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.

Other Voices

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Written by Li Jiao Yan
Neonatology
32sec home-news-image

Can children with diarrhea eat noodles?

Children experience diarrhea because various factors cause disturbances in their gastrointestinal function, leading to malabsorption of nutrients. This manifests as a significant increase in the frequency of defecation and a noticeable change in the nature of the stool, even resulting in watery stools. When children have diarrhea, it is recommended to eat easily digestible, bland foods; noodles and porridge are good dietary options.

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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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Written by Li Jiao Yan
Neonatology
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Can children with diarrhea drink yogurt?

Yogurt is made by fermenting pure milk and retains all the nutritional components of fresh milk. During the fermentation process, lactic acid bacteria can produce a variety of vitamins essential for human nutrition. Yogurt contains a large amount of lactic acid bacteria, which have the effect of resisting the production of harmful bacteria. Therefore, children with diarrhea can appropriately drink some yogurt. However, it is not recommended to drink it on an empty stomach. Additionally, if a baby has diarrhea, drinking chilled yogurt might aggravate their condition, so it is also not advised to consume large amounts of yogurt on an empty stomach.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Where to massage for children's diarrhea

If a child's diarrhea is not severe, it can be alleviated by massage to ease this clinical symptom. Where do we usually massage? First, local abdominal massage can be performed using kneading and rolling techniques, commonly targeting acupoints like Zhongwan, Xiawan, Jianli, and Tianshu. These are some of the acupoints on the abdomen. On the distal parts of the limbs, we can also select some acupoints for massage, especially Liangqiu, Zusanli, Shangjuxu, and Xiajuxu, which are excellent for regulating childhood diarrhea. Additionally, massaging the child's Yongquan acupoint can also relieve symptoms of diarrhea. During the massage, it's essential to combine it with a diet that is bland and easy to digest to enhance the effectiveness.

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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.