Acute Diarrhea - Investigations,Oral Rehydration Therapy,ORT,ORS

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Gastrointestinal Disorders in Children

Acute Diarrhea in Children

Gastrointestinal Disorders in Children

Zinc and ORS

Acute Diarrhea in Children

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Acute Childhood Diarrhea: Review of Recent Advances in Standard Management

Zinc For The Prevention Of Diarrhea

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Approach To Acute Abdominal Pain In Children

Trachea oesophageal fistula

Vomiting and Diarrhea in Children

Upper Gastrointestinal bleed

ORS - Which one to use?

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Prevention of Diarrhea

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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Results

ACUTE DIARRHEA

Related topics

What is diarrhoea

Diarrhea Causes

Fluid Therapy in Diarrhoea

Indication and Choice of Antibiotics

Treatment and Dietary Management Of Acute Diarrhoea

Dr.Sanjay Prabhu
Consultant Pediatrician

Bhaktivedanta Hospital

Q .What investigations are helpful?

Stool routine is not of much value as more than 10 leukocytes per HPF are also seen in rotaviral diarrhoea. There is no role of stool pH and reducing substances in acute diarrhoea as the lactose intolerance in this condition is self-limiting. Trophozoites of giardia and E Histolytica may be sometimes demonstrated rarely.

Stool culture usually grows E coli which may be a commensal.

Serum electrolytes may be needed in very dehydrated patients.

Q. What is ORAL REHYDRATION THERAPY(ORT)?
It is the cornerstone of management of diarrhoea. The term ORT includes

ORS solution- Lancet calls it the most important medical achievement of the last century.

Home made salt sugar solution.

Food based solutions.

Culturally acceptable fluids in presence of continued feeding.

Q. Why use WHO ORS?

Osmolarity is less than or equal to 300 mosm

Glucose concentration is of 20 gms to achieve optimum sodium and
water absorption.

Sufficient sodium concentration 90 meq/ lit glucose to sodium molar
ratio of 1:1

Potassium concentration of 20 meq/lit

Citrate concentration of 10 mmol or bicarbonate conc of 30 mmol/lit

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