, so that persistent diarrhea or increased.

70% of acute watery diarrhea, baby is available microecological agents and mucosal protective agent do a good job fluid therapy, without the use of antimicrobial agents. Intravenous infusion only for moderate to severe dehydration, parents must not be free to ask the doctor for infusion therapy.

Q Do you want to fast diarrhea?

A traditional view of acute diarrhea with fasting 8 to 12 hours, or even 24 hours a starvation diet, this order “the gastrointestinal tract rest” of the treatment is not quite correct. Many studies have shown that even acute diarrhea, children with digestion and absorption function of the gastrointestinal tract is not completely disappeared, the absorption of nutrients can reach the normal 60% ~ 90%. Longer period of time of hunger, is not conducive to the maintenance of nutrition in children, and if that there are malnourished, its nutritional status will further deteriorate, will also affect mucosal repair, update, reducing the absorption capacity of the small intestine, so that weakened immunity , repeated infection, the final cause “diarrhea – malnutrition – prone to cause diarrhea,” a vicious circle.

Pediatricians who now insist on acute diarrhea should continue breast-feeding or feeding. The reason is that fasting is harmful, it is because the existing nutrient loss in children with diarrhea are more restricted diet will lead to irreparable loss of nutrition; fasting children crying because of hunger is more than ordinary, easy hypoglycemia, body weight significantly mitigation. Those who continued to feed her appetite, quick recovery, the number of diarrhea and vomiting did not result in an increase, and the early recovery of physical strength, strong resistance to disease is conducive to the rehabilitation of the disease.

Experts pointed out that breast-feeding children free feeding and watering; artificial feeding children can be fed first, dilute milk (1 part milk with 2 parts water) to feed 2 to 3 days, then gradually increased to the whole milk; the baby for more than six months of age the choice of rice soup, rice porridge, or rotten noodles and so on, can give some fresh fruit juice or fruit to supplement potassium, and add some cooked vegetable oil, vegetables, minced meat or fish at the end and so on, but take from as little more than a gradual transition to are used to the usual diet.

Q How do I know whether the baby dehydrated?

A Clinically, diarrhea, dehydration in infants and young children to determine key indicators are: ⑴ rapid reduction of body weight: children with body fluids of more than 5% loss of total body weight considered dehydration exists; ⑵ oliguria: urine output to reduce the severity is proportional to the degree of dehydration; ⑶ orbital depression : baby’s eyes when the nest depression have mild to moderate dehydration prompted; ⑷ will still cry tears of water, shows children in a state of mild dehydration; crying without tears, thirst, irritability prompts the body serious water shortages. In addition, the infant before the fontanel depression, skin elasticity is poor, cold limbs for children with terminal dehydration objective phenomenon.

Q Why is the preferred oral rehydration salts?

A doctor, according to statistics, infant dehydration caused by diarrhea in autumn more than 90% are mild and moderate dehydration, only 10% of moderate and severe dehydration. Pediatricians have pointed out that the acute diarrhea complicated by mild to moderate dehydration in children, also inexpensive and efficient treatment of first choice of oral rehydration salts (abbreviated ORS, all hospitals and large pharmacies to sell) for oral rehydration therapy. Baby diarrhea every time, serving ORS about 50 ~ 100 ml, play a role in prevention and treatment of dehydration.

In the case of lack of standard ORS can be used soup with salt solution. The specific formula is: rice soup 500 ml (1 kg bottle bottle installed) + 10 grams of sugar (5 ml of 2 level tablespoons) + Xiyan 1.75 grams (half a bottle of beer) + 500 ml water, boil 2 to 3 minutes. Per kg of body weight for 20 to 40 milliliters, 4 hours Oral finished, at any time after oral, how much to drink much.

The experts also noted that the intravenous infusion only for moderate and severe dehydration. Under the guidance of the need to use a specialist. Parents must not arbitrarily ask the doctor to infusion therapy. This is because the infusion will not only increase the abuse of children suffering and financial burden on parents, sometimes occur infusion reactions as health to deteriorate.

Q how to care for a good baby diarrhea?

A fall of diarrhea in infants and children, one of the most common diseases, the majority occurred at home, the right of life care is essential. First to observe the baby’s consciousness, mental status, face, limbs, temperature, pulse and other changes, pay attention to whether improved or increased dehydration; observation of stool frequency, volume and character, and do a good job of the record; to keep some fresh stools taken to a nearby the hospital laboratory to help diagnose the cause, in order to provide a reliable basis for treatment of disease; good bedside isolation, care of sick children wash their hands carefully before and after to prevent cross infection; each wash after defecating buttocks to prevent diaper dermatitis, pay attention to whether the urination. Experts pointed out that the treatment of infantile autumn diarrhea point is to continue feeding, administration of oral rehydration salts, good fluid therapy, rational use of drugs, generally 5 to 8 days can be completely cured.