The treatment of patients with acute gastroenteritis should focus more on being proactive. General drug treatments include the use of berberine, furazolidone, sulfonamide preparations, and attention should be paid to eating a light diet and drinking plenty of water to avoid diarrhea and dehydration. 1. General treatment The cause of the disease should be eliminated, the patient should rest in bed, stop eating any food or taking any medicine that may irritate the stomach, give a light diet, fast if necessary, drink plenty of water, and drink sugar and salt water when diarrhea is severe. 2. Symptomatic treatment Treatment is provided for different symptoms. (1) For patients with abdominal pain, local hot compress can be applied. For patients with severe pain, antispasmodics and analgesics such as atropine, compound belladonna tablets, and scopolamine can be given. (2) Metoclopramide (Metoclopramide) can be injected in case of severe vomiting. (3) If necessary, oral H2 receptor antagonists such as cimetidine and ranitidine can be given to reduce gastric acid secretion and alleviate mucosal inflammation. Antacids or mucosal protective drugs such as aluminum carbonate or sucralfate can also be used. 3. Anti-infection treatment Generally, anti-infection treatment is not required, but if the disease is caused by bacteria, especially if accompanied by diarrhea, antibacterial drugs such as berberine (berberine), furazolidone (furazolidone), sulfonamide preparations, quinolone preparations such as norfloxacin (norfloxacin), and gentamicin can be used. 4. Maintain water, electrolyte and acid-base balance When water and electrolyte imbalance is caused by vomiting and diarrhea, oral rehydration can be given for mild cases, and intravenous rehydration should be given for severe cases. Balanced salt solution or 5% glucose saline can be used, and attention should be paid to potassium supplementation. For those with acidosis, 5% sodium bicarbonate injection can be used to correct it. |
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