Clinical manifestations of childhood diarrhea

Written by Yao Li Qin
Pediatrics
Updated on March 06, 2025
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Childhood diarrhea is caused by various factors that increase the frequency of bowel movements in children and also change the characteristics of the stool. The common clinical manifestations of childhood diarrhea are primarily gastrointestinal symptoms. The child may experience poor appetite, spitting up milk and vomiting, and an increased frequency of bowel movements. However, the volume of stool in mild cases is not too large, appearing thin or watery, and is yellow or yellow-green in color with a sour smell. Most cases of diarrhea without dehydration or systemic poisoning recover within a few days.

In more severe cases of diarrhea, where the child experiences an increased frequency of bowel movements and the stools are watery, there can also be significant dehydration, electrolyte imbalance, and symptoms of systemic infection. These mainly manifest as either fever or lack of fever increase, irritability or lethargy and drowsiness, pale complexion, confused consciousness, and even fainting, shock symptoms.

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Can children with diarrhea eat carrots?

Childhood diarrhea occurs due to disturbances in gastrointestinal function, leading to abnormal nutrient absorption and subsequently an increase in the frequency and changes in the nature of bowel movements. When children experience diarrhea, their diet should be adjusted to light, easily digestible liquid or semi-liquid food. It's also important to eat less food that is high in fiber, as rough fiber can promote intestinal peristalsis and may exacerbate the frequency of bowel movements. Carrots, being high in beta-carotene and plant fibers, also enhance gastrointestinal motility. Therefore, it is better for children with diarrhea to consume fewer carrots.

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Can children with diarrhea eat eggs?

Diarrhea in children is itself a manifestation of gastroenteritis. During this process, the baby's digestive function will definitely be affected, so the diet must be light and consist of easily digestible foods, such as milk, rice porridge, and noodles. Babies who are breastfed can continue to be breastfed, but spicy, irritating, greasy, and difficult-to-digest foods should be avoided as much as possible. Eggs are high in protein and phospholipids and are not suitable for children during diarrhea because they can increase the burden on the gastrointestinal tract and hinder the recovery from the diarrhea condition. Therefore, eggs should not be eaten directly during diarrhea.

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Written by Yan Xin Liang
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Can children with diarrhea eat sugar?

For children with diarrhea, it is best to stick to a light, easily digestible diet. During diarrhea, a child's gastrointestinal function may decline, leading to indigestion or gastrointestinal disorders. In such cases, one must consume foods that are easy to digest, avoiding greasy, spicy, stimulative, and hard-to-digest foods. Meanwhile, sugar should also be largely avoided, as many instances of diarrhea in children are caused by lactose intolerance. Adding sugar under these circumstances can exacerbate the symptoms of diarrhea. Furthermore, some cases of diarrhea in children may lead to temporary lactose intolerance. In such situations, sugar should not be added as well. Thus, when dealing with diarrhea, it is advisable to refrain from consuming sugar.

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Written by Quan Xiang Mei
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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.

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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.