Baby diarrhea convulsions

Diarrhea is a common symptom in babies. It may be caused by eating unclean food or having a bad stomach. It cannot be ruled out that the baby may have a cold abdomen. If the baby has diarrhea, go to the hospital in time to check the cause and treat the symptoms. Some babies have diarrhea and convulsions. They should drink some rice porridge to nourish the stomach. Egg drop soup or pasta can also nourish the stomach. What should I do if the baby has diarrhea and convulsions? Let’s take a look at it next.

1. Principles of diarrhea treatment

Eat a reasonable diet, correct water and electrolyte imbalances and other symptomatic treatments.

2. Treatment policy

Eat a balanced diet and maintain nutrition; quickly correct water and electrolyte imbalances; control intestinal and extraintestinal infections; provide symptomatic treatment, strengthen care, and prevent and treat complications; avoid the abuse of antibiotics.

3. General treatment

1. Diet therapy

2. Fluid therapy

3. Infection Control

4. Symptomatic treatment

5. Replenish electrolytes

IV. Drug treatment

1. Infection Control

For bacterial enteritis, antibiotics are selected based on the pathogen or adjusted based on the results of drug sensitivity tests. For Escherichia coli, choose amoxicillin, gentamicin oral tablets, and polymyxin E. For severe cases, use third-generation cephalosporins. For Salmonella typhimurium, take ampicillin orally; for severe cases, use third-generation cephalosporins. Macrolides for Campylobacter jejuni. For Staphylococcus aureus enteritis, use Xinqing II and vancomycin. For fungal enteritis, antibiotics were discontinued and oral nystatin was given.

2. Symptomatic treatment

(1) Antidiarrhea

Montmorillonite powder: 1g each time for children under 1 year old, 2g for children 1-2 years old, 3g for children over 2 years old. Take orally with 20-50ml of water, three times a day.

(2) Improve the intestinal microecological environment

Microecological preparations such as Lactobacillus, Streptococcus faecalis, and Bacillus cereus can be used.

(3) Others

Aid digestion: You can use gastric enzyme mixture, multi-enzyme tablets, etc. Antiemetic: Metoclopramide, three times a day. Relieve abdominal distension: The cause should be identified and symptomatic treatment should be given. An anal tube can be used to vent gas. For abdominal distension caused by toxic intestinal paralysis, phentolamine can be used by intravenous injection and can be repeated at intervals of 4 to 6 hours.

5. Other treatments

1. Diet therapy

Continue breastfeeding and encourage feeding. Patients with severe diarrhea or vomiting may temporarily fast for 4 to 6 hours, but should not withhold water. If the fasting time is ≤ 6 hours, you should resume eating as soon as possible.

2. Fluid therapy

From the time the child has diarrhea, give him or her enough fluids by mouth to prevent dehydration. Breastfed infants should continue to be breastfed, and the frequency of feeding should be increased and the duration of single feeding should be prolonged; infants who are mixed-fed should be given ORS or other clean drinking water on the basis of breastfeeding.

3. Zinc Supplementation

Children with acute diarrhea should be given zinc supplementation as soon as they are able to eat. For children older than 6 months, 20 mg of elemental zinc should be supplemented daily, and for children younger than 6 months, 10 mg of elemental zinc should be supplemented daily for a total of 10 to 14 days. 20 mg of elemental zinc is equivalent to 100 mg of zinc sulfate and 140 mg of zinc gluconate.

6. Prognosis

The prognosis of diarrhea caused by drug-resistant, pathogenic Escherichia coli or fungi is poor; the prognosis of viral enteritis is good. Children with malnutrition and rickets who develop diarrhea have a poor prognosis due to poor body regulatory function, severe illness, late treatment, and the development of serious complications such as acute renal failure or serious secondary infections.