Rotavirus enteritis is an acute infectious disease of the gastrointestinal tract caused by rotaviruses. The pathogen is mainly transmitted through the gastrointestinal tract and occurs mainly in infants and children, often caused by group A rotavirus, with peak incidence in autumn, hence the name autumn diarrhea in infants. group B rotavirus can cause diarrhea in adults.
Epidemic season
The epidemic season for fall diarrhea is from September to January each year, with the peak of the epidemic being from October to December. Autumn is the season of high incidence of diarrhea in infants and children, so it is called autumn diarrhea, which is caused by rotavirus infection. The onset of the disease is characterized by vomiting, diarrhea, watery or egg-flake soup-like stools, yellowish in color, mostly without a special fishy odor, and up to a dozen times a day.
Susceptible groups
Children from 6 months to 3 years of age are the main susceptible group, but the incidence is highest in infants and young children from 6 to 11 months of age. Infants and young children with malnutrition, rickets, anemia and weakness are more susceptible to the disease, and the disease is serious and has a long duration. 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. 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.
Symptoms
1. rapid onset, often accompanied by cold symptoms at the beginning, such as cough, nasal congestion, runny nose, half of the children will also have a fever (common at the beginning of the disease), usually low fever, rarely high fever.
2. an increase in the number of stools, about 10 times a day, with white, yellow or green egg-flake soup-like stools with a little mucus and no fishy odor.
3, half of the children will have vomiting. Most vomiting symptoms occur at the beginning of the course of the disease, usually no more than 3 days.
4. symptoms of dehydration may appear in those with heavy diarrhea, such as marked thirst, reduced urine output and irritability.
5. The course of the disease is self-limiting, usually 5-7 days, and the duration of diarrhea may be longer in malnourished, rickets and weak and sickly individuals.
Treatment methods
1, Chinese medicine treatment: autumn diarrhea is caused by rotavirus infection, antibiotic treatment is ineffective. Since most children with autumn diarrhea are accompanied by vomiting, it is relatively difficult to take oral medication. Our department uses Chinese medicine to apply the umbilical cord, massage and chiropractic treatment, which is non-invasive, painless, with minimal adverse reactions, can shorten the course of the disease, simple to operate, and easily accepted by children, and is an effective auxiliary measure for the treatment of autumn diarrhea in infants and children. It is given once a day for 3 to 7 days. Those who have mild to moderate dehydration, with oral rehydration salts.
2, external treatment of the umbilical cord method: clove, cinnamon, dogwood each equal parts of the research powder over 120 mesh sieve mixed into a sealed bottle for backup, with yellow wine into a thick paste, take the diameter of 1cm, thickness 0, 5cm size coated in the center of the desensitized adhesive tape, placed in the Shen Que point fixed.
3.Chinese medicine transdermal introduction method: Chinese medicine transdermal introduction method for pediatric diarrhea has fast onset, strong efficacy and short course of treatment, which avoids the shortcomings of pediatric children who cannot easily take drugs orally and at the same time it is difficult to absorb drugs due to diarrhea. The main ingredients of the medicine pad are dang ginseng, angelica, white peony, poria, clove, schisandra, horsetail, white lentil, etc.
4.Tui Na method
(1), damp-heat diarrhea, to clear heat and dampness, strengthen the spleen to stop diarrhea. Prescription: 200 times to clear the spleen and earth, 200 times to clear the large intestine, 200 times to clear the Tianhe water, 100 times to retreat the six internal organs, 50 times to massage the abdomen, and 100 times to push down the seven bones.
(2), spleen deficiency diarrhea: to strengthen the spleen and benefit the qi, rising Yang to stop diarrhea. Prescription: tonifying the spleen and earth 200 times, tonifying the large intestine 200 times, pushing the three gates 100 times, rubbing the outer labor palace 100 times, masturbating the abdomen 50 times, pushing the upper seven bones 100 times, rubbing the tail of the turtle 50 times.
Preventive care
1. Pay attention to dietary hygiene Wash your hands after each diaper change, before feeding, before brewing, and before feeding your baby. For breast-fed babies, the mother should scrub her breasts clean before feeding. For artificially fed babies, special attention should be paid to sterilize milk utensils and not to eat spoiled milk. Food placed in the refrigerator must be boiled before consumption and replaced with a clean container. Leftover milk should not be left at room temperature for more than 4 hours. When using the container again, make sure to boil it before using it.
2, add complementary foods have to be careful when adding complementary foods in the fall, we must pay attention to start with a small amount, in the pattern can only increase one at a time, so that the baby’s digestive tract has a process of adaptation. In addition, the addition of complementary foods should start from semi-liquid, and gradually transition to solid food, too early to add solid food, easy to cause diarrhea. When making complementary foods for infants, fresh food should be used, eat now and do not give infants leftover food. The tableware for making complementary food (chopping board, knife and fork, filter gauze or net, juicer, various containers, etc.) should be dried after use, washed before use, and rinsed with boiling water.
3, do not chew rice to the baby to eat never give the baby chew rice, which may lead to infant diarrhea. Some mothers are afraid of burning their children, like to lick with the tip of the tongue to try the temperature, which is a bad habit. Other mothers like to peck the pacifier and taste the temperature of the milk, which is even worse. The normal bacteria in the adult’s mouth may be pathogenic to the baby.
4, avoid contact with other children with diarrhea less take your baby to medical places where sick children are concentrated, less go to public places, and try not to contact babies with diarrhea.
5, perianal care after each stool should be warm water to wash the buttocks, try to keep the perineum and perianal skin dry. If red buttocks appear, apply tannic acid ointment. Disinfected soft cotton diapers should be used and replaced in a timely manner, avoid using impermeable diapers, and if the skin is broken and eroded, apply erythromycin ointment or Bactrim topically.