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What You Need To Know About Kids Diarrhea- Causes, Symptoms and Remedy

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What is Diarrhea?

Diarrhea is a repeated bowel movement with characteristic feces which is loose and watery. anyone can have diarrhea yet children are very much susceptible mainly due to the food and drinks that they consume which may be contaminated or spoiled.

 

What Causes Diarrhea?

Diarrhea occurs when there is a Gastrointestinal Infections (GI) that are caused by pathogenic microorganisms. usually, the culprits are the bacteria, viruses or parasites. too much consumption of high-sugar beverage could also trigger diarrhea.

Diarrhea can also be caused by trouble in digesting certain things, an immune system response to certain foods (food allergy), reaction to medicines, an intestinal disease like inflammatory bowel disease, a problem with how stomach and bowel work such as irritable bowel syndrome or surgery on the stomach or gallbladder.

 

Common Causes of Gastrointestinal Infection Triggering Diarrhea

1. Viruses

Viral gastroenteritis, also called stomach flu, is a common cause of diarrhea often resulting to nausea and vomiting. Since it is a virus, it is infectious which can spread through the school, household or child care centers, the symptoms last for just a few days. Kids who can’t get enough fluids can become dehydrated.

One kind of this type is rotavirus infection. It is characterized by explosive watery diarrhea. This type is common during winter and early spring months. Rotavirus vaccine is available for infants. Enterovirus such as coxsackievirus can also cause diarrhea in kids during summer months.

2. Bacteria and Parasites

Common villain that cause diarrhea in this category are E. coli, Shigella, Campylobacter, Giardia and Cryptosporidium parasites.

 

Kinds of Diarrhea and Its Causes

Acute Diarrhea

Acute diarrhea is usually caused of viruses, bacteria or parasites. This type is common in children attending daycare and this is usually caused by a virus. Some cases of diarrhea caused by infection are mild which goes away on its own. It is still crucial to prevent dehydration from happening which is excessive loss of bodily fluids due to diarrheal stools.

Chronic Diarrhea

Chronic diarrhea is due to a disease that causes inflammation of the bowel and/or malabsorption of nutrients. Here are the common causes of chronic diarrhea:

  • Diarrhea following infection (post-infectious diarrhea): Infections such as giardia can lead to chronic diarrhea
  • Diarrhea after antibiotic use (antibiotic-associated colitis): Diarrhea can happen as a response after antibiotic use. The imbalance between the ‘good and bad’ bacteria in the intestine is thought to be its cause. One such bacterium is called Clostridium difficile.
  • Chronic Non-specific Diarrhea: Seen in toddlers and is usually dietary in origin. The causes are from drinking too much juice or carbohydrate sweetened liquids such as sports drinks or other products. Simply limiting the amount of juice or carbohydrate sweetened liquid intake can resolve this.
  • Celiac disease (gluten intolerance): Celiac disease presents is also associated with heredity. Its chronic symptoms including diarrhea, constipation, decreased energy, poor weight gain, and abdominal distension. Children with type I diabetes and other autoimmune disorders as well as Down’s syndrome are at increased risk for Celiac disease.
  • Food allergies: Food allergies can present with diarrhea as well as skin rashes, abdominal pain, poor growth, nausea and vomiting.
  • Inflammatory bowel disease (Ulcerative colitis and Crohn disease): A disease where there is inflammation of the intestines and/or colon that can lead to chronic diarrhea.
  • Irritable bowel syndrome: A common cause of diarrhea in teenagers. Many patients will present with abdominal pain and diarrhea that alternates with constipation.
  • Lactose intolerance: An inability to digest lactose, a sugar found in milk and milk products, can lead to chronic diarrhea. Other symptoms include abdominal pain and distention, excessive burping and gas.

 

Risk Factors

Catching infectious causes of diarrhea have the following risk factors: traveling to foreign countries, attending to child care, swimming in lakes and ponds, fostering home and school, and contacting with sick people at home. Celiac disease and inflammatory bowel disease (IBD) were found to be associated with heredity. First-degree relatives are at greater risk of the disease.

 

What are the Signs and Symptoms of Diarrhea?

Kids may experience stomach cramps or abdominal pain that lasts a day or abdominal pain that lasts a few days. Kids with viral gastroenteritis often show symptoms such as fever and vomiting then followed by diarrhea.

Diarrhea may be watery or contain blood. Stool may float which may indicate that there is increased fat present in the stool. Diarrhea may also be accompanied by:

  • Urgency with bowel movements, which means that children feel that they have to get to the bathroom immediately or they will have an accident.
  • Abdominal pain and/or bloating
  • Rectal pain
  • Nausea and/or vomiting
  • Weight loss
  • Fever

Dehydration

Dehydration happens when someone is not able to take in sufficient fluid orally to meet the daily fluid requirement. This is to compensate for the losses in diarrheal stools. When this happens, individuals with diarrhea are at risk for dehydration. Signs of dehydration include:

  • a decrease in urine output/wet diapers
  • dry lips and mouth
  • lack of tears when crying
  • increased irritability and fussiness
  • increased sleepiness/decreased energy level

The doctor can tell if someone is dehydrated and how severely they are dehydrated by examining them. Parents can monitor children for signs of dehydration.

 

How is Diarrhea Treated?

the goal when treating diarrhea is to replace the fluids and electrolytes that were depleted during bowel discharge. Doctors recommend:

Ensure Enough Hydration

Oral rehydration solutions are the best way to rehydrate a child who is able to drink and is not vomiting. Children with mild dehydration can be treated outside of the hospital with special oral rehydration solutions (ORS) that can be purchased at the pharmacy or grocery store.

Patients with more severe diarrhea, vomiting and dehydration may require intravenous fluids (fluids given through a vein in the arm) in the hospital. Although other drinks such as juices, colas, and sports drinks are frequently used, they are not a good substitute for ORS, and can actually worsen diarrhea.

Medications

Medications that slow down bowel movements are not recommended in children with acute diarrhea although they may occasionally play a role in children with chronic diarrhea. Antibiotics may be prescribed for children with specific bacterial or parasitic illnesses but in most cases, antibiotics do not change how long diarrhea lasts or its severity.

Probiotics (commercially manufactured tablets or capsules that contain “good bacteria”) may be useful in decreasing the severity of symptoms in the presence of an imbalance of good and bad bacteria in the intestines.

Diet

In a child who is otherwise healthy, it is very essential to start feeding them their regular diet as soon as possible. Breastfed infants should be nursed normally during episodes of acute gastroenteritis. Formula-fed infants can continue their regular diet and older children should be reintroduced to their regular diet as soon as possible. Older children may avoid dairy initially and try a bland diet consisting of bananas, applesauce, rice, and toast.

Supportive Care

Careful hand washing should be practiced by all family members. Especially teach children how to properly wash their hands before eating or before and after certain activities.

 

Can Diarrhea Be Prevented?

Kids may prevent catching diarrhea yet it’s impossible that they may never catch it again. That’s why there are actions that can be done to make it less likely.

  • Let your kids wash their hands properly and correctly especially before eating and after using the toilet. Washing is the most effective way of blocking diarrheal infections passed from person to person. Hands that are dirty are full of dirty of germs and can enter into the body when kids bite their nails, suck their thumbs, eat their fingers or any part of their hands.
  • Wash fruits and vegetables well before serving or eating.
  • Keep bathroom surfaces clear.
  • Refrigerate meats as soon as you bought them from the market or grocery store. You can cook them until they are half cooks or until its color is no longer pink. Refrigerate all leftovers as soon as possible.
  • Wash kitchen counter and cooking utensils briskly after they have been in contact with raw meat especially poultry.
  • Don’t try to drink water from structures, springs or lakes until local health authorities have certified that the water in those water sources are safe for drinking.
  • Keep pet-feeding areas separate from family eating areas.
  • Avoid washing pet vases or bowls in the same sink that you use to prepare food.

 

Other Causes of Diarrhea

Food poisoning can also cause diarrhea in kids. Symptoms may last within 24 hours such as vomiting. Treatment for food poisoning bacteria can be treated the same with treating a diarrheal infection.

 

Antidiarrheal Medication

Over-the-counter (OTC) antidiarrheal medicines are also available:

  • Loperamide, or Imodium, is an antimotility drug that reduces stool passage. Loperamide and Imodium are both available to purchase over-the-counter or online.
  • Bismuth subsalicylate, for example, Pepto-Bismol, reduces diarrheal stool output in adults and children. It can also be used to prevent traveler’s diarrhea which can be bought online and over-the-counter.

 

When To Call the Doctor

Diarrhea can’t be helped. If it leads to complications such as the following, it will be most important to call the doctor if your child:

  • Too weak to stand up
  • Seems very sick
  • Has diarrhea for more than 3 days
  • Younger than 6 months old
  • Vomiting bloody green or yellow phlegm

 

About the Author jmoran

Jennifer Moran is the author and the social media manager at The Berkey. She has been working and passionate about writing for over four years. When she isn’t glued to a laptop screen, she spends time playing tennis, practicing yoga, and trying very hard not to sleep in the meditation. You can reach her at jennifer (at) the berkey (dot) com.

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