Fall diarrhea is a self-limiting disease that is generally not treated with specific medications, and most children will stop having diarrhea spontaneously within a week or so. In many poor areas where medical care is scarce, the majority of children can be cured without medication and with oral rehydration. The problem is that when vomiting and diarrhea are severe, if the rehydration is not timely, dehydration will occur soon and the consequences will be more serious.
Diarrhea is due to poor gastrointestinal function and is related to the imbalance of intestinal flora. It is recommended to eat easily digestible liquid food to promote nutrient absorption.
Epidemic season.
The epidemic season of autumn diarrhea is from September to January every year, with the peak of the epidemic from October to December.
Susceptible groups.
Infants and young children aged 6 months to 3 years, malnourished, rickets, anemic and weak infants and young children are more susceptible to the disease and have a serious and long course. Infants younger than 6 months of age are less likely to get fall diarrhea because they are protected by their mother’s antibodies, and breastfed infants are less likely to get fall diarrhea. children over 3 years of age, whose digestive tract functions and immune system are gradually maturing, also rarely get fall diarrhea, and even if they do, their condition is much less severe and their illness is shorter. Adults can also get fall diarrhea, but the symptoms are similar to those of children, but the disease is mild and short-lived, usually recovering in 2 to 3 days.
The main characteristics of autumn diarrhea are.
Vomiting followed by diarrhea, accompanied by fever, watery or egg-flour-like stools, self-limiting course of the disease, and even medication cannot significantly change the course of the disease.
Symptoms.
1, the onset of the disease is rapid, often accompanied by cold symptoms at the beginning, such as cough, nasal congestion, runny nose, half of the children will also have fever (common in the early course of the disease), generally low fever, rarely high fever;
2, the number of stools increased, about 10 times a day, more than 3 times should be considered autumn diarrhea, white, yellow or green egg flower soup-like stools, with a little mucus or pus and blood, no fishy smell;
3, half of the children will appear vomiting. Most of the vomiting symptoms occur at the beginning of the course of the disease, usually no more than 3 days.
4, heavy diarrhea may appear dehydration symptoms, such as thirst obvious, urine volume decreased, irritable;
5, the course of the disease is self-limiting, the course of the disease is generally 5-7 days, malnutrition, rickets and frail patients, the duration of diarrhea may be longer.
Clinical features.
1, global, seasonal, epidemic and self-limiting.
2. rapid onset and severe disease, often with fever and upper respiratory symptoms.
3. The onset of the disease is 1-3 days after infection with the virus, and vomiting is almost always present at the beginning of the disease and lasts for 2-3 days. Most children have fever, with a temperature between 38-40°C, lasting 1-4 days. Diarrhea appears 2 days after the disease, the course of the disease 3-4 days for the extreme phase, stool about 10 times a day, watery stool or egg-like stool, flower green or milky white, can have a small amount of mucus, no pus and blood, no fishy smell, the disease is a self-limiting disease, diarrhea more than 4-7 days after the disease heals itself.
4, improper treatment can lead to malnutrition, multivitamin deficiency and a variety of infections. Such as thrush, toxic hepatitis.
Rational medication.
1, autumn diarrhea is self-limiting, will get better by itself, timely medication is not able to significantly shorten the course of the disease, if early and reasonable use of drugs, can shorten the course of the disease and reduce symptoms. New Bolin + Similac + Pepcidone.
Autumn diarrhea is caused by a viral infection, although there is no effective drug for this virus, but if early use of Neoborin can inhibit the replication and reproduction of the virus and reduce the number of viruses, so that the symptoms can be reduced and the course of the disease shortened.
2. The application of montelukast (Simethicone 3g pack), a protective agent for the mucous membrane of the digestive tract, is advocated. Semicarb 3g pack needs to be manually divided into 3 oral doses for a course of 3 to 6 days. Its main component, natural montmorillonite particles, has a strong fixing and inhibiting effect on viruses and germs in the digestive tract and the toxin gas produced by them, and has a strong protective ability to cover the gastrointestinal mucosa, repairing and improving the defense ability of the mucosal barrier against attack factors. It has the effect of balancing normal flora and local pain relief. Moreover, montelukast does not enter the blood circulation system, no toxic side effects, very safe.
For those who have dysbiosis, choose microecological preparations such as Pepcidone and Gold-Siflex. Supplement a lot of vitamin B to improve the function of the gastrointestinal tract and shorten the course of the disease, such as Tongxiao and Baolikang.
Treatment principles.
1.Prevent dehydration
2.Correct dehydration
3.Continue diet
4.Rational use of medicine.
According to the above principles, children with mild disease and no obvious dehydration are treated at home. For bacterial diarrhea, compound Xinruomin and Gentamicin can be taken under the guidance of doctors, but more water is needed after taking all these drugs. After diarrhea, the main thing is to adjust the diet and consciously replenish water and electrolytes. Generally, potassium at home is not good, and it is best to go to the hospital for oral electrolyte dispersion if possible; all serious patients should go to the hospital to confirm the diagnosis for symptomatic treatment.
Treatment methods.
1. Diet therapy.
Mild cases reduce the amount of milk, replaced by rice soup, sugar saline, etc.; severe cases should be fasted for 8 to 24 hours, and intravenous rehydration.
2, liquid therapy.
(1) oral method: for mild dehydration or vomiting is not heavy. The amount of rehydration is calculated as 100 ml per kg of body weight / day, divided into several doses.
(2) Intravenous rehydration method: for moderate and severe dehydration.
3.Control of infection.
For the cause of the disease, use antibacterial drugs.
4.Symptomatic treatment.
For diarrhea, take bismuth carbonate or light acid protein 0.3g orally 3 times a day; for digestion, take pepsin combination orally 1ml per year, 3 times a day, or multi-enzyme tablets 1 time, 3 times a day. Symptomatic treatment according to the condition.