Handling children with diarrhea

Diarrhea is a common disease in children summer and fall seasons. It is precisely because common, there are many parents rely on old experiences, take it for granted when dealing with the results of course, the opposite. Do not believe it? These cases and looked at the following bar.

 Medical Records 1: Child diarrhea that fasting

 Zhang grandmother’s baby grandson, injured after eating diarrhea, Diarrhea of water per day will be 67 times, accompanied by vomiting. Zhang grandma given a free hand. Believe that their children sharpen your drawing and decided to give him fast, hungry child crying more than the child, nor relieve diarrhea.

 Comments: Civil advocates of acute diarrhea with fasting 8 to 12 hours, or even 24 hours a starvation diet is actually wrong. Studies have shown that even acute diarrhea, the children with the gastrointestinal tract digestion and absorption functions are not completely disappear, the absorption of nutrients can reach the normal 60% ~ 90%. Longer-term hunger is not conducive to the maintenance of nutrition in children, but also to the further deterioration of nutritional status and affect the mucosa of the repair, update, reducing the absorption capacity of the small intestine, so that weakened immunity, repeated infections, eventually lead to “diarrhea – Malnutrition – prone to cause diarrhea, “a vicious circle.

 Therefore, children with acute diarrhea should continue to be fed. Breast-feeding infant feeding and watering free, artificial feeding infants can be fed first, diluted milk (milk, 1 part water 2 copies) 2 ~ 3 days, then gradually increased to the whole milk, more than six months of age children can choose rice soup , gruel or rotten noodles, etc., and give some fresh fruit juice or fruit to supplement potassium, plus some cooked vegetable oils, vegetables, minced meat or fish at the end so on, but need to be a gradual transition from less to more than had been accustomed to the usual diet.

 Medical Record 2: diarrhea played a good fast Diaozhen

 CNR sudden appearance of diarrhea a day, pull the white water will dilute and festivals worldwide, accompanied by fever, runny nose, Qing Ke and other cold symptoms, less than 36 hours, orbital invagination. People are wasting a lap down. CNR take the kids mother rushed to support the hospital, request the doctor on duty to the children playing Diaozhen hurry, looking forward to an early cure the diarrhea.

 Comments: The main risk in children with acute diarrhea is dehydration acidosis and electrolyte imbalance. According to statistics, the dehydration caused by diarrhea in children more than 90% are mild and moderate dehydration, only 10% of severe dehydration, while the intravenous infusion is only applicable to moderate and severe dehydration. Other symptoms in children with excessive fluid will not only increase the suffering and financial burden on parents, sometimes caused by transfusion reaction occurring condition deteriorated.

 Is generally believed that acute diarrhea complicated by mild to moderate dehydration in children, another inexpensive and efficient treatment of first choice oral rehydration salts (abbreviated ORS) to conduct oral rehydration therapy. Every time a child diarrhea, serving about 50 ~ 100 ml ORS, played the role of prevention and treatment of dehydration. In the case of lack of standard ORS, using soup can also be replaced with salt solution. Specific formula is: rice soup sugar 500 ml + 10 G + Xiyan 1. 75 grams (half a bottle of beer) + 500 ml of water, boil 2 to 3 minutes per kg of body weight 20 ~ 40 ml, 4 hours Oral finished, at any time after oral, how much to drink much.

 Medical Records 3: diarrhea to use anti-inflammatory drugs

 Cincin less than 2 years old, the past two days had no significant incentive to start diarrhea stomach, pulling the yellow loose stools several times a day, and sometimes fat low-grade fever, refused to eat. To the clinic treatment, the doctors diagnosed as colitis, and to give the child oral pediatric Liberty (containing gentamicin), and berberine result, no improvement in children with disease, diarrhea, increased frequency.

 Comments: Survey shows that the treatment of diarrhea in recent years, the phenomenon of abuse of antibiotics is more common. The 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 worsen, in fact, 70% of acute watery diarrhea, mostly viruses or caused by toxin producing bacteria can be no anti-inflammatory drugs (ie, antibiotics), as long as the well fluid therapy, choice of microecological agents (for example, or bifico Lizhuchangle, etc.) and mucosal protective agent (for example, Smecta, etc.) that is cure: Only about 30% of children with diarrhea by the invasion of bacteria such as Shigella, invasive E.coli, Salmonella]’s caused by bacteria, need to use sensitive to antimicrobial drugs, such as the drug improved progression-free after 48 hours may be considered replacement of an anti-fungal drugs.

 Medical Records 4: clothing sugar and salt water to prevent dehydration

 Sweet only 11 months, suffering from the fall diarrhea, Diarrhea watery stools per day 5 to 8 times more than the amount of each stool. Sweet mother heard of candy to the kids clothes boiled water to prevent dehydration, so in warm water add some sugar and salt to feed their children clothes, sweet dehydration actually worsened the results had to go to the hospital to see a doctor.

 Comment: In the drinking water in the free sugar, salt, dehydration prevention and treatment can not play a role. The correct method of preparation of sugar salt, see the medical record 2 Comments.