Experiences on the prevention and treatment of common childhood diseases

Prioritize prevention over treatment, care over medication, and individualized adjustments over copying general guidelines. Don’t be overly anxious, and don’t push yourself too hard. After experiencing three high fever convulsions and two rounds of dehydration, I dare to say that these three sentences are much more effective than keeping ten "children's medication lists."

To be honest, I was a "guide believer" before. I had no less than 20 child care guides posted by major platforms on my phone. I used the 38.5°C cord to give antipyretics and calculated the dosage according to the age of the child. As a result, for the first time, I was diagnosed with G6PD deficiency. Previous - At that time, the baby's fever reached 39°C. I took out some imported antipyretic medicine that I had stocked and was about to give it to her. The community child care doctor happened to come to my home for a follow-up visit. He stopped me at a glance and said that this medicine contained an ingredient that children with G6PD deficiency should not touch. It would cause hemolysis in severe cases. It was also that time that I learned that there is no standard answer to the "Should the drug be administered at 38.5°C" that has been a hot topic on the Internet. Doctors support not to give the drug if the temperature is below 39°C. The criterion is that the child is in good mental state and has no underlying diseases. Those who advocate that the drug can be administered at 38°C are targeted at children with a history of convulsions or who are obviously mentally depressed. Both groups are right. What is wrong is that we hard-code the values ​​and forget to check the child's condition. My baby can usually sit on the carpet and build blocks for half an hour when the fever reaches 39.7 degrees Celsius. But that time when the fever reached 38.7 degrees Celsius, he collapsed in my arms and couldn't open his eyes. If it were my baby, would you give me medicine? There is no need to dwell on that dead line.

Speaking of this, I am reminded of the topic of "autumn freeze" that was debated among mothers in the community a while ago. One group said that the experience of our ancestors was correct. Freezes can improve immunity and make them less likely to get sick in winter. The other group said that children have weak immunity and colds and colds are not worth the gain. Both parties posted the doctor's chat records, and the argument lasted until midnight with no results. I specifically asked this question to two Chinese and Western doctors I often go to. According to Chinese medicine, it depends on the baby's physical condition: a baby who is usually afraid of heat, sweats when he moves, and often has dry stools, is fine with autumn freezing. Don't wear too much and cover him up, which may cause him to catch a cold; a baby who usually has cold hands and feet, has diarrhea after eating something cold, and has a runny nose when the cold wind blows, isn't that a sign of illness if you give him a cold? Western medicine is more direct. There is no unified "autumn freezing standard". If you touch the back of the baby's neck, it will be just right if it is warm without sweating. If it is sweating, reduce the temperature. If it is cold, add more. The temperature that adults find comfortable will most likely also be comfortable for the baby. It has nothing to do with the season. You see, there is no absolutely correct way to care for your baby. To put it bluntly, you have to find out your baby's "temper".

The biggest pitfall I have ever encountered was when my baby contracted herpetic angina. At first, the baby had a low fever. I thought it was a common cold. I gave her some children's cold granules and ignored it. However, the next day, the baby cried and said her mouth hurt and refused to even drink milk. I opened her mouth and saw that her throat was full of white bubbles. I was so panicked at the time. I was about to go to the hospital for emergency treatment with my bag. Dr. Li, the pediatrician downstairs, happened to pass by my house after get off work. He came in and took a look and said that as long as the fever did not cause convulsions and he could drink water, there was no need to go to the hospital. Antibiotics were useless against this virus. I could feed him cooler porridge or boiled water at home, and add some oral rehydration salts to prevent dehydration, and he would be fine in about a week. I was still dubious at the time, for fear that it would become serious, but on the fifth day, the baby was holding a peach and happily chewing it. Later, when I went to the hospital for a follow-up visit, I saw several children about the same age as mine who were receiving infusions because of this disease. The parents claimed that they were afraid of burning problems and asked for infusions. In fact, the children suffered in vain.

There was another very controversial issue before, which was whether children’s probiotics are an IQ tax? Some people say that it is useless to eat it because it is purely an IQ tax. Some people say that probiotics are always kept at home and fed to the baby whenever he feels uncomfortable. My own experience is that it depends on the situation: My child had diarrhea due to rotavirus last time and was almost dehydrated after two days of diarrhea. The doctor prescribed a specific strain of probiotics, which he took with rehydration salt for three days and he was almost healed. But I never give probiotics as a health supplement to my child every day. After all, the human body's own flora can regulate itself, and supplementing without any care will disrupt the balance. Don't listen to the salesperson's nonsense about "curing constipation and diarrhea and improving immunity", and don't just say it's completely useless. It's only right to follow the doctor's advice and use it according to the situation.

In fact, in the past few years of raising babies, my biggest feeling is that raising babies is really like raising the pot of succulents in your hand. Other people's succulents need to be exposed to the sun to grow well, but your delicate breed needs semi-shade and water control. Is there any maintenance formula that is universal across the Internet? Whether it’s online strategies or doctors’ recommendations, they all ultimately depend on your baby’s specific situation. There is no need to be anxious because someone else's baby has never been to the hospital, and there is no need to feel that you are not qualified because you are always sick when raising your baby. Pay more attention to and remember the physical characteristics of your own baby, prepare a reliable children's medicine box at home, and save the contact information of a familiar pediatrician, which is better than anything else.