The main task in the treatment of vomiting and fever without diarrhea in a child is the prevention of complications. Parents should take care of that the child is not choked with vomit masses. To do this, it must be put to one side. If the emetic act is single and the body temperature is low, you can observe its condition without calling a doctor. To prevent dehydration of the body, you must give abundant drink. Depending on the age, a different daily dose will be required, but approximately it can be determined from the calculation of 100ml per kilogram of the child's weight. If vomiting is multiple, and the condition worsens, it is urgent to call a doctor or even an ambulance. The paramount task of physicians to stop vomiting with anti-emetics, to lower the temperature to not critical, to correct electrolyte disturbances. Further actions are directed to treatment of the underlying cause that caused such symptoms.
For the treatment of antiemetics, drugs that reduce temperature and are aimed at a particular disease, depending on the diagnosis. It is necessary to adhere to one rule: all medications are prescribed only by a doctor, self-medication can harm your child's health. To cure vomiting spasms, children older than 3 years are usually prescribed a cerucal.
Cerucal - has antiemetic effect, except for vomiting of psychogenic and vestibular character. The drug normalizes the tone of the digestive organs. Refers to blockers of dopamine receptors. Available in tablets and injectable solutions. The dose for children after three years is determined from the calculation of 0.1 mg / kg of weight. Tablets are taken for 30min. Before meals 3-4 times a day. For teenagers the norm is higher - 10 mg. Treatment lasts from a month to six months. When using the drug, side effects from the CNS are possible - headache, tinnitus, dizziness, a sense of fear, anxiety; Gastrointestinal tract - dry mouth, stool; cardiovascular system - tachycardia, changes in blood pressure. Do not appoint for bronchial asthma, intestinal obstruction, gastric bleeding, seizures of epilepsy, allergies.
Indications for antipyretic therapy are body temperature above 38,5 0, convulsions, fever, lower temperature indices, if the child's health is deteriorating or there are concomitant diseases of other systems. Most often as antipyretic agents used paracetamol, analgin, cefekonovye candles.
Cefepon is a suppository, it is injected rectally after defecation or cleansing enema. Applies from 3 months to 12 years. The dose is calculated depending on the weight of the child, divided into 2-3 doses, but not more than 60 mg / kg per day. As a rule, the drug is well tolerated by children, nausea, diarrhea, and skin rash were rare. There are contraindications for hypersensitivity to the drug, violations of kidney and liver.
This disease, like pancreatitis - inflammation of the pancreas, is treated with analgesics, spasmolytics, pancreatic enzymes. In severe cases, antibiotics, antihistamines, and others can be used.
Pancreatin for children is an enzyme preparation made from the pancreas of animals. It is a round tablets, covered with a shell. It is taken before or during meals without chewing. The dose depends on the child's age: for children 3-5 years - 1 tablet; 6-7 years - 1-2; 8-9 years - 2; 10-14 years - 2-4 tablets. Side effects were observed in less than 1% of children taking the drug. These were allergies, diarrhea, nausea, constipation. It is not prescribed for children under three years.
In the case of various intestinal infections, food poisoning, it becomes necessary to prescribe antibiotics.
Amoxicillin is a broad-spectrum antibiotic from the penicillin group. It is produced in tablets and more convenient for application form - suspension. Children from 2 to 5 years are recommended to 0.125 g three times a day, up to two years - 20 mg / kg divided into 3 receptions. After 5 years, appoint 0.25 g three times a day, over 10 years and weighing more than 40 kg - 0.5 g in one dose at the same frequency. There may be side effects in the form of conjunctivitis, rhinitis, fever. The drug has contraindications for people with sensitivity to penicillins.
In stressful situations that lead to nausea, vomiting, fever in pediatrics, tranquilizers (diazepam, neozepam) and neuroleptics (haloperidol, etapyrosine) are used.
Diazepam - tablets, the dose for children under 3 years is calculated individually, based on weight, after this age - 2.5 mg 3 times a day. As a rule, begin with a minimum, gradually increasing. The drug causes side effects: drowsiness, apathy, depression, dry mouth, nausea, sometimes jaundice. Contraindicated in diseases of the liver, kidneys, cardiovascular system, hypersensitivity to the components of the drug.
Symptomatics caused by taking medicines is also eliminated by neuroleptics (chlorpromazine, prochlorperazine).
Chlorpromazine - in the sales network is presented in tablets, dragees and ampoules for injections. The daily dose for children is 1 mg / kg of weight, with its definition, the doctor individually suits every patient. It is used after eating. Allergies, depression of pressure, diarrheal phenomena can be shown. Contraindicated in head injuries, violations of the liver and kidneys, hematopoietic organs.
It is believed that with severe toxemia in pregnant women, a good result is the intake of vitamin B6 (pyridoxine). This gives grounds to believe that with the nausea and vomiting in children, provided that the necessary doses and under the supervision of a doctor, it is also possible to take this vitamin. The maximum doses for different age groups are as follows: 1-3 years - 30 mg, 4-8 years - 40 mg, 9-13 years - 60 mg, after 14 years - 80 mg. In addition to vitamin B6, other vitamins of this group, as well as A, C and E. Are useful for good growth and full functioning of all body systems. Nutrition should contain in addition to vitamins and various trace elements necessary for a growing person. During vomiting, magnesium is excreted from the body, its deficiency aggravates the condition, so complexes containing vitamin B6 and magnesium are very suitable in this situation.
Physiotherapeutic treatment of pathological conditions accompanied by nausea, vomiting, fever, after the removal of acute symptoms can be the use of electrosleep, laser and acupuncture, hypnosis, electrophoresis with novocaine, vitamin B1, diphenhydramine. Psychotherapy, physiotherapy exercises, various water procedures - mineral and herbal baths are also effective.
In the recipes of alternative treatment, there are ways to prepare antiemetic drugs, they will not do harm, but because we are talking about children, then strongly rely on them and delay the doctor's call is not worth it. Here are a few of them:
- grated lemon zest, add to cold boiled water, give 30 minutes. Brew, drink in small sips;
- boil the quince, rub and eat;
- Before eating, drink a spoonful of raw potato juice;
- chew the leaves of green tea or drink tea from it.
Such herbs as peppermint, lemon balm, valerian root, bleach have long been considered a means to treat nausea and vomiting. They make infusions, take before meals to reduce the urge to vomit. An effective remedy is the infusion of dried maple leaves, and a decoction of dill seeds will help with symptoms caused by gastric diseases.
There are both separate homeopathic components, and complex preparations used for nausea and vomiting. Their action is aimed at activating the protective functions of the body. You can use complex homeopathic remedies: gastricumel, duodenocel, vertihogel, nuks vomica homaccord, rescue. One component includes: antimonium crudum (used for vomiting after overeating), anacardium (vomiting on an empty stomach), arsenicum album (the appearance and smell of food is disgusting), coccullus indicus (with a weak vestibular apparatus), ipecacuanha (vomiting after eating accompanied by tachycardia), kreosotum (vomiting due to neoplasms), tabacum (dizziness with vomiting), etc.
Duodenogel - tablets for resorption, reducing the production of hydrochloric acid. It is used for nausea and vomiting in gastritis and gastroduodenitis with high acidity. The dose is determined individually, the minimum is a tablet three times a day. Contraindicated in children under 4 years. There is an adverse reaction with allergic manifestations.
Vertichogel - is indicated for symptomatic of vascular, neurogenic origin, with concussion of the brain. The form of release - drops and a solution for injections (it is entered intramuscularly, subcutaneously and intravenously). For children 1-3 years old, the fourth part of the ampoule is curled or 3 drops per spoon of water orally; for 3-6 years - a half ampoule or 5 drops through the mouth, from 6 years and older - an ampoule or 10 drops. The course of treatment is from three weeks to one and a half months. There are no contraindications and side effects.
Nuks vomica homaccord - drops, are used for vomiting due to migraines, gastrointestinal pathologies. Children under 2 years drip on water 9 drops per day, from 2 to 6 years - 15, over 6 years - 30. Allergic manifestations are possible with individual intolerance of the drug components.
Spazkuprel - tablets under the tongue, designed for resorption. Before taking children up to 3 years of age, a doctor's consultation is necessary. The dose of 3 tablets during the day. The duration of treatment can be up to three weeks.
Common to all described drugs is their way of taking: 20-30 minutes before meals, or an hour after.
With some diseases that cause symptoms of nausea and vomiting, only surgical treatment is the only possible option to save a patient's life. It's about acute appendicitis. Surgical intervention is also possible with ineffective treatment of pancreatitis in children, sometimes resort to pancreas resection, necrectomy (removal of nonviable tissues), cholecystectomy (removal of the gallbladder), etc. Neoplasms of the brain, digestive organs also require surgical treatment.
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