How to properly hydrate pediatric acute gastroenteritis

  Every summer, apart from respiratory infections, acute gastroenteritis is the most common cause of salmonella, adenovirus, enterovirus, etc. Patients may experience vomiting and diarrhea, abdominal pain, fever, and even severe abdominal cramping pain, high fever and chills, and anorexia and lethargy. Generally speaking, it takes about three to seven days to treat acute gastroenteritis. In addition to taking medication and fasting for twelve to twenty-four hours, patients may become dehydrated because of incessant diarrhea, so when they see a gastroenterologist, the doctor usually recommends fasting for half a day or a day and more hydration.  ”However, doctors also remind that hydration is not just about drinking plain water, it is better to drink electrolyte water solution with appropriate salt and water, if you drink plain water desperately, it may lead to electrolyte deficiency in the body and cause cramps. It is worth noting that the child may vomit. It is worth noting that children who have vomiting and diarrhea lose not only water but also electrolytes, so it is best to supplement with “rehydration salts” sold in pharmacies rather than pure plain water. Some parents just give their children plain water, but the result is dilution of electrolytes in the body, resulting in cramps and other “water poisoning”. The sports drinks on the market also have salt, but the sugar content in the drinks is also high, which can make diarrhea persistent in children with diarrhea. As for “rehydration salts”, they contain the right amount of sugar and salt, which can replenish the water and salt lost from vomiting and diarrhea, and will not cause persistent diarrhea due to excessive sugar.  What are “rehydration salts”?  ORS for short, each bag contains 1.75 grams of sodium chloride and 11 grams of anhydrous glucose; the sachet contains 0.75 grams of potassium chloride and 1.25 grams of sodium bicarbonate, plus 500 ml (about two teacups) of warm boiled water for use. The osmotic pressure of this solution is close to that of plasma, which is conducive to the absorption of sodium, while the concentration of sugar is set at 2-3% is appropriate, too high concentration will cause osmotic diarrhea.  How to give “rehydration salts” to children?  When using oral ORS solution, newborns should be given two parts of ORS plus one part of water, at the age of <2 years, 500ml of oral ORS solution per day; at the age of 2-10 years, 1000ml of oral ORS solution per day; at the age of >10 years, how much ORS solution can be given, 2000ml of ORS solution should be provided per day. Children under 2 years of age should be fed about 5 ml (1 small spoonful) every 1-2 minutes; older children can drink directly from a cup. If the child is vomiting, stop for 10 minutes and then slowly feed the child (one spoonful every 2-3 minutes).  How can I make my own rehydration salts at home?  If necessary, parents can also make their own liquid instead of ORS solution as follows: 1) Rice broth with salt solution: Preparation: 500ml of rice broth + 1.75g of fine salt (about half of the flat cap of a beer bottle); or 25g of fried rice flour (about two full porcelain tablespoons) + 1.75g of fine salt + 500ml of water boiled for 2-3 minutes. Prevention of dehydration: first give 20-40ml/kg, a small number of times orally, within 4 hours, and later at any time orally, how much you can drink to give.  2) Rice soup: Singapore study has outstanding efficacy, low osmotic pressure can reduce intestinal secretion.  3) Simple sugar salt water: preparation method: 500ml of plain water (1 pound bottle) + 10g of cane sugar (2 small spoons) + 1.75g of fine salt (about half of a flat beer bottle cap). It is actually equivalent to light salt water.  In addition, patients with acute gastroenteritis can eat light, easily digestible foods during recovery when they have lost their appetite. Young children can eat thin porridge, pasta, soda crackers, apples, bananas, etc. As for children under one year old, infants who are fed mainly with infant formula can have their formula thinned out or switched to a special formula that does not contain lactose, and then adjust the formula back to its original consistency when their symptoms improve.