What's causing a child's diarrhea and vomiting?

Written by Yan Xin Liang
Pediatrics
Updated on December 13, 2024
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When a child has diarrhea accompanied by vomiting, we first consider the symptoms of acute gastroenteritis. In this situation, we need to analyze the cause. The most common cause is often rotavirus infection. Rotavirus is a self-limiting disease, and treatment is primarily symptomatic, focusing on fluid replenishment to maintain electrolyte balance. It is also important to pay attention to the baby's mental state, responsiveness, and urination. Additionally, we need to be cautious of vomiting and diarrhea caused by intestinal bacterial infections, such as food poisoning, which can present similar symptoms. If a bacterial infection is suspected, we must promptly administer sensitive antibiotics for the infection treatment, while also focusing on symptomatic treatments such as fluid and electrolyte replenishment.

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Written by Yan Xin Liang
Pediatrics
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What are the treatment methods for infectious diarrhea in children?

For infectious diarrhea in children, it is first important to determine if the cause is viral or bacterial. In general, rehydration should be provided first to prevent dehydration; oral rehydration salts are commonly used to prevent dehydration and replenish electrolytes. Additionally, probiotics can be given to regulate the gut flora, commonly including bifidobacteria. Another option is to administer smectite powder to protect the gastrointestinal mucosa. It is also appropriate to supplement zinc and folic acid to promote the repair of the gastrointestinal mucosa. If a bacterial infection is suspected, sensitive antibiotics can be administered, commonly cephalosporins or penicillins for anti-infection treatment. If a viral infection is considered to be causing the diarrhea, some antiviral medications can be added to the treatment. Pay attention to the baby’s mental response and urination situation.

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Written by Yan Xin Liang
Pediatrics
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What medicine is effective for children's diarrhea?

In cases of childhood diarrhea, it is crucial first to identify the cause. Generally, it is categorized into infectious and non-infectious diarrhea. If it is suspected to be infectious diarrhea, it can be further divided into viral enteritis, bacterial infections of the intestines, and possibly fungal enteritis, among others. Typically, viral enteritis has a self-limiting course and does not require special medication treatments. The primary treatment includes hydration and maintaining electrolyte balance, and possibly using probiotics to regulate the intestinal flora as symptomatic treatment. If bacteria infection causes the enteritis, sensitive antibiotics are required for the infection. For non-infectious diarrhea, specific medications targeting the cause of the condition are used, such as lactase supplements for diarrhea caused by lactose intolerance and providing special formula milk for diarrhea. If the diarrhea is due to allergies, it's essential to avoid the allergens in the diet. Therefore, every case needs to be analyzed based on its specific circumstances. (Medication should be administered under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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Can children with diarrhea eat sugar?

For children with diarrhea, it is best to stick to a light, easily digestible diet. During diarrhea, a child's gastrointestinal function may decline, leading to indigestion or gastrointestinal disorders. In such cases, one must consume foods that are easy to digest, avoiding greasy, spicy, stimulative, and hard-to-digest foods. Meanwhile, sugar should also be largely avoided, as many instances of diarrhea in children are caused by lactose intolerance. Adding sugar under these circumstances can exacerbate the symptoms of diarrhea. Furthermore, some cases of diarrhea in children may lead to temporary lactose intolerance. In such situations, sugar should not be added as well. Thus, when dealing with diarrhea, it is advisable to refrain from consuming sugar.

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Written by Yan Xin Liang
Pediatrics
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What medicine should a child take for indigestion and diarrhea?

For childhood indigestion and diarrhea, one can initially use intestinal probiotics to modulate the gut flora, such as Bifidobacterium or Lactobacillus. Additionally, zinc supplementation can be provided to promote the repair of the gastrointestinal mucosa. Another option is to administer Smecta to protect the gastrointestinal mucosa. Digestive medications can also be given, such as Chinese medicinal herbs like hawthorn, Shenqu, and malt to aid digestion. Furthermore, it is important to ensure the diet consists of easily digestible foods.

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Written by Li Jiao Yan
Neonatology
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Can children with diarrhea eat fruit?

When a child experiences diarrhea, their gastrointestinal function is clearly disordered. They have absorption dysfunction, meaning the nutritional substances they consume are not easily absorbed. There may even be a bacterial infection in the intestines, leading to inflammatory exudation and consequently, a noticeable increase in the frequency of bowel movements and watery stools. If the child consumes cold fruits during this period, it could aggravate the diarrhea. Therefore, if parents need to give fruits to a child with diarrhea, they should choose fruits like apples or oranges and serve them warm. Other fruits, such as bananas, could increase gastrointestinal motility and thus worsen the symptoms of diarrhea. During a diarrhea episode, it is important to select appropriate fruits and avoid cold foods.