Experience on prevention and treatment of common childhood diseases

Paying attention to the small details of protection every day without being lazy, checking the status first before responding in different levels when you are sick, and accepting the moderate "frustration" of children relying on their own immunity to survive minor illnesses are more effective than anything else.

Last month, an influenza outbreak broke out in the top class of my baby's kindergarten. Half of the children in the class fell ill. The parent group was in chaos: some asked someone to buy imported oseltamivir overnight, one stocked up three boxes of spleen aminopeptides claimed to "enhance immunity" and prepared to give them to the baby every day, and some asked if they could give the baby antibiotics for early prevention. To be honest, I did this kind of thing two years ago. My child caught a cold as soon as the temperature dropped when he first started primary school. I followed the trend and bought a box of lactoferrin for more than 300 yuan. After taking it for two months, I still got a fever. Later, after talking to pediatricians from different departments, I learned that there are different schools of thought on regulating children’s immunity. The views are actually very different: Most evidence-based pediatric doctors clearly state that as long as children eat a balanced diet, sleep for 10 hours, and have 1-2 hours of outdoor activities every day, they do not need to take any additional supplements at all. Most of the products on the market that claim to "enhance immunity" are IQ taxes. ； However, doctors in TCM pediatrics also have solid clinical experience. For example, my baby always accumulated food and would cough and have a fever when he ate too much. I followed the teachings of an experienced TCM doctor in the community hospital and pinched his spine twice a week. When he was full, he drank Jiao Sanxian boiled water for two days. In the second half of last year, he did not suffer from bronchitis due to food accumulation. There is really no need to argue about right or wrong in this kind of thing. Whatever suits your child is right.

I have also been obsessed with nursing standards before. For example, if a fever reaches 38.5°C, I will be given antipyretics, and it must be physically cooled without covering it. Only after I stepped on the trap myself did I know what standard answers there are. Last winter, my baby had a fever of 39.2°C. She was shivering from the cold at first. I followed the popular science advice to dissipate heat and took off her thick clothes. As a result, she cried so much that she couldn't breathe. Later, my mother wrapped her in a thin blanket. When her body temperature rose and her hands and feet were warm, she changed into thin clothes and wiped her neck and armpits. The baby felt so comfortable that she fell asleep. Nowadays, there is a lot of controversy about fever care. Some people say that physical cooling is completely useless and will increase the child's discomfort. My experience is that it depends on the child whether he accepts it: if he does not reject it, wiping the aorta with warm water can indeed relieve the fever. If the fever is severe, just wear less clothing and drink more warm water. Don't force yourself to follow popular science texts.

Let me tell you a shameful thing. When my baby got rash for the first time when he was more than 1 year old, I went to the hospital twice in a row and argued with the doctor, saying why my baby didn't prescribe medicine after he had a fever for three days. As a result, on the fourth day, the fever broke out and he was covered in red rash, and my face became swollen. Only later did I gradually accept that the vast majority of common childhood diseases are viral infections. There is no specific medicine at all. It can be cured in about a week by relying on your own immunity. Rushing to give medicine may increase the burden on the child's liver and kidneys. Some mothers have asked me before if they should feed compound cold medicine to their babies with runny noses. I have to stress every time that children under 6 years old should really not touch them. I did not know how to feed the baby once before, and the baby fell into a drowsy sleep all day long. Later, after reading popular science, I learned that the side effects of this type of medicine are far greater than the benefit of relieving symptoms. If you have a runny nose, spray it with normal saline and it will be over in a few days.

I've also gone through a big hole in the care of diarrhea before. When my baby first got whorls, my mother said to be hungry and empty her bowels, but the baby was crying from hunger and almost dehydrated from diarrhea. My pediatrician friend gave me remote guidance. As long as I don't vomit, I can eat light porridge and noodles normally, and don't give sweet and oily ones. The most important thing is to drink oral rehydration salt III in proportion, which is more effective than any antidiarrheal medicine. That time the baby had diarrhea for three days, and I kept focusing on replenishing electrolytes. I wasn't dehydrated at all, and I didn't give him montmorillonite powder. He was fine on his own. Of course, I don’t mean to just carry it on. Last summer, my baby had a bad stomach and diarrhea with pus and blood. I ran to the hospital without delay. It was found that it was a bacterial infection. I took antibiotics when I needed them. There is no ambiguity in the least. The key point is one: look at the mental state. If the fever reaches 39 degrees Celsius, you can still jump for ice cream and observe it at home. If it reaches 38 degrees Celsius, you can’t open your eyes, your diarrhea is bloody, and you can’t even drink water. I rush to the hospital. Bika’s indicators are all accurate.

In the past two years, I have contacted many parents, and I have found that their biggest problem is that they are too anxious, always afraid that their children will get sick, and panic at the slightest sign of trouble. In the past, I was always afraid that my baby would be cold, so I would wear two more clothes than me. As a result, he would catch a cold whenever he sweated or blew in the wind. Later, I tried to dress my baby in similar clothes to me, or even one less piece. I let him out every day to play in the mud with the children in the community, but the number of illnesses became less and less. To put it bluntly, there is no perfect formula for the prevention and control of common childhood diseases. It is just to eat more snacks at ordinary times, be more stable when you are really sick, don't take medicine randomly, don't take it hard, and pay more attention to the condition of your child. You will be the first to know whether the child you take care of every day is feeling well or not. This is more effective than reading ten popular science articles.