Guidelines for Managing Children's Vomiting and Diarrhea (Reviewed by Pediatricians)

*This article is an excerpt from the lecture "Ask Wahaha Sensei: Thoughts and Approaches to Children's Illnesses" held in 2018.

　This is the edited version.

※ Available in English and Chinese versions

 

 

Vomiting and diarrhea, like fever, occur as a way for the body to protect itself.

It has become clear that it's better not to stop, especially.

 

The sudden cause of vomiting is usually viral gastroenteritis.

 

In children, sudden vomiting is mostly due to viral gastroenteritis.

For adults, there are various concerns such as stomach and intestinal diseases, which can be worrisome.

In the case of children, sudden vomiting is usually not a cause for concern.

 

If you only say you have a stomachache for half a day or a day, and then end up vomiting,

Sometimes it can be appendicitis, so it's best to be cautious during those times.

 

It's common for children to bump their heads, and while this rarely leads to bleeding in the brain,

If you suddenly vomit four to five hours after hitting your head, you should go to a neurosurgeon.

 

In other cases, if someone suddenly vomits four or five times at night, it is usually viral gastroenteritis.

There are about four types of viruses, but the ones that are well-known for causing gastroenteritis are norovirus and rotavirus.

 

Four Viruses That Cause Gastroenteritis

 

Norois the virus that was first discovered in Norwalk, America,

Originally known as Norwalk virus, it became famous suddenly with the shorter name, norovirus.

I became famous, but at the same time, I started to be feared. However, I am not a scary virus at all.

 

There is a virus that is similar to Norovirus and is named after a place in Japan.

SupportIt is called. It was once known as the Sapporo virus, but when the Norwalk virus changed to norovirus,

This has become support.

It is said that about 5% of stomach viruses in young children that cause vomiting or diarrhea are due to rotavirus.

Not famous at all, is it?

 

NextRotaWhen this became famous, everyone started asking, "Is it Rota?"

When I say, 'It's not a rota,' they respond with, 'Oh, I see,' but they're all pretty much the same.

 

One more thing,AdenovirusThis is a well-known virus often referred to as the pool virus,

There are several types of adenoviruses, including those that affect the eyes, the throat, both the eyes and throat, and the stomach.

There are various forms.

 

 

Viral vomiting is not airborne.

 

This type of virus does not spread through the air.

It is generally considered that children do not typically transmit infections to each other in daycare or preschool settings.

Adults are carrying it around.

When adults change the shoes that children have vomited or had diarrhea in, they get their hands dirty.

You can spread it by touching other children with your hands.

In other wordsAs long as adults are washing their hands, it's unlikely for children to spread germs to each other..

 

Viruses on your hands can enter your mouth, or a caregiver may touch something else,

It can be transmitted if other children lick it.

When something enters through the mouth, our body reacts by needing to expel viruses and bacteria that come in.

That is what it means to vomit.

 

From Vomiting to Diarrhea

 

There are times when a child is brought to the hospital after saying, "I threw up five or six times, but now I feel fine."

The fact that it has cleared up means that most of the virus has been eliminated.

This means that you have successfully expelled the virus, so that's all that matters.

 

The duration of vomiting typically lasts no longer than half a day.

This could mean that the virus is released, or that the virus has managed to penetrate deeper from here.

When viruses are mixed up in the stomach area, people often say they have a stomachache or feel nauseous.

 

If you go further down into the intestines, the intestines are quite intelligent,

"Oh, a virus has entered; it's better to get this out quickly," and then it releases moisture from the intestinal wall.

That will cause diarrhea.

If diarrhea doesn't improve after about three days, people say, "The diarrhea just won't go away."

It's better to think of it as lasting for about five days to a week.

 

Since the virus has worked so hard to resist and come this far, it probably wants to stick around for a while.

Since I'm doing my best not to be swept away, I can allow that much.

In the meantime, anywayJust make sure to stay hydrated.It is.

 

Diet and Medication for Diarrhea and Vomiting

 

Many old doctors used to say to fast when you have diarrhea,

There were times when it was said that even moisture is not good, but that would lead to dehydration.

Now,It's better to eat normally.This is how it is.

It's a good idea to have something a bit softer for a day or so if you have severe diarrhea,

If you only eat soft foods, your intestines won't move actively, so by the second day, it's okay to eat almost normal foods.I guess

That is how it is.

 

I believe pediatricians rarely use anti-diarrheal medications anymore.

The medication called Ropemin was primarily used, but it seems to be prohibited for children under the age of 3.

 

I realized that the best remedy for diarrhea is not effective when the O-157 strain of E. coli outbreak occurred about 20 years ago.

At that time, the child who used anti-diarrheal medication became seriously ill.

O-157 is a toxin-producing bacteria, and using anti-diarrheal medication can cause the toxins to remain in the body for an extended period, leading to severe illness.

 

So, it turns out that anti-diarrheal medication is not a good idea.

AgainDiarrhea is the body's way of trying to expel viruses and bacteria from the stomach and intestines.

It has been decided not to stop the diarrhea.

 

It's important to stay hydrated even when you're vomiting.

If you drink it straight from a cup, it can be overwhelming and may cause you to vomit, so it's recommended to sip it one cup at a time from a small sake cup.

It's best to sip a small amount every five minutes.That's right. If you sip it little by little, it will generally be absorbed by your body.

Even if you vomit, some of it will still be absorbed, so it's better not to withhold fluids just because you're throwing up.

If you gradually add water, you won't become dehydrated.

Most things will naturally resolve themselves through vomiting or diarrhea.

 

Previously, suppositories were used because anti-nausea medication could not be taken orally, but anti-nausea suppositories can affect the brain.

It rarely happens, but there are times when you might feel unsteady. So it's not really a good idea, and you don't need to use it.

If you become dehydrated, you can just get an IV, so anti-nausea medication is not really necessary.

 

 

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Doctor: Shin Yamada (Wahaha Sensei)

Graduated from the University of Tokyo School of Medicine. Has been practicing as a pediatrician for about 50 years. Director of Hachioji Central Clinic.

Representative of the "National Pediatricians Network to Protect Children from Radiation"

Editorial collaborator for the childcare magazine "Small, Big, Weak, Strong."

With the motto of 'Living freely, living with a smile,' as a friendly neighborhood doctor,

A strong ally for parents raising children.

"A Pediatrician's Guide for First-Time Parents" "Pediatrics Book" "A Book to Read Before Giving Medicine to Children"

Numerous publications, including parenting books like 'Parenting Guide' and picture books such as 'First Body Picture Book.'