In the fall, cases of diarrhea in children increase. Entering the season of high incidence of diarrhea, what should parents do to help the baby recover from diarrhea as soon as possible?
After the baby has diarrhea, the first thing is to test the stool, at the same time diet control and prevention of dehydration, medication is only an aid, and pay attention to clean the surrounding environment.
After the baby has diarrhea, the first thing is to test the stool.
When a baby has diarrhea, many parents first ask "what medicine can stop the diarrhea?" or ask the doctor "why the baby has taken so many medicines and the stool has not returned to normal?", and But I never thought about testing my stool.
Many parents know that the baby needs a blood test for fever, but it is easy to overlook the stool test after diarrhea. Stool tests are really important for children with diarrhea. Stool inspection is of great help to the doctor's diagnosis and treatment.
Diarrhea is mostly caused by infection and improper diet (milk or food). Stool tests can show whether there are bacterial or viral infections (you can check for rotavirus, , norovirus, adenovirus) etc.).
bacterial infection requires antibiotics, and viral enteritis such as rotavirus or norovirus is prone to comorbidities such as dehydration and requires active supplementation of rehydration salts. Therefore, laboratory tests are very convenient for the diagnosis and treatment of diarrhea, as well as the prognosis.
The following misunderstandings should be avoided when taking stool samples:
※Some parents say, "Take your baby to the hospital to see diarrhea.I waited for several hours and had no stool, so I can’t test my stool.”
The fact is -
During diarrhea, if the baby does not show signs of dehydration (how to judge dehydration, the next article will talk about To), in general, the baby does not need to go to the hospital. The parents first take a sample of the baby’s stool and send it to the hospital for a test. No stool during the day".
The fact is-
stool can be tested at any time. As long as there is an emergency hospital, stool can be tested within 24 hours.
stool samples are required for a fresh stool test. After that, you need to take a sample immediately and send it to the hospital for testing within 1 hour. Otherwise, the cells and other formed components in the stool will be broken and decomposed, resulting in inaccurate results and false negatives.
※Some Parents said, "Stool is all water, and stool cannot be collected."
The fact is-
Typical rotavirus enteritis stool is egg yolk-like watery stool. Take about 5ml, even if there is not much feces, you can still send it for testing.
When the baby's stool is watery, let the baby sit on the potty (not on the toilet,Sampling from the toilet will be mixed with the water in the toilet, which will affect the results). Sampling from the potty; the baby can "put shit" into the potty, or put a layer of plastic cloth on the diaper, and take a water sample from it.
※Some parents said, "Send diapers with stool to the hospital, and the hospital refuses to test."
The fact is-
because diapers have a particularly strong ability to absorb water. Stool is discharged to the diaper. The diaper will quickly absorb the water of the stool. At the same time, the components in the stool (including red and white blood cells) will be absorbed into the diaper, which will affect the results of the stool test.
So immediately after the baby has a bowel movement, use a clean, smooth, non-absorbent spoon, stick, toothpick, etc. to pick up the stool. The stool volume is the size of a broad bean (about 2-5 grams) or watery stool 2-5ml. Put it in a clean, dry, and The water-absorbing and leaking containers (such as special stool boxes, clean plastic bags, glass bottles, etc.) are sent to the hospital for testing.
※Some parents said, "There was blood in the baby's stool, but there was no blood in the stool in the next few times, so there was no stool test."
As long as the baby appears _strong pstrong
Diarrhea and bloody stool, even if there is no blood in the stool this time, it needs to be tested first. Because if it is caused by bacterial enteritis with blood in the stool, even if there is no blood in the stool this time, the stool test can also see a lot of white blood cells, which can confirm the diagnosis, apply antibiotics in time, and do not delay treatment.
※Some parents say "the baby has blood in his stool,But why the laboratory tests are all negative".
The fact is-
The stool sample itself is small. If the stool sample does not get bloody stool, stool occult blood may be negative. So When sampling, choose an abnormal place or multiple stool samples.
Sometimes there are red substances in the stool, which may be food residues and other problems, rather than real blood. "Seeing is not necessarily believing." So this is also the case. Emphasis on stool testing, and even stool testing for multiple times.
※Some parents say, "I have tested the stool before, why did the doctor ask me to test the stool again?"
The stool test may not be a problem when the baby first has diarrhea, but the diarrhea worsens after a few days, and mucus and bloody stools or loose watery stools appear. The stools are tested again and there are more red and white blood cells or rotavirus positive. This may be related to Tests too early are related;
Or, continuous diarrhea for several weeks or even months, prolonged diarrhea will damage the intestinal mucosa, and a little attention to dietary hygiene will cause secondary bacterial or viral enteritis on the basis of the original diarrhea, which will be aggravated Diarrhea. Therefore, for a baby with long-term diarrhea, a stool test is required every week to see if there is any secondary infection.
※Some parents say that "the baby is very watery and dehydrated. Why is there no problem with the stool test? "
The fact is -
Viral enteritis will not show any abnormalities in routine stool examinations.That is, there will be no abnormalities such as red and white blood cells, occult blood , etc. Virus testing is required to reflect the presence or absence of enteroviruses, such as rotavirus, norovirus, etc.
Therefore, when the baby has severe watery stools and is suspected of viral enteritis, a stool virus test needs to be added.
※Some parents said, "Stool training results are slow and the cost of the test is expensive. Is it necessary to do this test?"
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span2 _strong 16 poopspan _strong Cultivation is to place the petri dish smeared with stool samples in an incubator for at least 48 to 72 hours to identify and isolate pathogenic bacteria, and provide antibiotic susceptibility results against the bacteria at the same time.
stool culture is generally used for severe bacterial infection or bacillary dysentery in stool routine. The main purpose is to guide the medication of resistant bacteria (using conventional antibiotics to treat cases that are not effective for 3 to 5 days).
may be differentiated from food allergy . Many young babies have red and white blood cells in their stool tests. As soon as antibiotics are used, diarrhea will be repeated as soon as antibiotics are stopped. Diarrhea caused by food allergies should be considered, rather than repeated antibiotics for bacterial enteritis. In such cases, stool culture is negative, and there is no need to repeatedly use antibiotics, but to avoid foods that may be allergic.
In summary, stool testing is very important. When the baby's bowel movements are abnormal, the first step for the parents is to test the bowel movement to better judge and guide the treatment.
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