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What is the cause and treatment for diarrhea in children?

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Posted on Tue, 8 Jul 2014
Question: Good Evening Doctor,

My daughter is 2 year old and 6 months old now. 2 weeks back she complained of stomach ache on and off. later she got allergy on her skin. We took her to a local doctor. Doctor gave an external application and Atarax syrup. Allergy reduced after 2 days of the syrup, but she started passing stools so often. Today she passed stools 4 times in 3 hours. She is passing stools whenever she is eating something. Her intake of food is normal. She has got addicted to milk twice a day. I gave been giving her Zeegut sachets since 2 days, but it is not helping. Please tell me what could be the reason she is passing stools so often. Please advise and prescribe some medicine to control it.
doctor
Answered by Dr. Deepak Kishore Kaltari (43 minutes later)
Brief Answer:
Continue ORS and Probiotic

Detailed Answer:
Namasthe
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms XXXXXXX

Diarrhea in children is usually self limiting. It requires supportive care by maintaining nutrition and hydration.
If the following criteria are fulfilled then there is no cause for concern
1. No blood in stools
2. Baby accepting feeds well
3. No signs of dehydration
4. Urine output adequate
5. No redness in perianal region

As you mentioned as her intake is normal there is nothing to worry


Acute gastro-enteritis the principle of manegment is replace what is getting lost through stools by giving oral rehydration solution, maintaining nutrition to prevent weakness.

I would suggest the following

1. Home made Oral rehydration solution: To a glass of boiled and cooled water add 20 gms or glucose or sucrose(Sugar) and a pinch of common table salt. Feed the child as much as possible. Commericially available WHO recommended ORS can also be used
2. Maintain Nutrition: Dhal water, wheat porridge, rice water, tender coconut water, curd rice
3. Probiotics : Continue Zeegut which you have already started
4. Syrup Wallamycin : 5 ml thrice a day will be helpful

Consult Physician when you notice following red signs
1. Dry oral mucosa which implies dehdration
2. Absence of tears while crying
3. Blood/mucous in stools
4. Irritability
5. Decreased movements and excessive sleepiness

In case you need any further assistance, will be glad to assist you.

Wishing you and your family happy and healthy life.

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Deepak Kishore Kaltari (10 minutes later)
Thanks Doctor for you prompt response. There are no such alarming signs in her stools. Her food intake has reduced and she craves for other stuff like chocolates and chips more. She does not take curd as she does not like it. Please advise what can I d o to replace curd with any other probiotics. Due to stools she is having diaper rash. I am using eazynapi cream. I am a working lady and tried all methods of potty training, but all in vain. If you can suggest anything on that, it would be helpful as well.
doctor
Answered by Dr. Deepak Kishore Kaltari (6 minutes later)
Brief Answer:
Lassi and butter milk good alternative

Detailed Answer:
Dear Ms XXXXXXX

Do not be rigid on potty training. Ideally children can be potty trained till 3 to 4 years of age. Speak with your kid whenever you are at home with her. Fix up timing of potty even if she has no urge to go at that time, this will slowly cultivate in good habit over period of time. Get a plastic potty which is easily available in market or online store.
Siloderm Ointment is very helpful in managing diaper rash.

Children are very fussy let them sometime break the rules and occasionally have chips and chocolates. It should be a habit, as they will be more prone for constipation. Butter milk ( sweetened), lassi will be some alternatives to curds. You can also add 1 spoon of sugar in 1 cup of curds to make it more palatable.

Do write to directly anytime you need any assistance.

Take Care
Regards
Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

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What is the cause and treatment for diarrhea in children?

Brief Answer: Continue ORS and Probiotic Detailed Answer: Namasthe Welcome to Healthcare-Magic Greetings of the day Dear Ms XXXXXXX Diarrhea in children is usually self limiting. It requires supportive care by maintaining nutrition and hydration. If the following criteria are fulfilled then there is no cause for concern 1. No blood in stools 2. Baby accepting feeds well 3. No signs of dehydration 4. Urine output adequate 5. No redness in perianal region As you mentioned as her intake is normal there is nothing to worry Acute gastro-enteritis the principle of manegment is replace what is getting lost through stools by giving oral rehydration solution, maintaining nutrition to prevent weakness. I would suggest the following 1. Home made Oral rehydration solution: To a glass of boiled and cooled water add 20 gms or glucose or sucrose(Sugar) and a pinch of common table salt. Feed the child as much as possible. Commericially available WHO recommended ORS can also be used 2. Maintain Nutrition: Dhal water, wheat porridge, rice water, tender coconut water, curd rice 3. Probiotics : Continue Zeegut which you have already started 4. Syrup Wallamycin : 5 ml thrice a day will be helpful Consult Physician when you notice following red signs 1. Dry oral mucosa which implies dehdration 2. Absence of tears while crying 3. Blood/mucous in stools 4. Irritability 5. Decreased movements and excessive sleepiness In case you need any further assistance, will be glad to assist you. Wishing you and your family happy and healthy life. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH