Medical treatment.
1.Is it diarrhea if my baby poops several times a day?
Some mothers feel that if their child poops several times a day, they have diarrhea, which is a misconception that parents and some primary care doctors tend to have. Shen Zhenyu said that mothers should observe the shape of the baby’s stool and the amount of change, not simply from the number of times to determine whether the baby diarrhea. If the child poops four or five times a day, the shape is good, and the amount each time is not much, then it is not diarrhea. In addition, breastfed children will have a gastrocolic reflex and will poop as soon as they eat, a little bit, and the younger the baby, the more prominent this symptom is, but as long as the amount is small and the shape is normal, it is okay.
Generally speaking, it is normal for a child to have no more than 200g of stool per day, and for small babies, not more than 10g per kilogram of body weight per day, using the size of a fried egg (50g-75g) to describe a 10kg baby should not exceed 100g a day, about two fried eggs is too much, for normal children, about 3-4 fried eggs a day are normal.
2.Should I bring my baby’s poop with me when I visit the doctor?
In general, mothers can take pictures of their babies’ poop with their cell phones and show them to the doctor when they go to the doctor. If there is blood or mucus in the baby’s stool, it is best to bring the stool for testing. If the diarrhea is long and chronic, a stool smear should be done to see if there are pathogenic bacteria, dysbiosis and other pathogenic bacteria. If the test is chronic diarrhea, or the picture found in the dysbiosis or pathogenic bacteria, you have to test the stool culture again, generally 7 days to produce results, when taking samples, pay attention to take the “worst” piece of stool, such as blood and mucus.
3.What kind of situation needs to come back to the hospital?
For acute diarrhea in babies, preventing dehydration is more important than stopping diarrhea. Every year, children die of dehydration due to diarrhea in China, so mothers should seek immediate medical attention once they notice that their babies are dehydrated. To determine whether the baby is dehydrated, Shen Zhenyu suggests that the observations include: Is the baby’s urine volume significantly less than usual? Is the baby irritable and restless? Are the lips dry? Are the eye sockets sunken? Are there cold hands and feet? Is the baby crying without tears? If the above symptoms appear, it indicates that dehydration is more serious, so you need to go to the hospital immediately.
Diet, care.
1. Do you want to feed your baby if he/she poops after eating?
Although the baby eats and poops, but there will be 2/3-3/4 absorption rate, can delay malnutrition. Therefore, during diarrhea, emphasize the continuation of the diet, otherwise it is easy to lead to malnutrition.
2, why baby still diarrhea after eating diarrhea formula, can still eat again?
For diarrhea babies doctors will recommend eating diarrhea milk powder, the role of eating diarrhea milk powder is not to “stop diarrhea”, but to avoid aggravating the baby’s diarrhea. This is because diarrhea can make the baby’s intestinal wall damaged, the intestinal mucosa can not handle the lactose in ordinary milk powder, it will accumulate in the intestine, which will cause bacterial fermentation, acid production and gas production, which will aggravate diarrhea. Diarrhea formula is divided into de-lactose formula and low-lactose formula. In acute diarrhea, you can take de-lactose formula, and as your baby’s diarrhea improves, you can slowly switch from de-lactose to low-lactose.
Treatment.
1. How to distinguish bacterial or viral diarrhea?
If you see most white blood cells in the stool routine and red blood cells in severe cases, it means that the mucous membrane is broken and that is bacterial diarrhea, while for viral diarrhea, white blood cells are not visible. Bacterial diarrhea is usually caused by an unclean diet, such as having eaten unclean food or expired food, along with abdominal pain, blood in the stool, and fever. At this point, it is necessary to check the blood again, and if the blood indicators are elevated, to do another culture, but the absence of a culture does not mean that there is no bacterial infection. Doctors generally assess through a combination of indicators.
2, bacterial diarrhea must be used antibiotics?
There are two types of bacterial diarrhea. One type of diarrhea does not need antibiotics and can be treated by treating bacteria with bacteria, allowing the good bacteria to enter and occupy the surface of the intestinal wall, while the bad bacteria themselves have weak seizure ability and can only come out with the stool. The other type is invasive diarrhea, which is stronger and will multiply there in the mucosa by itself. If all indicators are consistent with bacterial diarrhea and the diarrhea is more than one, and the effect of probiotics is not good, you can use antibiotics with probiotics to rebuild the intestinal microecology.
3.How to eat antibiotics and probiotics?
Saccharomyces boulardii (pro-active) is not afraid of antibiotics and can be taken with antibiotics, and it is best to eat Mamma’s Aid at two-hour intervals before using it. In fact, infectious diarrhea can also be used, but to reduce the amount and time of antibiotics, because antibiotics may instead lead to antibiotic-associated diarrhea after use.
4.What happened to the baby’s diarrhea and constipation after taking Similac?
In addition to stopping diarrhea, it also has a protective effect on the intestinal mucosa. If you continue to take Similac, it will absorb water from the stool and cause constipation.
5. Why do doctors prescribe zinc when babies have diarrhea?
Eating zinc at the same time as your baby has diarrhea can make the mucous membrane of the intestinal wall grow well, promote mucous membrane repair, improve immunity and reduce diarrhea again.
6.Should I stop the probiotics after the diarrhea gets better?
Probiotics are good for the intestinal mucosal barrier itself, general outpatients, giving probiotics is good for the biological barrier, infants can take probiotics even if they are bacterial and will not invade into the gastrointestinal. Probiotics like mommy’s love, when diarrhea is well, Shen Zhenyu suggests to use it again for a period of time (half a month or a month), which can help the mucosa to recover. There is no problem to give probiotics to normal babies for long-term use. If you don’t know which probiotics to give your baby, you can rotate them and see how the baby accepts them, it is best to choose the punch, powder, and the baby is easy to accept. At present, the domestic Golden Bifid is the oldest probiotic, with cheese flavor, children like to eat. Pefikon three kinds of bacteria ratio is good, solubility is good enough, mommy love taste good.
Stool classification method from the poop to see the baby’s health:.
Type I, one grain, constipation; Type II, cracked bitter melon, constipation; Type III, thick salami, between constipation and normal; Type IV, smooth banana, once a day is ideal; Type V, lumpy maltose, on the soft side; Type VI, paste, changing shape with the container, light diarrhea; Type VII, watery, diarrhea.