Question

The baby has been having diarrhea for three consecutive days, three times a day, but no other symptoms.

Answer

Diarrhea itself is a symptom! (1) Dietary therapy 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 nutrient-rich food and add a meal once a day for a total of two weeks to catch up with normal growth. Nutritional rehabilitation for malnourished children or those with chronic diarrhea takes longer, until malnutrition is fully recovered. (2) Nursing should pay attention to disinfection and isolation. Monitor vomiting, defecation, and urination. Feed water or oral rehydration solutions on time and control the rate of intravenous fluid administration. Strengthen eye care to prevent aspiration during vomiting. Turn the baby frequently to prevent secondary pneumonia. (3) Control infection: Viral enteritis is mainly treated with dietary therapy and supportive treatment and does not require the use of antimicrobial drugs. Acute enteritis caused by non-invasive bacteria is often self-limiting and can be cured with supportive treatment alone, but antimicrobial drugs should still be used for newborns, infants, weakened children, and severe cases. Invasive bacterial enteritis generally requires antibiotic treatment. 1) For Escherichia coli, gentamicin, pipemidic acid, norfloxacin, furazolidone, certain cephalosporins, compound new sulfamethoxazole, berberine, and ampicillin can be used. 2) For Campylobacter jejuni in neonates, erythromycin, gentamicin, amoxicillin, furazolidone, and norfloxacin can be used. 3) For Yersinia enterocolitica in small intestine colitis, gentamicin, chloramphenicol, norfloxacin, and compound new sulfamethoxazole can be used. 4) For Salmonella typhimurium in rat typhoid fever, ampicillin, gentamicin, ciprofloxacin can be used.