Acute Diarrhea - Treatment,Dietary Management in Diarrhoea

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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ACUTE DIARRHEA

Related topics

What is diarrhoea

Diarrhea Causes

Diarrhea Investigations and ORT And ORS

Fluid Therapy in Diarrhoea

Indication and Choice of Antibiotics

Dr.Sanjay Prabhu
Consultant Pediatrician

Bhaktivedanta Hospital

Q .What should not be used in treatment of acute diarrhoea?

Adsorbents-kaolin, pectin

Motility suppressants-opiates

Steroids

Diphenoxylates+atropine

Combination Antibiotics- nalidixic acid+ metronidazole

Lactobacillus

Q.What is the dietary management in diarrhoea?

Children should continue to be fed during acute diarrhoea because feeding is physiologically sound and prevents or minimises the deterioration of nutritional status.

In acute diarrhoea breast-feeding should be continued with ORS uninterrupted even during dehydration.

Optimally energy dense foods with the least bulk are recommended for routine feeding and those available in the household should be offered during diarrhoea in small quantities but frequently.

Staple foods that do not provide optimal calories per unit weight should be enriched with fats,oil or sugar e.g khichri with oil, rice with milk or curd and sugar,mashed potatoes with oil and lentil.

Foods with high fibre content e.g coarse fruits and vegetables to be avoided.

In non-breast fed infants, cow or buffalo milk can be given undiluted after correction of dehydration together with semisolid foods. Milk should not be diluted with water. Alternatively milk cereal mixtures can be used.

Routine lactose free feeding is not required in acute diarrhoea even when reducing substances are detected in the stools. Lactose malabsorption meriting dietary modification is very uncommon in acute diarrhoea.

During recovery, an intake of at least 125% of normal should be attempted with energy dense foods till nutritional status is normal as measured for age.

See Expertise Views On "Diarrhea" Questions
See Frequently Asked Questions On "Diarrhea"

Last created on 23-02-2001
Last updated on 10-05-2007

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