An 18-month-old child first had diarrhea, then a high fever and cough

When children have diarrhea first, followed by a high fever and cough, it may be caused by gastrointestinal diseases such as gastrointestinal cold, acute enteritis, bacterial dysentery, or upper respiratory tract infection or lung diseases such as bronchitis. Parents are advised to take their children to the hospital for treatment in a timely manner and conduct relevant examinations, and determine the treatment plan based on the examination results.

1. Gastrointestinal diseases

1. Gastrointestinal cold: mainly caused by viral infection, such as coxsackie virus, adenovirus and influenza virus, often manifested by nausea, vomiting, abdominal distension and diarrhea, and some children may have fever. As the disease progresses, symptoms such as cough and sputum will appear. At this time, you need to follow the doctor's advice to use antiviral drugs for treatment, such as ribavirin granules, oseltamivir phosphate capsules, etc.

2. Acute enteritis: If children's improper diet causes bacteria to invade the intestinal mucosa and cause inflammation, diarrhea will occur. When pyrogens enter the human body, they can stimulate the body's temperature regulation center, causing fever. If the condition is not controlled in time, severe coughing may occur. At this time, it is necessary to use montmorillonite powder to stop diarrhea under the guidance of a doctor, and cooperate with antibiotics such as amoxicillin clavulanate potassium granules and cefaclor dry suspension for anti-inflammatory treatment.

3. Bacterial dysentery: It is a common intestinal infectious disease caused by Shigella. Its clinical manifestations are mainly fever, abdominal pain, diarrhea, tenesmus, and bloody stools. In severe cases, it may be accompanied by systemic poisoning symptoms and rectal bleeding. It may also cause coughing due to toxin irritation to the throat. In this case, quinolone antibiotics such as Ciprofloxacin Hydrochloride Tablets and Levofloxacin Tablets can be used for treatment under the guidance of a doctor.

4. Other situations: If children have food poisoning, the above phenomenon may also occur. Generally, they will also show symptoms such as fatigue, headache, dizziness, convulsions, ataxia, and in severe cases, shock may occur. In such cases, you should seek medical treatment in time for vomiting, gastric lavage and other treatments.

2. Lung Disease

1. Upper respiratory tract infection: If children are infected by parainfluenza virus, syncytial virus, etc., they may have a mild cough at first, but as the disease progresses, they may develop a high fever, accompanied by nasal congestion, runny nose, sore throat, etc. In this case, you should follow the doctor's advice to take compound preparations such as acetaminophen and pseudoephedrine dispersible tablets and compound pseudoephedrine hydrochloride sustained-release capsules to help relieve fever and pain. At the same time, you can also use Pueraria lobata anti-inflammatory oral liquid, Four Seasons Antiviral Mixture and other Chinese patent medicines for heat-clearing and detoxification for auxiliary treatment.

2. Bronchitis: If children suffer from bronchitis, they may experience symptoms such as coughing and expectoration due to inflammatory stimulation in the early stage. If effective measures are not taken in time to intervene, the inflammatory mediators in the body will increase, which may cause the body to repeatedly catch cold and then have a fever. In this case, drugs such as ambroxol hydrochloride spray and dextromethorphan hydrobromide syrup should be used under the guidance of a doctor to relieve symptoms such as coughing and expectoration.

In this case, parents are advised to take their children to the hospital in time for relevant examinations and actively cooperate with doctors for targeted treatment. They should also pay attention to proper feeding and avoid overeating, so as not to increase the digestive burden and affect recovery.