DIARRHOEA
Diarrhoea is the passing of
frequent, loose or watery stools. Attacks may be
produced by a change of diet, but frequently are
caused by viral or, more rarely, bacterial
infections ( in which case the condition is
known as gastro - enteritis). It is often
associated with short periods of cramp - like
pain all over the tummy and may be accompanied
by vomiting. Attacks usually last for only 24 -
48 hours and usually will clear up by themselves
with no special treatment. Besides discomfort an
important effect of diarrhoea is to cause an
extra loss of fluid and this could become
serious in the case of babies or if the attack
is very prolonged or severe.
Treatment
Food: It is important to rest the
child's bowel during an acute attack. No food,
or only small quantities of something like cream
crackers or toast, should be given for the first
12 hours. A normal diet can be gradually
introduced once the symptoms start settling.
Avoid fried or fatty foods.
Fluids: The child must drink enough
fluid so that he does not become dehydrated ,
and therefore the amount of fluid should be
modified to make up for the amount lost in the
stool. It is sometimes mistakenly believed that
drinks cause the diarrhoea and that it would be
better if they were to be restricted. This is a
dangerous misconception, as it is very important
for the body to have enough fluid. Drinks should
be restricted to clear fluids at first, i.e.,
water or fruit-flavoured drinks (e.g., Ribena),
until the symptoms have begun to settle. Then
milk drinks can be introduced.
Medication: A mixture such as Kaolin
(obtainable without prescription) will help to
make the stool less liquid . In most cases,
antibiotics are of no help in reducing the
duration or severity of symptoms.
WHEN TO CONSULT THE DOCTOR
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If the diarrhoea or
discomfort does not settle within 24 hours.
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If there is
continuous pain rather than separate bouts of
stomach cramp.
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If the diarrhoea
occurs in an infant under six months.
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If an attack occurs
shortly after visiting a foreign country.
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If the child suffers
repeated attacks.
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If there is blood in
the stool.
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If the child’s
general condition is a cause for worry or
concern.
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