Rotavirus enteritis, why does it persist? Rotavirus enteritis, commonly known as “fall diarrhea”. It is a diarrhea caused by rotavirus infection. It is usually prevalent in the fall and winter. It is highly contagious. In the situation of this year’s influenza pandemic, rotavirus is still prevalent until now in the third nine days. And many affected children are not cured for a long time, or even repeatedly infected. What is the reason for this? First, let’s understand Rotavirus Rotavirus (RV) is a double-stranded ribonucleic acid virus that belongs to the family of eutheroviruses. It is one of the most common viruses causing diarrhea in infants and young children, and almost every child in the world about five years old has been infected with rotavirus at least once. It mainly infects the epithelial cells of the small intestine, thus causing cellular damage that leads to diarrhea. It is named for its resemblance to a wheel. Rotavirus is endemic every year in the fall and winter, and the route of infection is the fecal-oral route. The clinical manifestation is acute gastroenteritis, which is an osmotic diarrheal disease with a typical duration of 7 days, fever lasting 3 days, vomiting for 2-3 days, diarrhea for 4-5 days, and severe symptoms of dehydration. In addition to the effects on human health, rotavirus can also infect animals and is one of the pathogens of domestic animals. Summary: Characteristics of rotavirus enteritis: Rotavirus is one of the main pathogens and is prevalent mainly in autumn and winter (autumn diarrhea). The main mode of transmission is fecal-oral transmission (disease from the mouth). The typical symptoms are vomiting followed by diarrhea, which can be accompanied by fever and other symptoms of upper respiratory tract infection. Only a small number of children can become severely dehydrated, and the prognosis is generally good. The treatment of rotavirus enteritis: The treatment of rotavirus enteritis has been introduced to you before. The most authoritative pediatric treatment guidelines, the treatment of rotavirus enteritis in children include the following points. The first of these is the oral rehydration and the intravenous rehydration. Oral rehydration is preferred for mild dehydration, and intravenous rehydration is preferred for moderate to severe dehydration or inability to eat Oral rehydration salt III (ORSIII) is preferred for its advantages of hypotonicity, rapid rehydration, safety, and good taste. Oral rehydration salts should be prepared one bag at a time in strict accordance with the instructions. Oral rehydration salts should not be interpreted as just drinking more plain water, but pay attention to the electrolyte supplementation. 2. Continue feeding It is important to continue feeding. Never stop feeding easily because the child does not want to eat. On the one hand, through feeding can replenish part of the water, to prevent the occurrence of dehydration; on the other hand, through feeding for the child to replenish energy, improve the overall body condition, play a role in shortening the course of the disease. If you are breastfeeding, continue to breastfeed your child in small amounts, and if you have added complementary foods, eat a light diet with small and frequent meals. Avoid eating cold, seafood and greasy food. 3.Medication Montelukast. It plays the role of astringent and antidiarrheal. Absorbs toxins, reduces toxin absorption, and also locks in water to avoid excessive water loss. Montelukast is best taken before eating, strictly in accordance with the instructions for preparation, not too dilute nor too thick. The first dose can be doubled. Probiotics. There are more probiotics available in the market. It is recommended to go to regular hospitals or pharmacies to choose. Such as compound lactobacillus, compound acidophilus, Saccharomyces boulardii, etc. Zinc supplementation. Zinc supplementation can promote the repair of intestinal mucosa and shorten the course of the disease. It is best to consult your doctor for advice on whether to supplement zinc. Lactase. When diarrhea is prolonged, intestinal mucosa is damaged and lactase is lost, lactase can be supplemented under doctor’s advice to shorten the course of illness. Summary: Treatment considerations The treatment of rotavirus is summarized in nine words: “water first, adequate nutrition, comprehensive medicine”. Hydration is the key, continued feeding is important, and medication is strictly in accordance with medical advice. In particular, the preparation of oral rehydration salts, the dosage of montelukast, and the need for zinc supplementation and lactase supplementation should be strictly in accordance with the doctor’s recommendations. The treatment course is usually about 1 week, so do not stop the medication after the child’s condition has improved a little. Some parents say, “I have followed the doctor’s recommendations strictly, but my child is still not getting better, and some of them have gotten worse after treatment. Well, in this case we may have overlooked a very important point, that is, prevention! As we mentioned earlier, rotavirus enteritis is mainly spread by the fecal-oral route, and a long time or repeated aggravation is likely to be reinfected in the course of treatment. This is a vicious cycle that continues! How to prevent rotavirus enteritis before it happens: 1. Wash your hands and disinfect toys regularly. It is the nature of children to eat their hands and toys, so it is important to wash your child’s hands frequently and to disinfect your child’s toys frequently. Guardians should also wash their hands before touching the child, especially after cleaning up the child’s stool and vomit. 2, the home should be frequently ventilated, mopping the floor. But there is no need to spray with disinfectant or alcohol, because the strong smell of disinfectant may irritate the child’s respiratory tract and cause coughing, etc. 3. Avoid cross-infection. Try to go to less crowded public places. If there are children with rotavirus enteritis around, it is even more important to stay away from them. The main thing is to prevent the occurrence of complications. 2. Treatment should be strictly in accordance with medical advice, bearing in mind the nine words: “water first, adequate nourishment and comprehensive medicine.