Baby diarrhea, chicken soup used?

If you or your child has a gastrointestinal infection, diarrhoea for several days, bad appetite, and mild dehydration, which treatment works best? In the summer, I will see many patients with gastroenteritis, most of which are caused by bacteria in food, which causes food poisoning, and most children with mild infections are caused by viruses rather than bacteria. Sometimes this infection can be very serious, but most people have mild symptoms and do not need to take antibiotics or hospitalization. What worries me most is the infants and young children, because severe diarrhoea for several consecutive days can cause them to quickly dehydrate and not drink and eat properly. Therefore, when talking to patients, my first priority is not to prescribe antibiotics but to teach them how to properly replenish water at home.
Basic hydration measures include continued normal consumption where possible, and of course, continued breastfeeding. When it comes to replenishing water, many parents habitually believe that children need to go to a nearby hospital for infusion. But in fact, most infants and young children can be supplemented by drinking water at home. The American Academy of Pediatrics mentioned in the official opinion of gastroenteritis: "For children with mild to moderate dehydration, the effect of oral hydration is comparable to that of infusion hydration, so oral hydration is the first choice for these patients. Water replenishment measures. Cochrane Collaboration, a non-profit organization dedicated to providing medical and health information to people from all walks of life, conducted a comprehensive analysis in 2006. The authoritative research data compiled also confirmed: “oral hydration and There is no significant clinical difference between infusion and hydration."
So which method is the most effective way to administer water orally at home?

There are many different folk remedies and traditional methods used by parents. However, the best method is still the officially approved oral rehydration salt of the World Health Organization (WHO), which is sold in pharmacies around the world, including China. Some pharmaceutical companies mix rehydration salts with pre-formed solutions, such as electrolyte water sold in the United States. To ensure that WHO's oral rehydration salts have the right proportions of water, sugar and salt, they have been extensively studied in countries around the world. In practice, it has saved the lives of millions of children, especially in developing countries, and has become an invaluable life-saving recipe. The various indicators of this rehydration salt are extremely clear, the concentration (the amount of osmotic particles dissolved in 1 liter of solvent - the amount of osmotic particles - edited) is 245 milliosmoles / liter, glucose The content is 13.5 g / liter and the sodium content is 75 meq / liter, while also containing other electrolytes. This proportion is extremely important, it helps to alleviate the symptoms of dehydration and provides the body with the ideal amount of salt and sugar. For example, pure water is clearly not the best hydrating drink because it does not contain sodium salts and sugars, which are essential for the regeneration of human cells.

So what about sports drinks and soda?

Gatorade and other sports drinks are specifically mentioned in the advertisements, they can supplement the body with the necessary nutrients – so the actual data really shows that they have this effect? Especially for patients with gastroenteritis? It is widely believed in the medical community that drinking this beverage is not an ideal treatment. This is because these drinks usually contain a lot of sugar and other ingredients, which makes their osmolarity exceed the level that normal humans can handle, while higher osmolarity causes cells to lose more water – thus Dehydration and watery diarrhea are more serious, rather than getting better. A paper published in 2010 provides an easy-to-understand comparison of rehydration salts, Coca-Cola, Pocari, Gatorade, and other popular branded beverages. Cola's osmolarity is very high, at 650 milliosmoles per liter, and some sports drinks are even as high as 1076 milliosmoles per liter. The popular osmotic capacity of the popular Japanese drink Pocari Sweat is 326 milliliters per liter, close to the rehydration salt, but the beverage contains high sugar and, importantly, its The sodium salt content is low. Sodium is the most important mineral in terms of maintaining body moisture. Severe sodium imbalance, whether it is too high or too low, can cause great harm to the human body. As an essential mineral in the human body, sodium is contained in a standard rehydration salt solution of 75 meq/liter, while the amount of petrochemical is only 21 meq/liter. Less cola, only 2 meq/L.

Many parents use liquids such as chicken soup or juice for the hydration method commonly used in the home. However, these hydrating fluids may cause problems compared to oral rehydration salts. The American Academy of Family Practice states in an article on how to treat acute gastroenteritis in children. Many traditional experiences are not reliable: "The long-standing 'clarification liquid' is often used by parents. The hydrating solution has also been recommended by physicians in the past. However, it is not suitable as an oral hydrating solution. People should not use tea as a hydrating solution because its sodium content is very low. Chicken soup is also not good because of its sodium content. Excessively high. In addition, you should not stop eating when you are sick, because continuing to eat or restore your diet as soon as possible can promote recovery."

For example, the patient's favorite food - chicken soup usually contains a lot of sodium salt, and high levels of sodium salt may be counterproductive. The sodium salt content of chicken soup is usually as high as 250 meq/liter, and the recommended amount is 75 meq/liter. Apple juice is also a popular drink for patients. However, its osmolarity is as high as 700 milliliters per liter, which usually only makes diarrhea worse. In addition, the sodium salt content of apple juice is very low. Even the osmolarity of ginger juice is high and scary, and the sodium salt content is pitiful, so it is not suitable for drinking as a hydrating liquid.

Therefore, parents should pay attention to the fact that when they or their children vomit or diarrhea, they should not use pure water, sports drinks, tea or juice as the preferred hydrating solution. Instead, continue to eat and take rehydration salts.

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