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 Huang Gang
Gastroenterology
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Does acute gastroenteritis hurt?

When suffering from acute gastroenteritis, the inflammation can cause irregular and accelerated intestinal peristalsis, which may lead to intestinal spasms and colic. In such cases, the first step should be proactive anti-inflammatory symptomatic treatment. Then, applying a heat pack on the stomach and drinking more hot water can help alleviate the symptoms. If the pain is severe, and the patient is sweating profusely, looks pale, and has cold hands and feet, going to the hospital for an intramuscular injection of Scopolamine Butylbromide can relieve smooth muscle spasms and relax the muscles, thereby easing the pain. Therefore, it is important to pay attention to dietary hygiene. It is crucial to thoroughly heat or cook food taken out from the refrigerator before eating, as prevention is more important than treatment.

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Written by Ren Zheng Xin
Gastroenterology
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What tests are done for chronic gastritis?

Chronic gastroenteritis is a chronic inflammation that occurs in the mucous membrane of the gastrointestinal tract. The basic pathological change is the infiltration of a large number of neutrophils or lymphocytes in the mucosa. Examinations mainly include endoscopy and routine stool tests. Gastroscope and colonoscopy can be used to assess the extent of mucosal lesions in the gastrointestinal tract, and routine stool tests can determine the presence of occult blood positivity. If there is blood in the stool, a routine blood test can also be conducted to check for chronic blood loss anemia. Based on the results of these examinations, the severity of the lesions can be understood, and appropriate medications can be actively chosen for symptomatic treatment.

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Written by Zhai Guo Dong
Gastroenterology
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Do you have a fever with gastroenteritis?

Gastroenteritis mainly presents symptoms of abdominal pain and diarrhea, with an increased frequency of bowel movements, ten times or even more than ten times, accompanied by nausea, vomiting, and decreased appetite. There may be irregular fevers, such as low-grade fever, and severe cases can develop high fever. Subsequently, the symptoms of the patient become more severe, manifesting restlessness and lethargy, even confusion or coma. Therefore, we must pay special attention and not take it lightly.

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Written by Ren Zheng Xin
Gastroenterology
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How to reduce fever in acute gastroenteritis

Acute gastroenteritis generally manifests as fever, abdominal pain, and diarrhea. If the fever does not exceed 38.5°C, antipyretic medications can be used, along with physical cooling methods such as wiping the patient's forehead, palms, and soles with a warm towel to facilitate heat dissipation through evaporation. If the fever exceeds 38.5°C, muscular injection of antipyretic drugs should be chosen, along with combined infusion therapy to prevent signs of physical collapse caused by high temperatures. At the same time, active use of antibiotics and antidiarrheal medications is advised. During treatment, a regular diet should be maintained, adopting the principle of eating small and frequent meals. Rest is important, and excessive fatigue should be avoided. (The use of medications should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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Can I eat bread with gastroenteritis?

People with gastroenteritis should try to eat less bread, as bread is a type of fermented flour-based food that can cause increased gas production and acid reflux when consumed in excess. Due to some damage in the intestinal function of individuals with gastroenteritis and the disruption of gastrointestinal digestive functions, it is advisable to choose soft, easily digestible foods such as rice soup and vegetable soup, eat more vegetables, and drink plenty of fluids. If diarrhea occurs, it is important to actively use medications that stabilize the intestines and stop diarrhea. Severe diarrhea can lead to dehydration, which should be promptly treated with fluid replenishment.