WHO
ORS
How much to give?
.
Less than 24 mths of age:- 50-100 ml per loose stool
.
2-10 years of age:- 100-200 ml per loose stool
.
More than 10 years of age:- as much as required
How to give
One teaspoon every 1-2 mins for child less than 2 years and
frequent sips from cup for older children. If the child vomits,
wait for 10 mins and give slowly.
10. What are the DANGER SIGNS?
.
Many water stools
.
Repeated vomiting
.
Marked thirst
.
Eating or drinking poorly
.Fever-
high grade
.
Blood in the stool
.
Drowsy child
.
Marked decreased urine output
11.What are the indications for antibiotics?
.Malnourished
or premature infants
.Gross
blood in stool
.Associated
non GI infections e.g. pneumonia
12 .What should not be used in treatment
of acute diarrhea?
.
Adsorbents-kaolin, pectin
.Motility
suppressants-opiates
.
Steroids
13.What is the dietary management in
diarrhea?
.
Children should continue to be fed during acute diarrhea because
feeding is physiologically sound and prevents or minimizes the
deterioration of nutritional status.
.In
acute diarrhea 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 diarrhea 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, mashed 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 diarrhea
even when reducing substances are detected in the stools. Lactose
malabsorption meriting dietary modification is very uncommon in
acute diarrhea.
.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.
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Last
created on 13-12-2002
Last
updated on 18-11-2006
