Question
What should I do if my child has diarrhea? They have diarrhea three to four times a day, and their stool is not very loose.
Answer
Hello: Based on the situation you described, the child needs to be treated actively for diarrhea. (1) Dietary Therapy: Adequate nutrition supply during diarrhea is important for promoting recovery, reducing the extent of weight loss and growth stasis, shortening the recovery time after diarrhea, and preventing malnutrition. After diarrhea stops, continue to provide nutritious food and add one extra meal per day for a total of two weeks to catch up with normal growth. Children with malnutrition or those in the recovery period of chronic diarrhea may take longer to recover until malnutrition is restored. (2) Nursing Care: Pay attention to disinfection and isolation for infectious diarrhea. Note the vomiting, defecation, and urination situations. Feed water or oral rehydration solutions on time, and control the speed of intravenous fluid replacement. Strengthen eye care to prevent aspiration due to vomiting. Turn frequently to prevent secondary pneumonia. (3) Infection Control: Viral enteritis is mainly treated with dietary therapy and supportive therapy and does not require the use of antibacterial drugs. Acute enteritis caused by non-invasive bacteria is often self-limiting and can usually be cured with supportive therapy alone, but antibacterial drugs are still recommended for newborns, infants, weakened children, and severe cases. Invasive bacterial enteritis generally requires antibiotic treatment. 1) E. coli: Cephalosporin, pipemidic acid, norfloxacin, furazolidone, certain cephalosporins, compound new sulfamethoxazole, berberine, ampicillin. 2) Campylobacter jejuni: Erythromycin, ceftriaxone, amoxicillin, furazolidone, norfloxacin. 3) Yersinia enterocolitica: Cephalosporin, chloramphenicol, norfloxacin, compound new sulfamethoxazole.
