Question
A three-month-old baby has recently been experiencing frequent diarrhea (five times a day), decreased appetite, and a normal mental state. The parents describe that the child was diagnosed with acute enteritis and mild dehydration at a community hospital but did not receive hospitalization for intravenous fluid therapy. Subsequently, at another hospital, the child was diagnosed with inflammation caused by throat inflammation and was prescribed Mamila and Amoxicillin. However, after taking Amoxicillin, the symptoms did not improve but worsened instead.
Answer
Based on the description, the child may have a cough caused by mycoplasma infection, characterized by dry and paroxysmal coughs that last for a long time. Initial treatment should include azithromycin or cephalosporin antibiotics to control the infection, along with antiviral oral liquid and nebulization inhalation therapy to alleviate symptoms. Additionally, considering that oral Amoxicillin may cause an imbalance in gut microbiota, it is recommended to use montmorillonite powder and probiotics to regulate gut microbiota. Since the symptoms have not seen improvement, it is suggested to stop taking Amoxicillin and consider other medications and nebulization treatments. It is recommended that the parents take the child to a pediatrician as soon as possible for professional medical evaluation and treatment.