When to use antipyretic drugs inserted anus for children?

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When the child has a fever over 38.5 degrees Celsius, it is necessary to reduce the fever in time to avoid prolonged high fever. However, there are many children with fever who refuse to drink or take fever-reducing medicine, they will vomit, children with high fever make it difficult to take medicine...so antipyretic drugs should be inserted into the anus to reduce fever for children.

1. Advantages and disadvantages of antipyretic drugs inserted into the anus

Fever is not a disease, but a symptom of many diseases. When the child has a high fever, it is necessary to use fever-reducing medicine for the child. There are two ways to reduce fever with medicine for children: oral antipyretic and rectal suppositories.
Anal pain relievers and fever reducers have their own advantages and disadvantages. The advantages of this drug are:
Antipyretic drugs inserted into the anus are very convenient, specifically when the child is sleeping and has a high fever, just insert the medicine into the anus for the child without waking the child up. That will help the child cool down, avoid high fever causing convulsions, dangerous to the child's nervous system. Antipyretic suppositories containing paracetamol , in different doses and are prepared by combining the drug with excipients capable of melting by body temperature. Therefore, when using anal suppositories, anal suppositories will disintegrate quickly and the drug is kept in the required position, not being pushed out by the resistance of the anal sphincter. The venous system in the rectum is thick and the blood flow is quite large, so the absorption of antipyretic drugs through this route is very good. In addition, the rectal vein goes directly into the general circulation, the drug does not pass through the liver, so antipyretic drugs are highly effective because they are not destroyed in the liver and reduce the burden on the liver in detoxification. In addition, antipyretics inserted into the anus also help to avoid interactions with the digestive system, especially in children with fever and gastrointestinal tract damage. In addition, rectal antipyretics are not affected when the child has convulsions or vomiting, so they are more effective than oral.
However, antipyretic drugs also have certain disadvantages, so it should be noted for reasonable and safe use for children. The disadvantages of rectal antipyretics are as follows:
Anal antipyretics are absorbed directly into the bloodstream, but the effect is slower and longer lasting than oral antipyretics. Besides, because it is inserted into the anus, parents rarely pay attention to the dose of the drug, so it can easily lead to an overdose, affecting the health and development of children. Although antipyretic drugs inserted into the anus do not pass through the digestive tract, but when absorbed in the blood, they still have an effect on the body. When paracetamol is overdosed, it will damage liver cells. Antipyretic drugs inserted into the anus often cause anal itching, but the degree and frequency of itching will depend on the interval between doses and increase over time. Antipyretic drugs inserted into the anus easily cause bacterial infections that make the anus of the child swollen and painful. If used many times and for a long time or the interval of use is too short, it can cause proctitis for children. Therefore, in the case that the child is given the medicine for a few days, but the child shows signs of defecation, it should be stopped immediately.

2. When to use antipyretic drugs inserted anus for children?

Is a common symptom in children, so when a child has a fever above 38.5 degrees Celsius, it is necessary to reduce fever promptly, to avoid prolonged high fever. To reduce fever, there are 2 ways to use medicine: oral antipyretic and rectal suppository. So when should you use anal fever reducer for children? Accordingly, there are many children with fever who refuse to take or take fever-reducing drugs, they will vomit, children with high fever make it difficult to take medicine, children with seizures should use antipyretic drugs inserted into the anus to reduce fever. for children.
In case the child only has a normal fever and can take medicine, it is better to use oral antipyretic drugs for faster and more appropriate effects. Besides, when a child has a fever, the door must not be closed tightly, but the door must be opened, the fan should be used for ventilation, so that the indoor air can circulate; Do not cover the blanket or let the child lie close to the mattress or mat because it can cause the skin to come in contact with the mat and mattress to not escape heat.

3. Note when using antipyretic drugs for children

When using anal fever medicine for children safely and effectively, when using it, it is necessary to note some basic things as follows:
Antipyretic drugs must be stored at cold temperature, Therefore, it is necessary to keep the medicine in the refrigerator with a temperature of 2 - 8 degrees Celsius. At the same time, before using anal suppositories to reduce fever in children, it is necessary to check that the tablet is firm enough for convenience. beneficial for rectal administration. After removing the medicine, it should be inserted into the anus immediately. Because of leaving the shell, the drug will easily dissolve quickly leading to insufficient dosage to reduce fever. When using anal antipyretics, do not use any more oral drugs containing paracetamol, because the anal antipyretics already contain paracetamol, so it is easy to overdose, causing the temperature to drop too quickly. drug poisoning. Before placing anal antipyretics for children, parents need to clean the anus for their children, then wash their hands with soap and put the child's bottom in an uphill position to easily put the medicine. Put the medicine into the child's anus gently and then close the 2 folds of the child's buttocks so that the medicine dissolves and does not fall out for about 2 minutes. Antipyretic drugs should not be used regularly to reduce fever for children and note between doses to ensure fever reduction for children. In particular, antipyretic drugs should not be administered rectally to children who are allergic to paracetamol or children with severe liver disease, diarrhea, anorectal inflammation and rectal bleeding. In cases where the child is constipated or has anal disease, do not use antipyretic drugs inserted into the anus, because the abnormal mucus layer in the rectum will affect the absorption of the drug. thereby the therapeutic effect in reducing fever will be reduced. In addition to using fever-reducing medicine, it is important to note that when a child has a fever, it is necessary to regularly take the child's temperature. If the child has a high fever of over 38.5 degrees Celsius to increase the effectiveness of the medication, parents need to remove the child's clothes, give the child plenty of water, and a reasonable diet (should eat liquid and soft foods). ), place the child in a well-ventilated place.

If the child still has a high fever after taking the medicine for 30 minutes - 1 hour after taking the medicine and cooling it off, it is necessary to take the child to the nearest medical facility for timely examination and treatment to avoid complications. hazardous. Children in the period from 6 months to 3 years old are very susceptible to respiratory problems, respiratory infections, skin diseases and gastrointestinal infections... parents need to pay special attention to the care and provision of adequate nutrition for children. Pediatrics department at Vinmec International General Hospital is the address for receiving and examining diseases that infants and young children are susceptible to: viral fever, bacterial fever, otitis media, pneumonia in children ,... With a system of modern facilities, medical equipment, sterile space, minimizing the impact as well as the risk of disease spread, Vinmec will bring satisfaction to customers. and is highly appreciated by industry experts with:
Gathering a team of leading doctors and nurses in Pediatrics: Including leading experts with high professional qualifications (professor, associate professor, doctorate, etc.) Master's degree), rich experience, worked in big hospitals like Bach Mai, 108.. The doctors are all well-trained, professional, have a heart - reach, understand young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. Advanced techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to play comfortably and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.

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