What should you pay attention to when taking medication for diarrhea in children?

There are many kinds of antidiarrhea drugs for children, and their usage is relatively complicated. Parents are often confused about how to take such drugs. The correct way to take medicine can ensure the efficacy of the medicine and reduce adverse reactions.

Pediatric diarrhea is one of the common and frequently occurring diseases in clinical pediatrics. It is listed as one of the "four diseases" that are key to the prevention and treatment of children in my country. It is a group of diseases caused by multiple causes and factors with diarrhea as the main clinical manifestation. The main characteristics are increased frequency and change in stool characteristics of children, accompanied by fever, vomiting and abdominal pain. The clinical treatment principles are to correctly correct dehydration, adjust diet and use drugs reasonably and safely.

First, let's take a look at some commonly used antidiarrhea drugs for children.

1. Highly effective digestive tract mucosal protective agent: montmorillonite powder

It can effectively prevent the growth of pathogenic microorganisms, improve intestinal absorption and secretion, and promote the body's acid-base balance. Montmorillonite powder generally has fewer side effects, will not be absorbed by the intestines, and will not disrupt blood balance. It has a high efficacy in treating various types of pediatric diarrhea.

Tips: Take between meals. Pour 1 bag (3g) of this product into 50ml of water, mix well and take. If you need to take other medicines, it is recommended to take two hours apart from this product. Overdose can easily cause constipation.

2. When treating pediatric diarrhea, it is necessary to correctly prevent dehydration and correct diarrhea. Oral rehydration salts are clinically recommended drugs for treating dehydration. They are safer, have more significant clinical efficacy, and are cheaper, making them the first choice for treating diarrhea.

Tips: When diarrhea improves, stop taking the medicine immediately. The medicine needs to be taken with water according to the proportion.

3. Clinically, antibiotics are selected according to the child's condition. The purpose of using antibiotics is to control diarrhea caused by bacterial infection. Clinical antibiotics have no therapeutic significance for viral diarrhea and are only for children with bacterial enteritis. Clinically, it is necessary to select appropriate antibiotics based on the child's condition and clinical characteristics, combined with the child's medication history and allergies to restore normal intestinal flora, help restore the balance of intestinal flora in children with diarrhea, improve the body's resistance, promote gastrointestinal motility, and inhibit pathogenic bacteria.

Warm reminder: Non-professionals cannot judge whether the infection is caused by bacteria or viruses, and cannot correctly choose anti-infective drugs, so antibiotics should not be taken casually. Because the children are young, their digestive function and overall body system are not perfect, and their self-improvement and regulation functions are poor. When using antibiotics, it is easy to inhibit the normal intestinal flora, causing the growth of pathogens, destroying the intestinal mucosa, and causing antibiotic reactions in children. If symptoms such as abdominal pain or frequent diarrhea occur, the drug should be stopped immediately and appropriate treatment should be given.

4. Microecological preparations

It is an active microbial preparation made from normal microorganisms or substances that promote microbial growth. Due to its ability to regulate the intestines, it quickly builds an ecological balance of intestinal microorganisms, enhances local intestinal immune response, significantly shortens the course of diarrhea, and reduces the severity of diarrhea. Currently, the commonly used human microecological preparations include: Bacillus subtilis dual live bacteria granules, Bacillus licheniformis live bacteria granules, and Bifidobacterium triple live bacteria capsules.

Warm reminder: This type of medicine needs to be taken with warm water or warm milk below 40℃ and stored in a dark and dry place at 2-8℃. If your baby is allergic to lactose, you can choose Changlekang and Bifikang, which do not contain lactose. If you take it with antibiotics, you can choose Bacillus licheniformis and Saccharomyces boulardii. Others need to be taken at intervals with antibiotics.

5. Chinese patent medicine

In addition, there are many Chinese patent medicines for treating pediatric diarrhea. For example, the pediatric diarrhea syrup can strengthen the spleen and stomach, achieve the effect of promoting fluid production and stopping diarrhea, and is clinically used for diarrhea caused by spleen and stomach qi deficiency. The design of the syrup is good and easy for children to accept. External patches such as Dinggui umbilical patch are more convenient to use, avoid children taking medicine, and absorb faster. It is clinically considered to be suitable for pediatric diarrhea. It can only be used alone for diarrhea caused by cold and indigestion. For infectious diarrhea caused by viruses or bacteria, it can be used in combination with montmorillonite powder, and the efficacy is higher.

Warm reminder: Contains drugs such as Codonopsis pilosula, costus root, Poria cocos, Patchouli, etc., so avoid eating raw, cold, greasy and indigestible foods when taking the patch. Do not use the patch on damaged or inflamed skin. If you have skin allergies occasionally, you should remove it in time. Generally, no special treatment is required and it can heal on its own. If blisters appear, you should seek medical treatment immediately.

6. Lysine is an essential nutrient for the human body and can promote growth and intellectual development. Zinc is an important component of multiple coenzymes in the body and can accelerate the function of immune cells in children and the repair of gastrointestinal mucosa. It also promotes growth and improves taste. This is of great significance for the recovery of nutritional intake and restricted growth and development in children who have experienced diarrhea.

Antimicrobial drugs, intestinal mucosal protective agents and probiotic preparations, which one should be used first and which one should be used later?

A: Microecological preparations that effectively regulate intestinal flora are often "live bacteria". Taking them at the same time with antibacterial drugs will "kill" these live bacteria, so the two drugs should be taken 2-3 hours apart. Taking intestinal mucosal protectants or adsorbents first can absorb harmful bacteria in the gastrointestinal tract, and then taking microecological preparations can better play its role in regulating intestinal flora, so the two drugs should be taken at least 1 hour apart.

If all three types of drugs are to be taken, take antibacterial drugs first to kill pathogens; take adsorbent drugs 1 hour later to adsorb and eliminate pathogens, and then take proecological preparations 1 hour later to restore intestinal flora and maximize the therapeutic effects of each.

(Liuzhou Maternal and Child Health Hospital author: Xiong Yunlan, Yang Ni reviewer: Xiao Ping)

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