What you need to know about diarrhea in children

What you need to know about diarrhea in children

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With the arrival of summer, the incidence of diarrhea increases especially in children. Mothers with diarrhea will have a big rush if this is accompanied by fever. Medical Park Hospital Children's Health and Diseases Experts share the curiosities on the subject.

What is Diarrhea?

Diarrhea is more frequent and watery defecation than usual in infants receiving more than three watery defecations or breast milk in twenty-four hours. About 2.2 million children under the age of five die each year due to diarrhea. Diarrhea-related deaths are often caused by loss of water and minerals. In addition, poor nutritional status increases the risk of diarrhea and diarrheal death. If diarrhea occurs in children, vomiting, abdominal pain and fever, a pediatrician should be consulted immediately.

What are the risk factors for diarrhea?

• Non-breastfeeding during the first 4 months • Quick transmission of the bottle and pacifier with microbes • Inadequate preparation and storage of nutrients • Improper water use, poor hygiene, especially lack of sewage requirements • Individual risk factors (weak immune system, chronic illness, etc.)

What causes diarrhea?

Long-standing foods, improperly prepared canned foods and poorly cooked foods, drinking water of unknown origin also contain microbes, causing diarrhea. Apart from what we say, especially in children; Intestinal infections: Viruses, bacteria, parasites and other microbes, food poisoning, teething, sensitivity to certain foods (allergies), excessive consumption of fruit and juice (especially apples and grapes) and other diarrhea-producing foods, antibiotic therapy, top / lower respiratory tract infections and congenital metabolic diseases also cause diarrhea.

What are the symptoms of diarrhea?

The most obvious symptom of diarrhea; making wet stools is an increase in the frequency and amount of defecation. In some diarrheas, vomiting, abdominal pain and fever may be seen in addition to this condition. Babies with diarrhea become restless and cry constantly. In addition to the symptoms of diarrhea, the duration of diarrhea is very important. Diarrhea usually lasts from a few hours to a few days. However, diarrheas lasting more than two weeks require a doctor's follow-up.

Why does summer increase?

Diarrhea can be any season of the year. However, it is more common in summer due to the deterioration of food more quickly, the lack of hygienic rules and the change in eating habits.

It can usually vary from a few hours to a few days. Although it may last longer, diarrheas lasting more than two weeks require a doctor's follow-up.

How is the treatment?

Although the causes are different, treatment approaches for sudden onset diarrhea are the same. Never give antibiotics or other medications to the baby who has diarrhea without doctor's consent. Diarrhea in young children leads to large water losses, especially in the presence of vomiting. Bowel infection, which can be resolved in 5-7 days, can be fatal if not given enough water. Therefore, children with vomiting should be given plenty of water. Children whose diarrhea starts when breastfeeding and feeding are discontinued, no fluid is given are children who have 8 or more watery diarrhea per day, children with more than two vomiting a day and babies under 12 months are at risk of thirst.

Always give liquid to avoid thirst. It is important to provide both fluid needs and calorie intake in infants with diarrhea. In order to meet the liquid needs in the best way, ready-made powders (such as Ge-Oral powder), which are sold in pharmacies, are mixed into boiled and chilled water and then slowly spooned into your baby.

In addition, liquids such as custard, buttermilk, apple juice prepared with lean soup, rice broth and diluted milk can be given to prevent thirst, but also to meet the caloric need. Breastfeeding is more frequent in infants under six months of age who have not yet started supplementary food. Intermittent boiled warm water can be given if the baby receives.

What drinks should not be given to children with diarrhea?

• Drinks such as sugar juices, sugar tea, soda water, cola may cause excess sodium in the blood.

How much fluid should be given?

After each diarrheal stool; Children under 2 years of age 50-100 ml of liquid (1 / 2-1 tea cups) 2 years old 100-200 ml of liquid (1 / 2-1 cups) Older children should be given as much liquid as they can drink.

In children with vomiting, the same amount of fluid should be given every two or three minutes, as a spoon or as a sip. The introduction of large amounts of fluid in a short period of time or forced feeding increases vomiting.

Should breastfeeding be continued?

• Breastfeeding is increased in infants receiving breast milk and breast milk is continued. • In infants who do not receive breast milk, the usual formula is continued more frequently. If possible, not with a bottle, spoon should be given. Specially prepared foods for diarrhea are unnecessary at this stage. • Children who are over 6 months old and receive solid food are given vegetables, cereals and other foods in addition to milk. • High energy and protein foods such as yogurt, fish, well-cooked meat, mashed potatoes, rice porridge, fresh fruit juices and potassium-rich foods such as bananas should be preferred. • The child should be fed every 3-4 hours (6 times a day). Sparse and overfeeding at a time can be harmful.

Once the diarrhea stops, you should feed more than one meal every day for 2 weeks.

When to consult a doctor?

• Too many and large amounts of defecation • No water drinking • If the child has signs of water loss (tears, collapsed eyes, dry and wrinkled skin, decreased saliva) • Recurrent vomiting • Blood in feces • Fever rise health care should be sought for.

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