What to do if a child has gastroenteritis?

Written by Yan Xin Liang
Pediatrics
Updated on September 12, 2024
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For children with gastroenteritis, we first treat the gut with probiotics, such as oral bifidobacterium or lactobacillus acidophilus. Then, we can provide gastrointestinal mucosal protectants, such as montmorillonite powder. At the same time, since gastroenteritis may cause dehydration and electrolyte disorders, it is necessary to replenish fluids and electrolytes, commonly using oral rehydration salts. If the gastroenteritis is suspected to be caused by a viral infection, some antiviral medications should be taken orally. If it is considered to be caused by a bacterial infection, oral antibiotics for anti-infection treatment, such as cephalosporins or penicillins, should be administered.

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Written by Jiang Guo Ming
Gastroenterology
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How to stop diarrhea in acute gastroenteritis

First of all, start with diet and daily habits by paying attention to keeping warm and avoiding catching a cold, especially for patients with gastrointestinal-type colds. The diet should consist of light and easy-to-digest foods, such as porridge and soft noodles, with some salt added to replenish electrolytes. Avoid eating foods that are too cold or greasy and spicy. Regarding medication, different treatments should be adopted according to different causes of the disease. For patients with gastrointestinal-type colds caused by viral infections, antiviral and astringent antidiarrheal medications are generally used. If the infection is caused by improper diet, the main treatment involves anti-inflammatory medications to achieve hemostasis.

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Written by Li Ying
Gastroenterology
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How to deal with acute gastroenteritis

When diagnosing acute gastroenteritis, we generally assess whether the symptoms match those of acute gastroenteritis. This typically involves examining the frequency of bowel movements, often more than ten times, with stool colors usually yellow-green. Some may appear like egg drop soup, while others have watery stools, and severe cases might include mucus, nausea, vomiting, reduced appetite, and complications like hypokalemia due to severe vomiting. Other symptoms include abdominal bloating and fever, and in severe cases, it may even lead to unconsciousness. Thus, it is important to conduct routine stool tests and check for white blood cell counts to aid in diagnosis followed by subsequent treatment. In terms of treatment, it principally includes bed rest and symptomatic relief, alongside possible antibiotic therapy. Maintaining hygiene, proper management of drinking water, and stool are essential preventive measures for such conditions.

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Written by Li Ying
Gastroenterology
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How is acute gastroenteritis caused?

Acute gastroenteritis primarily has two main causes. The first is infection by bacteria and toxins, with Salmonella and Vibrio parahaemolyticus being the most common infections, and staphylococcal toxins, especially from Staphylococcus aureus, being frequently seen. Viruses can also cause outbreaks, often occurring in groups or within families. Additionally, consuming contaminated meat from poultry, fish, or other livestock, as well as seafood like snails grown in the wild, can trigger the disease. Contaminated leftovers infected by Staphylococcus aureus can also induce illness. The second cause involves physical and chemical factors, such as eating cold foods, some antibiotics, or accidentally consuming strong acids, alkalis, or pesticides, all of which can lead to this disease.

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Written by Jiang Guo Ming
Gastroenterology
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What foods should be eaten for gastroenteritis?

Acute gastroenteritis is one of the common diseases of the digestive system, usually characterized by abdominal pain, diarrhea, vomiting, bloating, etc. Sometimes there are symptoms like fever and chills. In such cases, it is first necessary to undertake targeted treatment based on the specific cause, such as anti-inflammatory, antiviral treatments, astringents to stop diarrhea, and hydration. At the same time, attention should be paid to the dietary structure, initially avoiding exposure to cold. The diet should mainly consist of light, easily digestible foods, with a preference for porridge, wheat products like noodles, and fresh vegetables. It is advisable to avoid raw, greasy, spicy foods and alcoholic beverages.

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Written by Jiang Guo Ming
Gastroenterology
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Acute gastroenteritis requires medication.

The drug treatment for acute gastroenteritis should be based on the specific cause. If it is a viral infection that causes gastroenteritis, it can generally be treated with oral antiviral drugs and astringent antidiarrheal drugs to achieve good therapeutic effects. If it is caused by improper food intake and bacterial infection, it usually requires the use of antibacterial drugs, such as cephalosporins or quinolones for anti-inflammatory purposes. If diarrhea is severe, appropriate antidiarrheal drugs can be taken for symptomatic treatment. At the same time, attention should be paid to a light and easily digestible diet, avoiding raw, greasy, spicy food and alcohol, which can generally relieve symptoms gradually.