Clinical manifestations of pediatric diarrhea

Written by Yan Xin Liang
Pediatrics
Updated on March 26, 2025
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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 Yao Li Qin
Pediatrics
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Child diarrhea test items

Pediatric diarrhea is a common disease in children characterized by an increase in stool frequency and specific stool shapes, caused by multiple pathogens and factors. Common tests for children with diarrhea start with routine stool tests. Stool culture is meaningful for identifying the pathogens causing diarrhea, and the latex agglutination test has diagnostic value for viral gastroenteritis. The stool-reducing sugar test primarily assesses malabsorption of disaccharides, lactose intolerance, etc. Counting and classifying white blood cells mainly clarify the presence of bacterial infections. Since diarrhea often accompanies electrolyte disturbances and dehydration, biochemical blood tests are necessary, and sometimes, X-rays of the abdominal plain film, ultrasound, endoscopy, and other examinations are needed.

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Written by Yan Xin Liang
Pediatrics
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Moderate dehydration manifestations in children with diarrhea

In cases of moderate dehydration due to diarrhea in children, some common clinical manifestations include sunken eye sockets. If the anterior fontanelle has not closed in infants under one year old, it may appear sunken, and there can be a decrease in skin elasticity, dry lips and mucous membranes, and a reduction in urine output. Some may also experience increased heart rate, dry mouth, and a preference for drinking. In this situation, it is crucial to promptly rehydrate, primarily through oral rehydration. If oral rehydration is difficult, intravenous rehydration should be administered, while also maintaining the balance of water and electrolytes.

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Written by Yan Xin Liang
Pediatrics
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How to guide diet for children with diarrhea

Childhood diarrhea is often an inflammation of the gastrointestinal mucosa. Therefore, during this process, it is necessary to ensure the diet is light and easy to digest. If the child is breastfed, the mother's diet should also be light and easy to digest, avoiding greasy, spicy, and irritating foods. Meanwhile, if the child is formula-fed, it is recommended to use diarrhea-specific formula. This is because many babies' diarrhea is related to lactose intolerance, poor protein digestion, or milk protein allergies, among other causes. Therefore, if considering these factors, it is advised to feed hydrolyzed protein formula or diarrhea-specific formula, and supplementary foods like thin porridge, noodles, or rice paste can be added. Avoid greasy foods and eggs temporarily.

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Written by Yan Xin Liang
Pediatrics
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What's causing a child's diarrhea and vomiting?

When a child has diarrhea accompanied by vomiting, we first consider the symptoms of acute gastroenteritis. In this situation, we need to analyze the cause. The most common cause is often rotavirus infection. Rotavirus is a self-limiting disease, and treatment is primarily symptomatic, focusing on fluid replenishment to maintain electrolyte balance. It is also important to pay attention to the baby's mental state, responsiveness, and urination. Additionally, we need to be cautious of vomiting and diarrhea caused by intestinal bacterial infections, such as food poisoning, which can present similar symptoms. If a bacterial infection is suspected, we must promptly administer sensitive antibiotics for the infection treatment, while also focusing on symptomatic treatments such as fluid and electrolyte replenishment.

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Written by Yan Xin Liang
Pediatrics
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What department should a child with diarrhea visit?

Childhood diarrhea is a disease of the digestive system. If treated at a general hospital, the child should definitely see a pediatrician. If the diarrhea is severe, accompanied by moderate to severe dehydration, it is advisable to visit emergency pediatrics for urgent treatment. If going to a children's specialty hospital, it is recommended to see a gastroenterologist; severe cases can also go to emergency pediatrics. Additionally, if there is mucus, pus, or bloody stool, consider bacterial dysentery or other infectious diarrhea, and it is advised to see an infectious disease specialist. Generally, for ordinary diarrhea, it is advisable to visit a smaller hospital for treatment.