DIARRHEA
Last Updated : 12/25/2010
Dr Sanjay Prabhu
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TREATMENT OF VOMITING AND DIARRHEA IN CHILDREN

Vomiting and diarrhea

occur in children commonly. They are a part of many childhood diseases. They may occur together or as isolated vomiting / diarrhea alone. It is necessary to keep a watch on a child who is vomiting or passing frequent stools to prevent him from getting dehydrated. Hence, the following measures are recommended:

When child is vomiting with/without diarrhea
-Give fluids to the child. Avoid colas, tea, fruit juices etc.(as they contain more sugar worsening the dehydration). Preferably give home made ORS (Oral Rehydration Solution) :- In a glass of water (200 ml) add 2 tsp of sugar and a pinch of salt. Give this ORS frequently (1/2 to 1 ounce) every 15 – 20 minutes. Other fluids like coconut water, rice kanji, dal, butter milk (chaas) etc. may be given. The idea is to give small, frequent feeds to control the vomiting. Gradually increase the amount if the child tolerates the fluids.
- In an infant, continue with breast-feeding as it is the best feeding.
- If vomiting improves after giving fluids, gradually return to the child’s regular diet.
- If vomiting does not improves or the child appears lethargic, ill or just not well – consult your doctor immediately.

When a child has diarrhea
- Give your child extra liquids to drink. Home made ORS, coconut water, rice kanji, dal, chaas, lassi with salt etc are recommended.
- Do not give tea, colas, fruits or fluids with extra sugar.
- Milk is usually recommended unless the child has prolonged diarrhea or lactose intolerance.
- Avoid over the counter medications to control diarrhea.
- A bland diet is recommended for 1 – 2 days. Give food like khicdi (rice gruel), rice and curd, boiled vegetables, soups and bananas.

Warning signs


Call your doctor immediately if the following occur:-
- No urine for 8 to 12 hours or a small amount of dark urine.
- Increased lethargy
- Excessive sleepiness
- Dry mouth, lips and no tears on crying
- Vomiting of blood or bile
- Blood in diarrhea
- Severe headache, neck pain or stiff neck
- High fever or persistent fever
- Child just not looking well



Contributor Information and Disclosures

Dr Sanjay Prabhu
Consultant Pediatrician, Bhaktivedanta Hospital, Borivali, Mumbai, India


First Created : 2/21/2001

References

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