Post-Discharge Concerns for Children: Expert Advice from Dr. Hsieh - Pediatrics

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Please consult with pediatrician Dr. Hsieh Te-Kuei regarding post-discharge questions?


Hello Dr.
Hsieh, I would like to ask about my child who was hospitalized for observation and treatment (antibiotics) and underwent bacterial culture from August 18, 2008, to August 20, 2008, under your care.
After you diagnosed the condition as "roseola," my child was discharged on the morning of August 20.
However, after discharge, the baby started experiencing diarrhea (breast milk), which led to a red diaper rash.
Since there was no follow-up appointment scheduled, I would like to ask you: 1.
How many days is the diarrhea likely to last? 2.
What should we pay attention to regarding complementary foods? 3.
Is it necessary to schedule a follow-up visit during clinic hours?

avon, 20~29 year old female. Ask Date: 2008/08/21

Dr. Xie Degui reply Pediatrics


1.
Diarrhea following a bacterial or viral infection is usually a temporary condition.
If medication is being taken, it may persist for a longer duration.
Generally, it resolves on its own without medication, but if diaper rash occurs, medication should be used to alleviate the symptoms.
2.
During episodes of diarrhea, a light diet is recommended, avoiding overly sweet foods.
3.
Given the presence of a red bottom, a follow-up visit to the outpatient clinic is advised.

Reply Date: 2008/08/21

More Info


When it comes to post-discharge concerns for children, especially after a hospitalization for conditions like roseola, it is essential to monitor their recovery closely. Based on your inquiry regarding your child’s recent discharge and subsequent diarrhea, here are some insights and recommendations.

1. Duration of Diarrhea: Diarrhea in infants, particularly after a viral infection or antibiotic treatment, can vary in duration. Typically, if the diarrhea is mild and the child is otherwise healthy, it may last for a few days. However, if the diarrhea persists beyond 3 days, or if it becomes more severe (more than 6 watery stools per day), it is crucial to consult a pediatrician. Diarrhea can lead to dehydration, especially in young children, so monitoring for signs of dehydration (such as decreased urination, dry mouth, or lethargy) is vital.

2. Dietary Considerations: When dealing with diarrhea, especially in breastfed infants, it’s important to maintain hydration. Continue breastfeeding as it provides essential nutrients and hydration. If your child is also consuming solid foods, consider offering bland foods that are easy to digest, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Avoid dairy products, sugary foods, and high-fat foods until the diarrhea resolves, as these can sometimes exacerbate symptoms. If your child is older and has started eating solids, you may want to introduce small amounts of clear fluids like oral rehydration solutions to help maintain electrolyte balance.

3. Follow-Up Appointments: Since your child was recently hospitalized, it is advisable to schedule a follow-up appointment with your pediatrician, especially given the new symptom of diarrhea. While it may not be an emergency, it is important for the doctor to assess your child’s overall condition and ensure that the diarrhea is not a sign of a more serious issue, such as an infection or a reaction to the antibiotics. If you notice any concerning symptoms, such as blood in the stool, high fever, or signs of dehydration, seek medical attention immediately.

In summary, while mild diarrhea can be a common occurrence following an illness or antibiotic treatment, it is essential to monitor your child’s symptoms closely. Maintain hydration through breastfeeding and consider dietary adjustments. Don’t hesitate to reach out to your pediatrician for guidance and to schedule a follow-up appointment to ensure your child’s health is on the right track. Your proactive approach to your child's health is commendable, and staying informed will help you navigate these post-discharge concerns effectively.

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