What to do about enteritis in a one-year-old baby

Written by Hu Qi Feng
Pediatrics
Updated on September 12, 2024
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Most cases of enteritis are due to viral infections. The principles of treatment primarily involve diet adjustment, prevention and correction of dehydration, rational use of medication and enhanced nursing care, and preventing complications such as dehydration. Treatment of diarrhea varies with different stages; during the acute phase, it is important to maintain a balance of water and electrolytes, while prolonged and chronic diarrhea requires attention to intestinal flora imbalance and dietary adjustments. A minority of diarrhea cases are caused by bacterial infections, and if there is clear evidence of bacterial infection, appropriate antimicrobial drugs should be used.

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What should I do about acute enteritis?

What should be done if one suffers from acute gastroenteritis? In general treatment, the first step is to eliminate the cause, discarding some unclean food that led to the illness; Secondly, rest appropriately according to the condition, with bed rest for severe cases; Thirdly, patients with severe vomiting and diarrhea should temporarily fast, and gradually introduce some light, easy-to-digest foods as the condition improves; Fourthly, it is advocated to use oral rehydration and salt supplementation to replenish the body fluids lost due to vomiting and diarrhea. Fifthly, keep the abdomen moderately warm; record the frequency and characteristics of the stool; accurately record the amount of urine, paying attention to these aspects. In terms of medication treatment: This includes controlling intra- and extra-intestinal infections and medications that protect the gastric mucosa, as well as treatments involving microecological preparations. The third aspect is to correct dehydration and electrolyte imbalance: during the initial stages of diarrhea, at home, one can use some rice soup, or add a bit of sugar and salt, alternating with plain water and sugar to prevent dehydration. For mild or moderate dehydration, if the patient does not have vomiting or abdominal distension, oral rehydration solutions may be sufficient. In cases of severe dehydration or when the overall condition is poor, indicating potassium, sodium, chloride electrolyte imbalances, and acidosis, intravenous fluid therapy in a hospital is necessary. It is also important to note that both oral rehydration solutions and oral medications should be used correctly under the guidance of a doctor, and should not be taken without professional advice.

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What to do with infant enteritis?

When an infant has enteritis and frequently diarrhea, it is essential to treat this condition. First, you should administer appropriate anti-inflammatory medication. Additionally, medications that stop diarrhea and regulate intestinal flora are needed. If the infant has numerous bouts of diarrhea, followed by reduced urine output or cries without tears, it indicates dehydration. In such cases, it's important to replenish fluids, possibly through oral rehydration salts. If the infant shows significant restlessness or cries without any tears at all, or if there is a noticeable decrease in urine output, fluid replenishment therapy is necessary.

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How to treat enteritis in children

How to treat enteritis in children? First, it is necessary to assess whether the enteritis is caused by a virus or a bacterial infection. If it is simply viral enteritis, the first step generally involves rehydration, which can be provided through oral rehydration salts to replenish fluids and electrolytes. Additionally, probiotics such as Bifidobacterium or Lactobacillus acidophilus can be given to regulate the intestinal flora, and smectite can be used to protect the gastrointestinal mucosa. If it is viral diarrhea, antiviral medications can also be added to the treatment. If the diarrhea is considered to be caused by a bacterial infection in the intestines, some antibiotics can be administered orally, including cephalosporins or penicillin antibiotics. If the infection is severe, intravenous therapy may be necessary.

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How to treat enteritis?

Patients with enteritis mainly suffer from a series of symptoms such as nausea, vomiting, diarrhea, etc., due to viral and bacterial infections. Severe cases can lead to dehydration. Therefore, while providing symptomatic and etiological treatments, it is crucial to pay attention to dietary adjustments. This involves eating less irritating food and avoiding raw and cold foods, including contaminated water and uncooked fruits and vegetables, which should be thoroughly heated. Additionally, it's important to avoid uncooked eggs, meat, poultry, and other such foods, as well as cold foods, spicy peppers, strong tea, coffee, etc. Moreover, quitting smoking and alcohol is essential, as alcohol can particularly aggravate the intestines. It is also important to develop good dietary and lifestyle habits.

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Is it useful to take probiotics for enteritis?

Some patients may ask if probiotics are useful for enteritis. A large number of studies have shown that dysbiosis of the gut microbiota can cause enteritis, and patients with enteritis generally experience a disruption of the gut microbiota, especially those who have had the condition for a longer period, often have this situation of gut microbiota imbalance. Therefore, appropriately taking probiotics should be beneficial for the recovery of the gut, because probiotics inhibit the growth of harmful bacteria in the gut, adhere to the intestinal mucosa to form a protective layer, and prevent attacks on the intestinal mucosa by harmful microbiomes. Additionally, probiotics can produce various enzymes involved in the digestion of food in the gut and other physiological processes; moreover, probiotics can also regulate the activity of immune factors in the gut, enhancing intestinal immunity. Thus, probiotics play a very positive role in preventing and treating symptoms that arise from enteritis. However, patients with enteritis also need to supplement appropriate probiotics under the guidance of a doctor, choosing probiotics that meet the different needs of different individuals to improve related symptoms.