There are several types of childhood diarrhea.

Written by Yao Li Qin
Pediatrics
Updated on September 10, 2024
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If there is a change in frequency and characteristics of a child’s stool compared to usual, it could indicate the occurrence of diarrhea. Diarrhea can be classified into: 1. Acute diarrhea, which lasts for up to two weeks. 2. Persistent diarrhea, lasting between two weeks and two months. 3. Chronic diarrhea, lasting for more than two months. Based on the severity, it can be divided into: 1. Mild, generally without dehydration, electrolyte imbalances, or acid-base imbalances. 2. Moderate, accompanied by mild to moderate dehydration, or mild electrolyte disturbance. More severe cases involve severe dehydration and obvious symptoms of acid-base imbalance. Symptoms in children include lethargy, irritability, drowsiness, pale complexion, no fever, and a significant increase in white blood cell count. Causes of diarrhea can be divided into: infectious diarrhea, caused by viruses, bacteria, fungi, etc., and non-infectious diarrhea, including foodborne diarrhea, symptomatic diarrhea, allergic diarrhea, and other types of diarrhea.

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Written by Yan Xin Liang
Pediatrics
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What are the common causes of diarrhea in children?

Some common causes of childhood diarrhea include infectious and non-infectious diarrhea. Causes of infectious diarrhea include bacteria, viruses, amoebic dysentery, etc. Common viruses such as rotavirus, norovirus, etc. Common bacterial infections include Escherichia coli, Shigella, and other bacteria. Additionally, intestinal amoebic pathogens can also cause diarrhea. Some causes of non-infectious diarrhea include lactose intolerance and food allergies, among others.

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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
Pediatrics
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Children's diarrhea is divided into two major categories.

Childhood diarrhea is categorized into infectious and non-infectious diarrhea. Common infectious diarrhea is caused by infections from bacteria, viruses, and fungi. Non-infectious diarrhea often includes allergic diarrhea, diarrhea caused by food intolerance, and diarrhea due to lactose intolerance. Less commonly, some malignant diseases can cause gastrointestinal dysfunction leading to diarrhea. Among children, infectious diarrhea is more prevalent, especially viral diarrhea caused by rotavirus during the summer and autumn seasons. Additionally, bacterial infections such as those caused by Escherichia coli and Shigella (bacterial dysentery), often related to poor hand hygiene, are examples of infectious diarrhea.

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Written by Yan Xin Liang
Pediatrics
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What can children eat when they have diarrhea?

Childhood diarrhea is a manifestation of acute gastroenteritis. During this process, his digestive function will definitely be affected, so it is important to pay attention to diet. Provide light and easy-to-digest foods. If breastfeeding, the mother's diet should also include light and easy-to-digest foods. For babies fed with formula, we can use diarrhea-specific formula, and supplementary foods such as rice porridge and noodles can be added. Avoid greasy, spicy, and irritating foods. It is appropriate to add vegetables, but do not orally administer sugary foods, including sugars, biscuits, etc., as these are not suitable for the baby.

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Written by Quan Xiang Mei
Pediatrics
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How many days will it take for a child's diarrhea to get better?

The duration of diarrhea depends on the child's condition, whether it is physiological or pathological diarrhea. For physiological diarrhea in children, which is mostly due to dietary reasons, adjusting the structure of the diet can usually bring improvement. However, physiological diarrhea is not easy to resolve and can sometimes persist for months. If it is pathological diarrhea, it is necessary to identify whether it is caused by bacteria, viruses, or other specific diseases. In such cases, the first step is to perform a stool test on the infant. This involves collecting the child's stool in a clean container and bringing it to the hospital for examination within an hour to determine the cause, which will then guide further targeted medication adjustments. The duration of the illness will depend on the type of pathogen infecting the child.