Upset Stomach in Toddlers: Causes, Symptoms, and Treatment Options
What causes stomach pain in children. How can parents help relieve their child’s upset stomach. When should you seek medical attention for a child’s stomach ache. What home remedies are effective for treating stomach pain in kids.
Common Causes of Stomach Pain in Children
Stomach aches are a frequent complaint among children, often causing concern for parents. Understanding the underlying causes can help determine appropriate treatment and when medical attention is necessary. Here are some of the most common reasons children experience stomach pain:
- Indigestion
- Gastroenteritis (stomach bug)
- Constipation
- Stress or anxiety
- Irritable bowel syndrome (IBS)
- Functional abdominal pain
- Appendicitis (acute or sudden pain)
These conditions can manifest with various symptoms, including cramping, diarrhea, gas, bloating, nausea, and vomiting. The location of the pain can provide valuable insights into its potential cause.
Decoding Stomach Pain Based on Location
The area where a child experiences stomach pain can offer important clues about its origin. Let’s explore different pain locations and their potential implications:
Pain Around the Belly Button
Pain centered around or near the belly button is generally not a cause for significant concern. It’s one of the most frequent complaints among children with stomach discomfort. This type of pain is often associated with stress or dietary issues.
If your child complains of pain in this area, consider these steps:
- Encourage rest
- Check if they need to use the bathroom
- Offer water
- Try distraction techniques like reading or quiet games
Pain in the Lower Right Abdomen
Sudden, severe pain in the lower right part of the abdomen may indicate appendicitis, a serious medical condition requiring immediate attention. Watch for additional symptoms such as:
- Fever
- Nausea and vomiting
- Difficulty passing gas
- Loss of appetite
- Changes in bowel movements
If you suspect appendicitis, contact your child’s pediatrician without delay. Early diagnosis can prevent complications like a ruptured appendix.
Pain on the Left Side of the Abdomen
While pain on the left side of the stomach can be caused by various factors, ranging from constipation to more severe conditions like pancreatitis, it’s important not to jump to conclusions. Most cases are mild and easily treatable. Consult with your child’s pediatrician to determine the underlying cause and appropriate treatment.
Pain in the Upper Abdomen
Discomfort in the upper abdomen often points to indigestion. Signs of indigestion may include:
- Pain in the middle of the upper belly
- Nausea
- Bloating
- Burping
- Heartburn
Pain specifically in the upper right side of the abdomen could potentially indicate gallstones. While less common in children, certain factors increase the risk, including obesity, specific health conditions like sickle cell disease, and a family history of gallstone disease.
Effective Home Remedies for Childhood Stomach Pain
In many cases, stomach pain in children resolves on its own with rest, proper hydration, and time. However, there are several trusted home remedies that can help alleviate symptoms:
- Ensure adequate hydration with clear liquids
- Offer over-the-counter pain relievers like ibuprofen or acetaminophen
- Apply a heating pad to ease cramps and pain
- Provide a bland diet consisting of easily digestible foods like crackers and soups
- Consider stool softeners for constipation-related pain
These remedies can provide comfort and relief while the underlying cause resolves itself.
When to Seek Medical Attention for Stomach Pain
While most cases of stomach pain in children are not serious, certain symptoms warrant immediate medical attention. When should you contact a healthcare provider for your child’s stomach ache?
- Severe or persistent pain lasting more than a few hours
- Pain accompanied by high fever (over 102°F or 39°C)
- Signs of dehydration, such as decreased urination or dry mouth
- Bloody stools or vomit
- Swollen or tender abdomen
- Pain that wakes the child from sleep
- Persistent vomiting or inability to keep fluids down
If your child exhibits any of these symptoms, it’s crucial to seek medical evaluation promptly to rule out more serious conditions.
Preventing Stomach Pain in Children
While it’s not always possible to prevent stomach pain, certain strategies can help reduce its frequency and severity. How can parents help minimize stomach discomfort in their children?
- Encourage a balanced diet rich in fiber to promote healthy digestion
- Ensure adequate hydration throughout the day
- Promote regular physical activity
- Establish a consistent bathroom routine
- Manage stress and anxiety through relaxation techniques
- Avoid known trigger foods that may cause discomfort
By implementing these preventive measures, parents can help support their child’s digestive health and reduce the likelihood of stomach pain.
Understanding Functional Abdominal Pain in Children
Functional abdominal pain is a common condition in children where recurring stomach pain occurs without an identifiable physical cause. What characterizes functional abdominal pain, and how is it managed?
Functional abdominal pain typically:
- Occurs at least once a week for at least two months
- Interferes with daily activities
- Is not associated with changes in bowel movements
- Does not have a clear physical cause despite medical evaluation
Management of functional abdominal pain often involves a multidisciplinary approach, including:
- Reassurance and education about the benign nature of the condition
- Stress management techniques
- Dietary modifications
- Regular physical activity
- Cognitive-behavioral therapy in some cases
Working closely with healthcare providers can help develop an effective management plan for children with functional abdominal pain.
The Role of Diet in Childhood Stomach Pain
Diet plays a crucial role in digestive health and can significantly impact the occurrence of stomach pain in children. How can dietary changes help alleviate and prevent stomach discomfort?
Identifying Trigger Foods
Some children may be sensitive to certain foods that can trigger stomach pain. Common culprits include:
- Dairy products (in cases of lactose intolerance)
- Spicy or fatty foods
- Carbonated beverages
- Caffeine
- Artificial sweeteners
Keeping a food diary can help identify potential trigger foods and guide dietary modifications.
Promoting a Gut-Friendly Diet
Encouraging a diet that supports digestive health can help reduce the incidence of stomach pain. Consider incorporating:
- Fiber-rich foods like fruits, vegetables, and whole grains
- Probiotic-rich foods such as yogurt and kefir
- Lean proteins
- Adequate hydration
Gradually introducing these elements into your child’s diet can promote better digestive function and potentially reduce stomach discomfort.
Psychological Factors and Stomach Pain in Children
The connection between mental health and digestive health is well-established, and this relationship is particularly relevant in children. How do psychological factors contribute to stomach pain in kids?
Stress and Anxiety
Children may experience stomach pain as a physical manifestation of stress or anxiety. Common triggers include:
- School-related pressures
- Social challenges
- Family conflicts
- Major life changes
Recognizing these triggers and addressing the underlying emotional issues can help alleviate associated stomach pain.
The Gut-Brain Connection
The gut-brain axis refers to the bidirectional communication between the digestive system and the brain. This connection explains why emotional states can impact digestive function and vice versa. Supporting both mental and digestive health is crucial for overall well-being in children.
Coping Strategies
To help children manage stress-related stomach pain, consider these strategies:
- Teach relaxation techniques like deep breathing or mindfulness
- Encourage open communication about feelings and concerns
- Promote regular physical activity
- Ensure adequate sleep
- Consider professional support if stress or anxiety is persistent
By addressing both the physical and emotional aspects of stomach pain, parents can provide comprehensive support for their children’s health and well-being.
Stomach Pain in Kids – Children’s Health
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As many parents know, children and stomach aches seem to go hand in hand. Stomach pain in kids can be caused by a variety of common reasons such as eating too much, needing to go to the bathroom, or anxiety or worry about an upcoming event. However, if your child complains of stomach pain frequently, it can be difficult to know the best ways to help and when to call the doctor.
Megha S. Mehta, M.D., a pediatric gastroenterologist at Children’s Health℠ and Assistant Professor at UT Southwestern, explains when parents should worry about stomach pain and when a little rest and hydration is all your child may need.
What can cause stomach pain in a child?
The most common causes of stomach pain in children include:
- Indigestion
- Infection or stomach bug
- Constipation
- Stress or anxiety
- Irritable bowel syndrome or functional abdominal pain
- Appendicitis (causes acute or sudden pain)
Additional stomach pain symptoms can vary based on what’s causing your child’s stomach to hurt, but may include cramping, diarrhea, gas, bloating, nausea or vomiting. One of the most important symptoms to note is where your child is feeling pain in their stomach.
“One of the first questions we ask children is where their stomach hurts,” explains Dr. Mehta. “Location of the pain can help physicians determine what is causing the pain, in addition to other characteristics such as severity of pain, when it occurs, what makes it better or worse and accompanying symptoms.”
Stomach pain around the belly button
Stomach pain around or near a child’s belly button is usually nothing to worry about. It’s one of the most common stomach pain complaints among kids.
“Children often rub their bellies when they hurt and complain about general pain around the belly button,” says Dr. Mehta. “This type of stomach pain is typically caused by stress or eating something that didn’t quite agree with them.”
If your child is complaining about stomach pain near the belly button, you can:
- Encourage them to lay down and rest
- Check to see if they need to poop
- Offer a glass of water
- Try distracting them by reading a book together or playing a quiet game
Stomach pain in the lower right part of the abdomen
Appendicitis is a serious medical emergency that can cause sudden, severe pain in the lower right part of your child’s stomach. If your child complains of stomach pain that moves to the lower right side of the belly, watch for other symptoms of appendicitis including:
- Fever
- Nausea
- Vomiting
- Difficulty passing gas
- Loss of appetite
- Constipation
- Diarrhea
You should contact your child’s pediatrician immediately if you suspect your child has appendicitis. Early diagnosis decreases risk of a ruptured appendix or serious complications.
Stomach pain on the left side of the abdomen
If your child is complaining about pain on the left side of their stomach, it could be caused by something as simple as constipation to a more severe condition like pancreatitis. Dr. Mehta reminds parents not to panic just because their child is experiencing pain.
“Most of the time, stomach pain on the left side is caused by something mild, like constipation. Rarely, it can be a sign of something more serious,” she says. “Your child’s pediatrician can work with you to better understand the pain and symptoms your child experiences to ensure they receive an accurate diagnosis – and more importantly, find relief.”
Stomach pain in the upper abdomen
If your child is complaining about pain in their upper abdomen, they may be experiencing indigestion. Telltale signs of indigestion include:
- Pain in the middle of the upper belly
- Nausea
- Bloating
- Burping
- Heartburn
“Indigestion may be the cause, if your child complains about pain in their upper belly, especially if it happens after eating certain foods,” says Dr. Mehta.
If your child has pain in the upper right side of their abdomen, this could also be a sign of gallstones. Gallstones are more common in adults than in children, but some children may be more at risk for developing gallstones including children with obesity, children with certain health conditions including sickle cell disease, and children with a family history of gallstone disease.
What can I give my child for stomach pain?
Stomach pain usually resolves itself after your child:
- Rests
- Has a bowel movement
- Passes gas
- Recovers from a stomach virus
There’s no specific treatment for an upset stomach, but you can help relieve your child’s symptoms. Trusted home remedies for stomach pain in kids include:
- Offering plenty of clear liquids to keep your child hydrated
- Offering ibuprofen or acetaminophen to relieve pain
- Using a heating pad to ease cramps and pain
- Offering a bland diet, like crackers and soups
- Giving your child stool softeners, like MiraLAX® to ease constipation (see other ways to prevent and treat constipation in kids)
- Mixing a probiotic in your child’s water, which may help stop diarrhea
When should I take my child to the doctor for stomach pain?
Stomach pain in children is usually nothing to worry about. But, if your child experiences any of the following symptoms, schedule an appointment with your child’s pediatrician to determine the cause of your child’s pain:
- Constipation that is becoming frequent
- Recurrent stomach pain with no clear cause
- Blood in stool
- Diarrhea
- Fever and cough
- Pain when urinating
- Unexplained weight loss
- Looks or acts sick
- Pain that is waking your child up from sleep or is starting to affect their daily lives
- Jaundice
Your child’s pediatrician can help you determine if you need to seek immediate medical attention.
When to go to the ER for stomach pain in kids
If your child experiences any of the following symptoms with stomach pain, call 911 immediately or take your child to the emergency room (ER):
- Severe pain in the stomach
- Loss of consciousness, fatigue or ill appearing
- Difficulty breathing
- Dehydration
- Blood in vomit or green-colored vomit
When kids have stomach aches, it can be hard to pinpoint a cause or if you should be concerned. A #pediatric GI expert from @Childrens addresses when to call the doctor.
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Learn more
The Children’s Health Pediatric Gastroenterology program offers specialized, compassionate care to help treat, manage and improve your child’s digestive health. Our team offers minimally invasive diagnostic techniques and the latest advances in care to help your child and family feel their best. When stomach pain in kids becomes a chronic issue, our Chronic Abdominal Pain Clinic offers help and hope.
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Stomach Flu Remedies for Kids
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The stomach flu, also called viral gastroenteritis, is not to be confused with the flu caused by the influenza virus. The stomach flu is caused by viruses, such as norovirus and rotavirus, that irritate and infect the digestive system. It can be a common illness among kids, who may not be as good at washing their hands as adults and spend more time touching the same objects as other kids.
Unfortunately for little ones, the stomach flu can cause nausea, vomiting and diarrhea. Isabel Rojas, M.D., a pediatric gastroenterologist at Children’s Health℠ and Assistant Professor at UT Southwestern, shares the best remedies for stomach flu in kids and ways to help settle your child’s stomach.
How do you treat a child’s stomach virus?
The best ways to treat the stomach flu in kids are hydration and rest. “For hydration, use a rehydration solution that’s available in any store and over the counter,” says Dr. Rojas. “Start with small sips and increase gradually, so they don’t vomit it up.”
Water alone may not be enough to rehydrate kids safely, especially younger children. Kids lose electrolytes when they vomit or have diarrhea. This can lead to low sodium in the blood, a dangerous situation. A rehydration solution, like Pedialyte, replenishes fluids and electrolytes. Broth can also be helpful.
You can also make a rehydration solution at home by combining 4 ¼ cups of water, 6 teaspoons of sugar and a ½ teaspoon of salt.
Dr. Rojas also recommends lots of rest for children. Rest can help the digestive system settle and heal.
Does medicine help the stomach flu?
Though you may want to give your child a medicine to help with stomach flu symptoms, Dr. Rojas recommends against it. Because the stomach flu is caused by a virus, antibiotics will not help.
“Usually we just need to let the virus run its own course,” says Dr. Rojas. “Trying to take medications can prolong symptoms and make them worse.”
Dr. Rojas says the only exception to the no-medicine rule is the appropriate dose of acetaminophen if your child has a fever.
What do you feed a child with the stomach flu?
Once your child has stopped vomiting, they can start to eat foods again. The best foods after the stomach flu are the BRAT diet of bananas, rice, applesauce and toast.
“These foods are very easy to digest,” says Dr. Rojas. “Children can also have crackers, or grilled or boiled chicken.”
Children should avoid greasy, heavy or spicy foods for a few days after they experience vomiting. Avoiding dairy could also be beneficial due to a transient lactose intolerance after stomach flu, though infants should still breastfeed or have formula if able to tolerate.
Certain drinks, like apple juice or carbonated beverages, can make vomiting or diarrhea worse, so it’s best to stick to rehydration solution or plain water.
If your child has nausea or vomiting again, it’s best to stop the food until their stomach can settle.
How long does the stomach flu last in kids?
A stomach flu usually lasts between one and three days. Vomiting typically lasts for less than 24 hours.
However, if your child’s symptoms continue for more than 5 days, you should call your pediatrician. You should also call your pediatrician if your child has:
- A high fever
- Severe abdominal pain
- Diarrhea or vomiting with blood
- Signs of dehydration like not urinating, dry skin, no tears or rapid breathing
With the right rest and rehydration, your child should make a full recovery in just a few days. Dr. Rojas says they can even return to school once the diarrhea has stopped and they have not had a fever for 24 hours.
The best ways to treat the stomach flu in kids are hydration and rest. Learn signs, symptoms and other ways to treat stomach flu in kids from an expert @Childrens.
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Diarrhea in a child | Treatment of diarrhea in children
Diarrhea in a child develops on the background of errors in nutrition, stress. Diarrhea is often a sign of an intestinal infection, inflammatory bowel disease, a manifestation of a food allergy, or drug damage. For the treatment of diarrhea in a child, an integrated approach is used: diet therapy, rehydration, drug therapy to eliminate the causes and consequences of diarrhea.
Causes and symptoms of diarrhea in a child
Diarrhea in children can be physiological and pathological, caused by the action of pathogens and other external stimuli. Let’s consider these types in more detail.
Physiological factors
Frequent bowel movements, liquid stools are normal for newborns and infants. Stools in infants may be pasty or unformed, and have a sour smell when breastfeeding. In children on artificial feeding, the stools are more dense and viscous.
Normally, the daily number of bowel movements in newborns is up to 8 times.
Short-term diarrhea is a frequent consequence of dietary errors. This can be caused by eating too many sweets or fatty, unhealthy foods at one time. In infants, physiological diarrhea occurs when changing the mixture, introducing complementary foods. Diarrhea can be a reaction to stress, but after the elimination of provoking factors, it disappears on its own.
With physiological diarrhea, the stool returns to normal within 1-2 days, the general state of health is normal, there are no other negative symptoms.
Acute intestinal infections (AII)
It is intestinal infections that most often cause diarrhea in children of different ages. They are especially dangerous for children under 5 years of age due to the rapid development of dehydration.
Intestinal infections always begin suddenly, proceed in an acute form. Infectious diarrhea is accompanied by nausea, vomiting, rumbling in the abdomen, flatulence, and sharp pain in the abdomen.
OII groups:
- Viral. The main causative agents of pathology in children are enteroviruses, rotaviruses. When entering the body, they cause loose stools with mucus impurities, the daily number of bowel movements increases up to 15-20 times. In severe secretory diarrhea, a watery discharge with a fecal odor is observed during bowel movements.
- Bacterial. Salmonellosis is accompanied by liquid green stools with a sharp unpleasant odor, with escherichiosis, stools become orange or bright yellow. With dysentery during defecation, a small amount of mucus interspersed with blood is released. A characteristic sign of cholera – feces resembles rice water.
- Protozoa. Signs of Giardia infection are similar to enterocolitis, enteritis. Amoebiasis is accompanied by mucous stools, in which there are many blood streaks.
Food allergy
In allergic enterocolitis, a child has loose stools with a lot of mucus and particles of undigested food. In a severe course of the disease, blood impurities appear in the feces. The severity of symptoms depends on the amount of the allergen that has entered the body, the type of allergic reaction.
Diarrhea occurs hours or days after exposure to the allergen. In addition, skin and respiratory signs of allergy are observed.
Chronic pathologies of the gastrointestinal tract
In diseases of the digestive system, diarrhea lasts more than two weeks, periods of remission are replaced by an exacerbation phase. The problem mainly occurs in schoolchildren against the background of non-infectious lesions of the digestive system.
Disease groups:
- Congenital pathologies. Protracted and repeated diarrhea in a child occurs with celiac disease, disaccharidase deficiency. Diarrhea occurs after eating intolerable foods. Fecal masses have an unpleasant odor, liquid with particles of undigested food.
- Somatic diseases. Periodically, diarrhea occurs when the rules of nutrition and treatment of cholecystitis, pancreatitis, and hepatitis are violated. Exacerbation develops after the use of prohibited foods. Loose stools are accompanied by pain in the abdomen in the area of \u200b\u200bthe diseased organ, bouts of nausea and vomiting.
- Inflammatory processes in the intestines. Crohn’s disease is accompanied by repeated diarrhea, severe pain in the abdomen. In the feces, blood is often present in the form of scarlet streaks or dark clots. Signs of nonspecific ulcerative colitis – poor diarrhea, blood in the stool.
Inflammation of the appendix
In children, an attack of acute appendicitis often resembles food poisoning: there are repeated diarrhea without foreign impurities, refusal to eat, nausea, single vomiting, pain in the navel, in the right side. In this case, the protective tension of the muscles of the peritoneum, pathognomonic physical symptoms can be blurred.
Consequence of antibiotic therapy
The problem often occurs in children of the first years of life due to the inferiority of the intestinal microflora. Most often, loose stools are observed during treatment with macrolides, lincosamides, cephalosporin or tetracycline antibiotics. Diarrhea up to 15 times a day, feces frothy, greenish, with a pungent odor.
Diarrhea in newborns
Diarrhea in newborns is most often physiological, diarrhea occurs against the background of adaptation of the digestive tract. If the number of bowel movements in infants up to three months is not more than 7 times a day, there are no other negative symptoms, there is no reason for concern.
Abnormal diarrhea in a newborn may be a manifestation of hereditary diseases – enzymatic deficiency, congenital chloride diarrhea or exudative enteropathy. Less commonly, the cause of diarrhea in infants is a viral infection, dysbiosis. Dysbacteriosis develops against the background of late attachment to the breast, with artificial feeding, errors in the mother’s diet, and taking antibiotics.
Diarrhea in an infant up to one year old
After the introduction of complementary foods, food allergies and intolerance to certain products often appear. Diseases are manifested in the form of foamy stools, bloating.
Celiac disease, or gluten intolerance, develops 1–3 months after the introduction of products that contain barley, wheat, rye into the child’s diet. The second common cause of diarrhea in children under one year old is an allergy to cow’s milk protein, which manifests itself after the introduction of dairy products.
Loose stools can be caused by the abuse of juices, water, mixtures. Such diarrhea does not apply to pathologies, it disappears after correction of feeding.
Diarrhea in children from one year old
After 12 months, the child begins to actively explore everything around, often puts hands and foreign objects in his mouth. As a result, the likelihood of poisoning, the development of infectious diarrhea of a viral or bacterial nature increases.
Diarrhea may be caused by atony or weak bowel contraction. The problem occurs with some lesions of the nervous system, stress.
After 18 months, the child may develop adult-type lactase deficiency. In infancy, there was enough lactase, but as they grow older, the synthesis of the enzyme slowed down. After a year, there may be debuts of inflammatory, autoimmune bowel diseases, irritable bowel syndrome. Most often, these diseases begin after severe stress, nervous shock.
Do’s and Don’ts:
- force-feed if you have no appetite;
- give antibiotics, antidiarrheals, enzymes and other medicines without a doctor’s prescription;
- use potassium permanganate for gastric lavage;
- vomiting and diarrhea are protective reactions, as the body is cleansed of toxins, so it is impossible to immediately give medicines for diarrhea and vomiting;
- prohibit drinking water for fear of vomiting.
Be sure to call a doctor if:
- there are blood impurities in the feces, vomit;
- dark green vomit;
- the child completely refuses to eat, drink;
- there was a sharp and severe pain in the right side of the abdomen;
- the temperature rose sharply;
- diarrhea lasting more than 8–12 hours;
- the child is constantly thirsty;
- there were signs of dehydration – dry skin and mucous membranes, a decrease in the volume of urine and the number of urination, no tears when crying, retraction of the fontanel in the baby.
Diagnosis
If your child has frequent diarrhea, visit the pediatrician. After collecting anamnesis, physical examination, consultation with a gastroenterologist, allergist, infectious disease specialist may be required.
Diagnostic methods:
- Ultrasound of the abdominal cavity. Assign to exclude urgent surgical conditions, to study the structural features of the gastrointestinal tract. It is possible to identify chronic inflammatory processes, congenital malformations, symptoms of damage to the liver, pancreas, and other organs of the gastrointestinal tract.
- X-ray of the gastrointestinal tract with contrast. The study of the state of the walls of the stomach, intestines, colon.
- Fecal analysis. The coprogram shows the presence of undigested food particles, striated muscle fibers, an increase in the level of mucus, leukocytes.
- Bakposev, PCR of feces. Assign to exclude or confirm viral, bacterial intestinal infections.
- Clinical, biochemical blood test. It is carried out to identify the inflammatory process, assess the functioning of internal organs, the degree of dehydration, and select effective therapy.
- Serological blood tests are necessary in severe infectious pathologies.
Treatment
Before diagnosis, the main goal is to avoid dehydration. The child needs to drink a little salted water, dried fruit compote, rice water – often, but in small portions of 1-2 tsp. every 5-10 minutes, the liquid should be warm. After each bowel movement, drink 50–200 ml of water. To quickly cleanse the body of toxins, give enterosorbents.
Conservative therapy in a satisfactory condition of the child can be carried out on an outpatient basis. In severe, dangerous pathological conditions, hospitalization in the infectious, gastroenterological, and surgical departments is required.
The treatment regimen depends on the severity of dehydration:
- For mild exsicosis, oral rehydration agents are prescribed. Breastfed babies need to breastfeed more often.
- For moderate dehydration, an increased fluid load is administered orally in the first 4 hours to eliminate the effects of frequent defecation. After improving the patient’s well-being, they are transferred to standard maintenance rehydration.
- For severe dehydration, saline solutions are given intravenously. The volume depends on the patient’s body weight, blood test results.
Diet therapy is an important part of the treatment of diarrhea in a child. In the early days, sparing nutrition is shown: slimy soups, pureed cereals, biscuit cookies, stewed vegetables in a small amount. Gradually, lean meat dishes, dairy products are introduced into the diet. If diarrhea is caused by diseases of the gastrointestinal tract, intolerance to certain foods, the diet is prescribed taking into account the underlying disease.
Drugs for drug therapy are selected according to the cause of diarrhea in a child. For mild and moderate intestinal infections, specific treatment is not required. Antibiotics are prescribed for severe bacterial infections, primary or secondary immunodeficiency, with a history of severe concomitant diseases.
Pathogenetic treatment – enterosorbents, drugs for vomiting and diarrhea. Probiotics and prebiotics are prescribed to restore the balance of the intestinal microflora.
Acute appendicitis requires emergency surgery. Elective surgeries are performed for severe, recurrent bowel diseases – Crohn’s disease, ulcerative colitis. Surgical treatment is necessary to eliminate bleeding, remove the ulcerated area, segmental resection, and anastomosis.
Features of the treatment of diarrhea in newborns, infants and toddlers
Diarrhea often occurs in children of different ages, and parents are not always in a hurry to see a doctor. But in infants, diarrhea is more severe than in adults, and severe dehydration quickly develops, since there is practically no internal fluid supply. Therefore, with frequent and loose stools in a child, it is imperative to consult a doctor.
At home, you need to give your child a little water to make up for the lack of liquid. Slightly salted water is suitable for small children. Older children – rice water, weak tea without sugar, vegetable broth, special pharmacy solutions for rehydration. You can not drink sweet and carbonated drinks, juices. But if the child wants to drink only forbidden drinks and they do not cause an attack of vomiting, let him drink. In such situations, it is important that some kind of liquid constantly enters the body.
There are no restrictions on the amount of fluid consumed. Minimum – 50-200 ml after each bowel movement. In severe dehydration, the fluid is urgently started to be administered intravenously.
With diarrhea, appetite often disappears, it is recommended to completely refuse food for 4-6 hours, but this method is not suitable for small children. With diarrhea, the absorption of nutrients is disrupted, and a long break between meals is dangerous.
Children with diarrhea should be given light but nutritious meals. During the acute period, a diet of rice, applesauce, bananas and toast or crackers is indicated, with the addition of tea. The diet helps to cope with diarrhea, but contains little protein, so you can’t stick to it for a long time.
Babies with diarrhea can be switched to a lactose-free formula. If diarrhea started after the introduction of complementary foods, it is better to temporarily stop complementary foods.
Antiviral and antimicrobial drugs, enzymes can only be prescribed by a doctor. Self-medication will do more harm than good. Sorbents can be given independently, preferably in the form of a suspension, powder. Activated charcoal adversely affects the thin gastric mucosa.
Prevention
To avoid a recurrence of diarrhea in a child, it is necessary to thoroughly wash vegetables, fruits, and hands. The baby can only drink purified water. Children should not be given food without proper heat treatment.
Babies should be gently weaned from the habit of putting their hands in their mouths, trying everything by mouth. If this has not been done yet, you should often carry out wet cleaning using natural safe detergents, disinfect nipples, toys.
Diseases – blog of pediatricians of the children’s clinic “RebenOK”
Diseases – blog of pediatricians of the children’s clinic “RebenOK”