How should pediatric diarrhea be treated?

Written by Yan Xin Liang
Pediatrics
Updated on September 22, 2024
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For childhood diarrhea, initially probiotics can be administered to adjust the intestinal flora, commonly used probiotics include Bifidobacterium or Lactobacillus acidophilus. Next, it's important to protect the gastrointestinal mucosa, for which oral smectite powder can be given. Additionally, diarrhea can easily damage the gastrointestinal mucosa, so it's appropriate to supplement with zinc or folic acid to promote the repair of the gastrointestinal mucosa. It is also important to ensure fluid replenishment to maintain hydroelectrolytic balance, commonly using oral rehydration salts which can replenish both fluids and electrolytes. Attention should also be paid to the child’s mental response and urinary output.

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Written by Yan Xin Liang
Pediatrics
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Clinical manifestations of pediatric diarrhea

Childhood diarrhea is caused by a variety of pathogens and factors, characterized primarily by diarrhea. Key features include increased stool frequency and changes in stool characteristics, possibly accompanied by fever, vomiting, abdominal pain, and varying degrees of electrolyte and acid-base imbalances. The pathogens involved can be viruses, bacteria, parasites, fungi, etc. Additionally, factors like the misuse of antibiotics leading to intestinal flora imbalance, improper feeding, and getting chilled can also cause it. Symptoms can vary from mild to severe diarrhea. Generally, mild diarrhea primarily involves gastrointestinal symptoms and may accompany vomiting or poor appetite, with increased stool frequency and changes in stool characteristics, but no significant dehydration or systemic acidosis, usually recovering within a few days. Severe diarrhea is often an acute condition that can develop from mild diarrhea, presenting more severe gastrointestinal symptoms as well as noticeable dehydration, electrolyte imbalances, and systemic toxicity symptoms such as fever, lethargy, drowsiness, and shock.

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Written by Yan Xin Liang
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Symptoms of diarrhea, vomiting, and dehydration in children

Children with symptoms of diarrhea, vomiting, and dehydration are categorized into mild, moderate, and severe dehydration. Generally speaking, with mild dehydration, there is slight dryness of the mouth, not very severe. With moderate dehydration, the dryness of the mouth becomes quite noticeable, and with severe dehydration, there is extreme dryness of the mouth. In terms of mental state, those with mild dehydration generally feel okay, while those with moderate dehydration have poorer spirits, and those with severe dehydration appear very listless. Regarding urination, those with mild dehydration experience a slight decrease in urine output, those with moderate dehydration have a reduced urine output, and those with severe dehydration show a significant reduction in urine output, or even no urine at all. Another symptom to consider is skin turgor; in mild dehydration, skin elasticity is still acceptable, in moderate dehydration skin elasticity worsens, and in severe dehydration, skin elasticity is significantly impaired. For instance, the dryness of mucous membranes, including the oral mucosa, shows slight dryness in mild dehydration, dryness in moderate dehydration, and obvious dryness in severe dehydration. Therefore, dehydration should be assessed from multiple aspects.

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Written by Yao Li Qin
Pediatrics
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What is the cause of a child's diarrhea being watery?

Diarrhea is characterized by an increase in the frequency of a child's bowel movements and a change in the nature of the stool. When children have diarrhea, their stool can be watery, often caused by rotavirus infection resulting in seasonal diarrhea. The stool may resemble egg drop soup and can even be sprayed out. In such cases, it is recommended to administer montmorillonite powder and probiotics to the child, as well as to supplement with oral rehydration salts. For children with moderate to severe dehydration, intravenous rehydration is necessary to correct dehydration. Another scenario involves diarrhea caused by invasive bacterial infections in children, where the stool is also watery. Symptomatic treatment and correction of dehydration are required in such cases. If systemic bacterial infection symptoms are present, antibiotics should be administered under the guidance of a hospital doctor. This is mainly because the bacterial or viral invasion affects the intestinal mucosa, causing changes in osmotic pressure within the intestinal cavity, leading to the occurrence of watery stools. (Please use medications under the guidance of a doctor.)

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What causes diarrhea and fever in children?

If a child has diarrhea accompanied by fever, it is generally considered to be infectious diarrhea, which includes both bacterial and viral infections. Common viral gastroenteritis is caused by rotavirus infection. Rotavirus infects the intestines, which can cause fever, vomiting, and diarrhea with frequent stooling, characterized by egg-flower or watery stools, and may also be accompanied by symptoms such as dry mouth and scanty urination. The treatment mainly focuses on fluid replenishment and symptomatic supportive care. There is also bacterial gastroenteritis, such as colitis caused by Escherichia coli infection and bacillary dysentery caused by Shigella infection, which can present with fever, diarrhea, abdominal pain, and bloody stools.

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Written by Yao Li Qin
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What is a good medicine for children's diarrhea?

An increase in the frequency of bowel movements in children, accompanied by a change in stool characteristics, indicates diarrhea. When a child has diarrhea, the first step should be to test a stool routine to determine whether it is infectious diarrhea or non-infectious diarrhea. In cases of infectious diarrhea, antibiotics should be used under the guidance of a hospital doctor. If the diarrhea is caused by indigestion or rotavirus infection, symptomatic treatment is generally used. Firstly, feeding should continue. For children with watery stools, we should give them oral mucosal protectants, probiotics, and oral rehydration salts. For those with prolonged diarrhea, specifically diagnosed as caused by rotavirus infection, children should be supplemented with zinc for a period, as zinc can promote the repair of intestinal mucosal damage. This means that it can speed up the improvement of diarrhea, while also preventing the recurrence of diarrhea symptoms. (The use of medications should be conducted under the guidance of a professional doctor.)