Salmonella infections usually resolve on their own within 5-7 days, and do not require professional medical care. In such cases, is quite effective treatment of salmonellosis in the home. As a rule, sick simply drink plenty of fluids to prevent dehydration, and if necessary, take non-prescription drugs to relieve the symptoms of salmonellosis Symptoms of salmonellosis - the definition of disease severity . However, in some cases, such measures are insufficient.

Salmonellosis - when you need to see a doctor?

Children. When the child has signs of intestinal infection such as nausea, vomiting and diarrhea should see a doctor in the following cases:

• A child younger than six months;
• The child has other health problems (such as heart or kidney disease, diabetes, the baby was born prematurely, have low birth weight, and so on);
• The child has a high fever;
• The child showed signs of dehydration;
• Within a few hours the child is almost not stop vomiting and / or diarrhea;
• The fecal and / or vomit blood is present;
• The child complains of very severe pain in the abdomen;
• Signs of infection appeared during travel or soon after returning from a trip;
• Symptoms of salmonellosis are expressed very strongly or quickly compounded;
• You do not see signs of relief (in typical cases of salmonellosis vomiting passes for 1-2 days, and practically stops diarrhea within 5-7 days).

You should also tell your doctor if you suspect that you or your child is infected in some catering - perhaps this will help prevent infection of others.

Adult patients who suspect that they have salmonella Salmonellosis - features of the disease You should seek medical care in the following cases:

• Salmonellosis has led to severe dehydration;
• Severe vomiting persists for a day or two;
• The presence of blood in feces and vomit;
• Elderly patients, or he has diseases such as diabetes, epilepsy, kidney disease;
• The patient's immune system is weakened, for example, due to chemotherapy, HIV infection or long-term use of steroid medications;
• The patient is pregnant.

How to cure a child salmonella

The majority of patients with salmonellosis children, like adults, do not require any special treatment. The main task of the parents - to prevent severe dehydration and make sure your child during his illness was getting as much nutrients (due to diarrhea and vomiting, the body loses its vitamins and minerals, so you need to replenish their stocks). Typically, salmonellosis is treated at home, but in some cases, children required hospitalization.

Usually, doctors recommend to treat salmonellosis in children Salmonellosis in children - what to do?   in accordance with the following guidelines:

• Preventing dehydration. During the treatment of salmonellosis it is extremely important to ensure that the child is restored volumes of liquids that he loses because of illness. Regularly remind your child to drink more water or tea (preferably sugar-free). Do not give him the commercial fruit juices and carbonated drinks - they can make diarrhea worse.
• In children younger than six months, the risk of dehydration in salmonellosis is especially great, so why kids often require hospitalization. Feed the baby should be like before - breast or formula milk, and if necessary, between feedings to give extra fluids (water or other drinks recommended by a physician).
• Sometimes small children is recommended in addition to regular meals, give special rehydration drinks. They are necessary in cases where there is an increased risk of severe dehydration. These drinks are sold in pharmacies by prescription. The physician must give parents or guardians detailed instructions on how to give the child such drinks. The rehydration drinks in an ideal ratio contains water, salt and sugar: the last two ingredients help the body to better absorb and retain water. Keep children home-made rehydration drinks: the ratio of the components in them must be very precise, which in the absence of special education and at home is very difficult to be added.
• If, after you have given the child a drink, he had an attack of vomiting, wait for 5-10 minutes and then start again to give him a drink, but more slowly (eg a spoonful every 2-3 minutes). The same applies to feeding: suspend it if the baby sick, and after a while start to feed him again.
• Treatment of dehydration. In mild dehydration simply as often as possible to give the baby to drink (but do not force him to drink, he does not want to). Talk to your doctor - he will tell you exactly how much fluid you need your child to avoid severe dehydration. Continue to feed your baby as usual.
• In the case of severe dehydration children usually require hospitalization. At the hospital, the child will be administered rehydration solution using a special tube that is through the nose and throat is introduced directly into the stomach. An alternative may be intravenous nutrient solutions. After experts cope with dehydration, take the child to return to the usual diet. It often happens that children, who still preserved some of the symptoms of salmonellosis, appetite is very weak - in this case, do not force the child to eat. Make sure he drinks enough, and with adequate nutrition can wait until recovery. When your appetite returns, make sure that the child's diet was the most diverse - it will quickly restore the nutrient reserves, which have been severely depleted during the disease.
• Preparations for the treatment of salmonellosis in children should be used very carefully. For example, you can give children paracetamol or ibuprofen to relieve fever and relieve abdominal pain Abdominal pain: Types and Symptoms   or headaches, but if the child is younger than a year previously should consult a doctor. Children under 12 years old should not be given antidiarrheal drugs: they effectively relieve the symptoms of salmonellosis, but can cause serious complications. By the way, adults take these drugs usually also not recommended - we'll talk about below.
• Antibiotics salmonellosis can be used if the child is under the age of six months, if it has weakened the immune system, or if the infection is very severe.
• Currently, patients with salmonellosis children usually do not recommend giving probiotics. Now, however, scientists are actively exploring the possibility of using probiotics for various intestinal infections, and possibly in the future, the opinion of experts regarding these substances will change.

Around the world, people suffer from pain. Most often the pain is accompanied by diseases of the spine and joints. In this case, they become chronic. Remove or partially reduce such pains to help nonsteroidal anti-inflammatory drugs (NSAIDs), which include movalis.

The different effects of the action movalis other NSAIDs

For NSAIDs are drugs that remove or reduce the symptoms of inflammation, that is anti-inflammatory, analgesic and antipyretic properties. The mechanism of action of traditional NSAIDs (aspirin, indomethacin, ibuprofen, butadiona, diclofenac) is that they prevent the release of prostaglandins - biologically active substances that are actively involved in the formation of the inflammatory process. This occurs by inhibiting an enzyme involved in the formation of prostaglandins - cyclooxygenase (COX).

But traditional NSAIDs have severe side effects - they irritate the stomach lining up to the formation of ulcers and reduce the rolling capacity of the blood up to the formation of bleeding with prolonged use. It turns out that this happens because prostaglandins are involved not only in inflammatory processes and their role in the body is much greater, in particular, they protect the gastric mucosa from a variety of mechanical and chemical stimuli.

While studies have shown that COX can be divided into COX-2, which suppresses the production of prostaglandins involved in inflammation, and COX-1 - it inhibits the formation of prostaglandins that protect the stomach lining, and the process of blood clotting.

The first drug that inhibits the action basically only COX-2 was nimesulide. Movalis (INN - meloxicam) also refers to the latest generation of NSAIDs that are predominantly COX-2. He has a pronounced anti-inflammatory and analgesic properties, and less pronounced antipyretic properties. Side effects (irritation of the stomach and increased bleeding) in movalis also there, but the extent of its much smaller than conventional NSAIDs. This allows you to apply movalis longer courses under the supervision of a physician and laboratory studies.

Available movalis pharmaceutical company Boehringer Ingelheim International GmbH (Germany) as a solution for injection in vials, tablets for oral and rectal suppositories.

To appoint movalis

Movalis prescribed for light to medium intensity of pain (severe pain require the appointment of narcotic drugs), arising on a background of long flowing inflammatory and degenerative (metabolic) processes:

• spine - ankylosing spondylitis (it is based on an allergy to own tissues), osteochondrosis Osteochondrosis - learn how to properly distribute the weight ;
• in the joints - arthritis (joint inflammation), arthritis (degenerative-dystrophic changes in joints), rheumatoid arthritis Arthritis - a variety of forms and complications   (infectious and allergic disease are allergic to the body's own tissues);
• for any other diseases accompanied by pain, such as toothache, earache.

This should not be prescribed movalis

Admission movalis contraindicated in hypersensitive to the components of the drug, ulcerative lesions of the gastrointestinal tract in a state of acute, severe liver disease, kidney and cardiovascular system dysfunction of these organs, at any diseases associated with impaired blood clotting. Furthermore, movalis Movalis - relieve symptoms of inflammation   It should not be used during pregnancy, while feeding the baby Breastfeeding - a personal choice   chest and under the age of 15 years.

Rectal suppositories movalis can not be used in inflammatory processes in the area of ​​the rectum and anus, as well as when they are bleeding.

Side effects movalis

Movalis can have side effects on several organs and systems:

• the organs of the gastrointestinal tract - this is manifested in the form of nausea, vomiting, diarrhea and constipation, bloating, abdominal pain, heartburn, irritation (up to the formation of ulcers) of the mucous membrane of the stomach and small intestine, internal bleeding;
• liver and bile duct - abnormal liver function;
• circulatory organs - heart palpitations, edema, high blood pressure;
• blood - reducing the number of leukocytes in the blood (decreased immunity), red blood cells (anemia), and platelets (tendency to bleed);
• renal - function decline;
• central nervous system - fatigue, malaise, decreased performance, headaches, dizziness, depression, impaired consciousness;
• allergic reactions.

Movalis has far fewer side effects than the other NSAIDs, however, they are found, so the drug should appoint a doctor.

Galina Romanenko