Overview
Pediatric acute gastroenteritis is a common gastrointestinal disease. Infants and young children have poor gastrointestinal function and low resistance to external infections, making them susceptible to the slightest discomfort. Most pediatric enteritis is caused by unclean foods, so the most important thing to prevent is the cleanliness and safety of food storage. Children should not eat raw and cold food sold on the street, and food at home should be boiled and sterilized by other methods. All baby bottles should be strictly sterilized. Brewed milk or half-eaten milk should not be left in the greenhouse for too long.
Causes
1. Infections in the intestinal tract are caused by bacteria and viruses, especially pathogenic E. coli, which is the main causative agent. If the child is sick and a large number of unreasonable use of antibiotics, it will also cause mycobacteria to invade the gastrointestinal tract.
2, inflammation of the upper respiratory tract, pneumonia, nephritis, otitis media and other diseases outside the gastrointestinal tract, can be due to fever and absorption of bacterial toxins to reduce the secretion of digestive enzymes and increase intestinal peristalsis.
3, unreasonable feeding of infants and young children, children eat too much, too little; or too early, too much starchy, fatty food; sudden change of food, sudden weaning, etc., can cause children diarrhea.
4, climate change, such as too cold to increase intestinal peristalsis, too hot to reduce the secretion of gastric acid and digestive enzymes, can also induce acute gastroenteritis.
Clinical manifestations.
If acute gastroenteritis causes light diarrhea, the general condition is good, the stool is less than 10 times a day, yellow or yellow-green, a small amount of mucus or white soap, not much fecal matter, and sometimes the stool is “egg-flake soup-like”. Professor Chen Chunlian said that acute gastroenteritis can also cause heavy diarrhea, several to dozens of stools per day. Large amounts of watery stools, a small amount of mucus, nausea and vomiting, low appetite, and sometimes vomiting coffee-like material. If there is hypokalemia, there may be abdominal distension with systemic toxic symptoms; such as irregular low or high fever, irritability and then mental unrest, hazy consciousness, or even coma.
Identification of symptoms
Acute gastroenteritis is mostly caused by eating cold and irritating food, overeating, cold abdomen or eating spoiled food, and the main symptoms are nausea, vomiting, diarrhea and abdominal pain. If the patient is thirsty, with red tongue and yellow coating, then it is hot evidence; if the patient is not thirsty, with light tongue and white coating, then it is cold evidence.
Treatment method cold evidence acute
1. Huangtu Ginger Soup: 50 grams of Zao Xin Huangtu, 12 grams of Chen Pi, 15 grams of ginger. First, the Zao Xin Huang Tu decoction with water for 30 minutes, remove the yellow earth, with Huang Tu water decoction of ginger, Chen Pi about 15-20 minutes, you can take, this formula for acute gastroenteritis to vomiting mainly, the best effect.
2, pepper pepper: pepper 50 grams, pepper 25 grams, finely grinded, placed in a bottle sealed spare. Usage: pepper pepper scattered on the navel, medicine with about 1-3 grams, press the umbilicus with your hand until the navel is hot, about 10 minutes to see the effect. This formula has a significant therapeutic effect on acute gastroenteritis with pain as the main cause.
3. Pomegranate and umeboshi soup: 15 grams of pomegranate peel, 15 grams of ginger and 12 grams of umeboshi. 1 dose daily, the above decoction for about 30 minutes, can be taken, 1 day to take 3-5 times. This formula has significant antidiarrheal effect on acute gastroenteritis with diarrhea as the main cause.
Heat evidence acute
Bai Tou Gong Ying Tang: Bai Tou Wu 30g, Dandelion 30g, Huang Lian 15g. Soak in water for 15 minutes and decoct for 20 minutes, then you can take it. Take it 5-6 times a day for a maximum of 2-3 days. This formula is particularly effective for acute gastroenteritis with diarrhea as the main cause.
Acute symptoms
1. Bacterial food poisoning: caused by eating food contaminated by bacteria and their toxins. The clinical manifestations are nausea and vomiting, diarrhea and abdominal pain, etc. It has the characteristics of short incubation period, concentrated time, sudden outbreak and ferocity, etc. More than 90% occurs in July, August and September, mainly due to cross-infection caused by neglecting food hygiene in the process of adding: positive, transportation, storage, sales and production. Common bacteria are Salmonella, Aspergillus, etc. The key to prevention is to strengthen food hygiene management and prevent food contamination.
2, travel diarrhea: is an acute infectious diarrhea occurring in tourism, often due to the ingestion of contaminated food, drinks and drinking water, the pathogenic bacteria are mainly various types of E. coli, viruses and parasites, etc.. Common symptoms are watery stools with abdominal pain, bloating and vomiting. Therefore, in the process of travel to strictly control the “disease from the mouth” off.
3, E. coli enteritis: mainly eat E. coli contaminated vegetables, meat, seafood, tap water, cold drinks, etc. and the onset of the disease, generally slow onset, mainly manifested as diarrhea, 3-5 times a day, for yellow egg-like stool, the amount of. Therefore, the prevention of the disease to improve diet, water hygiene and fecal management.
4, bacteriophage dysentery: referred to as bacillary dysentery; is caused by dysentery bacillus acute intestinal infectious disease, mainly through contaminated diet, drinking water and oral infection, but also through the hands, flies and spread. Because there are many bacilli, the human body reacts differently, the clinical symptoms are various and vary in severity, mainly systemic poisoning and intestinal symptoms, usually with a sudden onset, first with chills and fever, then with abdominal pain and diarrhea. Toxic bacillary dysentery patients can be extremely exhausted, toxic shock, mostly seen in infants and children under 2 years old.
5, refrigerator enteritis: that is, Yersinia enterocolitica: with the popularity of refrigerators, the incidence of the disease is increasing year by year. Yersinia bacteria are widely present in milk, meat, fish, poultry and vegetables and many other foods, in -4 ℃ below the low temperature growth and reproduction. Food in the refrigerator freezer contaminated with the bacterium may cause enteritis. Therefore, the food in the refrigerator should be separated from raw and cooked, and re-cooked and cooked thoroughly before eating.