Clinical manifestations of childhood diarrhea

Written by Yan Xin Liang
Pediatrics
Updated on September 18, 2024
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Pediatric diarrhea is caused by a variety of pathogens and factors, characterized by an increase in the frequency of bowel movements and changes in the characteristics of stools. It is one of the most common diseases in infants and young children in China, with a high incidence in infants and young children from six months to two years old, half of which are under one year old. It is one of the main causes of malnutrition and growth and development disorders in children. Diarrhea has some common manifestations, including loss of appetite, occasional regurgitation or vomiting, increased frequency of bowel movements, watery or thin stools that are yellow or yellow-green, some with a sour smell. In severe cases of diarrhea, it is important to check for dehydration and electrolyte disorders, as well as symptoms of systemic infection and intoxication, such as fever, irritability or lethargy, drowsiness, pale complexion, and even coma and shock.

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Written by Yao Li Qin
Pediatrics
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What are the symptoms of diarrhea in children?

When children experience diarrhea, it is defined by an increased frequency of bowel movements and changes in the stool's consistency, which might appear as watery, mushy, or mucus-filled. The mucus may contain blood streaks. Additionally, children may exhibit systemic symptoms including persistent fever accompanied by nausea and vomiting, while the frequency of bowel movements noticeably increases, and the fever may present as persistent high temperature. Due to frequent episodes of diarrhea, the child might show signs of dehydration such as poor skin elasticity, sunken eye sockets, and if not yet closed, a sunken fontanelle. The skin can be particularly dry, and the child may have reduced urine production. In cases of severe diarrhea, the child may also appear lethargic or drowsy and show signs of circulatory collapse.

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Written by Dong Xian Yan
Pediatrics
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What should I do if a child suffers from food retention, vomiting, and diarrhea?

When children experience vomiting and diarrhea due to food stagnation, it is best to take them to the hospital for treatment. Through traditional Chinese medicine's syndrome differentiation and corresponding medicinal treatments, one can orally administer ready-made Chinese medicines that eliminate food stagnation. At the same time, probiotics can be taken orally to regulate the intestines. In terms of diet, it is advisable to focus on light, easily digestible, and nutritious foods. Avoid greasy, fried foods, seafood, and spicy or irritating foods. It is beneficial to eat small, frequent meals, avoid strenuous activities, and keep the child's abdomen warm to prevent catching cold.

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Written by Li Jiao Yan
Neonatology
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Can children with diarrhea eat potatoes?

Pediatric diarrhea is caused by various factors leading to gastrointestinal dysfunction, resulting in malabsorption of nutrients, characterized by increased frequency and changed nature of stools. Potatoes contain a rich amount of starch and a large amount of dietary fiber. A large amount of dietary fiber can enhance gastrointestinal motility and has a laxative effect; therefore, it is advisable for children with diarrhea to eat fewer potatoes or avoid them altogether.

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Written by Yan Xin Liang
Pediatrics
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What are the treatment methods for infectious diarrhea in children?

For infectious diarrhea in children, it is first important to determine if the cause is viral or bacterial. In general, rehydration should be provided first to prevent dehydration; oral rehydration salts are commonly used to prevent dehydration and replenish electrolytes. Additionally, probiotics can be given to regulate the gut flora, commonly including bifidobacteria. Another option is to administer smectite powder to protect the gastrointestinal mucosa. It is also appropriate to supplement zinc and folic acid to promote the repair of the gastrointestinal mucosa. If a bacterial infection is suspected, sensitive antibiotics can be administered, commonly cephalosporins or penicillins for anti-infection treatment. If a viral infection is considered to be causing the diarrhea, some antiviral medications can be added to the treatment. Pay attention to the baby’s mental response and urination situation.

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Written by Li Jiao Yan
Neonatology
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What formula should a child with diarrhea eat?

When a child experiences diarrhea, it indicates that there is an abnormality in their gastrointestinal function, and their ability to absorb nutrients is significantly weakened. If the child is fed ordinary formula, it might overburden their stomach and intestines, making digestion difficult and possibly exacerbating the diarrhea symptoms. Therefore, when a child has diarrhea, it is advisable to choose foods or formulas that are easy to digest. During periods of diarrhea, it is generally recommended for children to consume a special formula designed for infants with diarrhea. This formula is easier to absorb and helps in the digestion and absorption of nutrients, making it suitable for children with diarrhea.