Deworming For Children Under 2 Years Of Age?
My child is 1 year 27 days old. At that time I was unable to go to the posyandu. Last Wednesday I went to the village midwife to ask for vitamin A for my child. Then the midwife was given deworming medicine at the midwife. With a dose of half a tablet. Even though my child is healthy and there are no worms. Today after yesterday was given worm medicine. My child has diarrhea accompanied by vomiting and fever. It’s been 7 times more runny bowels. Is this a side effect of worm medicine or how. I am worried. Because I read this question that the deworming is over 2 years. Meanwhile, under 2 years is given if already positive for worms. Thank you in advance
Hello, thank you for the question for HealthReplies.com
In countries with a high number of worms (Indonesia is one of them), the World Health Organization (WHO) indeed recommends giving deworming medicine once a year to children aged 1-12 years. In countries with very high worm rates (up to> 50%), it is advisable to administer deworming twice a year. The number of worms in Indonesia is still less than 50%, so the recommended provision is once a year. Deworming for children under 2 years is half the dose (200 mg Albendazole). Therefore, actually giving worm medicine to your child and the dose of drug administration is right according to WHO recommendations.
Albendazole has side effects such as
nausea and vomiting
hair loss (temporary)
If your child experiences vomiting and diarrhea accompanied by fever, chances are that your child is not experiencing side effects of the drug but is experiencing an infection in his digestive tract. Gastrointestinal infections in children are most often caused by viruses. Viral infections generally get better on their own in 3-7 days. Children need supportive therapy such as administering fever relievers and electrolyte fluids (such as ORS or pedialites) to prevent dehydration and mineral deficiencies due to diarrhea and vomiting. If vomiting is so severe that you cannot drink, anti-vomiting drugs can also be given according to doctor's instructions.
For now you can try to continue giving water to children. You can give breast milk, formula milk, fruit juices, ORS, soup broth, coconut water, or other fluids to children so they don't become dehydrated. If the child vomits, give fluids little by little but more often. Immediately take the child to the hospital if you notice the following signs:
signs of dehydration such as sunken eyes and crown, the child does not want to drink, the child's urine is reduced or concentrated, the oral mucosa looks dry, does not come out of tears when crying, decreased consciousness (the child keeps sleeping)
there is blood in the stool or black stool
there are seizures or other neurological symptoms
fever to more than 39 degrees Celsius and does not come down with fever medicine
So much information from me, hopefully it will be enough to answer
dr. irna cecilia