How many days will it take for a child's diarrhea to get better?

Written by Yan Xin Liang
Pediatrics
Updated on September 17, 2024
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Children's diarrhea can be divided into viral diarrhea and bacterial enteritis. Viral diarrhea, most commonly rotavirus enteritis, follows a specific disease course, where most cases gradually recover after 5-7 days with rehydration and symptomatic treatment. If it is bacterial enteritis, effective anti-infection treatment with sensitive antibiotics can also control the symptoms within 5-7 days. Additionally, some diarrheas caused by bacterial dysentery generally require 7-14 days of treatment, and fungal enteritis also typically needs one to two weeks of treatment.

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Written by Li Jiao Yan
Neonatology
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What formula should a child with diarrhea eat?

When a child experiences diarrhea, it indicates that there is an abnormality in their gastrointestinal function, and their ability to absorb nutrients is significantly weakened. If the child is fed ordinary formula, it might overburden their stomach and intestines, making digestion difficult and possibly exacerbating the diarrhea symptoms. Therefore, when a child has diarrhea, it is advisable to choose foods or formulas that are easy to digest. During periods of diarrhea, it is generally recommended for children to consume a special formula designed for infants with diarrhea. This formula is easier to absorb and helps in the digestion and absorption of nutrients, making it suitable for children with diarrhea.

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Written by Yao Li Qin
Pediatrics
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Pediatric diarrhea bacterial infections are most commonly seen in what?

Pediatric diarrhea is a condition caused by various causes and factors, mainly characterized by an increase in the frequency of bowel movements and changes in stool characteristics. A portion of this condition is caused by bacterial infections, particularly in the summer when enterotoxigenic Escherichia coli gastroenteritis is a likely cause. In such cases, children may experience vomiting, persistent diarrhea, and severe dehydration. Additionally, if the child's stool contains mucus and pus, or is a pus-blood stool, it is generally considered to be caused by bacterial dysentery bacilli. If the stool is jam-like with more blood and less stool, amoebic dysentery should be considered. Other invasive bacterial infections, such as invasive E. coli gastroenteritis, jejunal Campylobacter gastroenteritis, or Salmonella gastroenteritis, are also common bacterial infections.

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Written by Yan Xin Liang
Pediatrics
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What medicine is effective for children's diarrhea?

In cases of childhood diarrhea, it is crucial first to identify the cause. Generally, it is categorized into infectious and non-infectious diarrhea. If it is suspected to be infectious diarrhea, it can be further divided into viral enteritis, bacterial infections of the intestines, and possibly fungal enteritis, among others. Typically, viral enteritis has a self-limiting course and does not require special medication treatments. The primary treatment includes hydration and maintaining electrolyte balance, and possibly using probiotics to regulate the intestinal flora as symptomatic treatment. If bacteria infection causes the enteritis, sensitive antibiotics are required for the infection. For non-infectious diarrhea, specific medications targeting the cause of the condition are used, such as lactase supplements for diarrhea caused by lactose intolerance and providing special formula milk for diarrhea. If the diarrhea is due to allergies, it's essential to avoid the allergens in the diet. Therefore, every case needs to be analyzed based on its specific circumstances. (Medication should be administered under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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How should pediatric diarrhea be treated?

For childhood diarrhea, initially probiotics can be administered to adjust the intestinal flora, commonly used probiotics include Bifidobacterium or Lactobacillus acidophilus. Next, it's important to protect the gastrointestinal mucosa, for which oral smectite powder can be given. Additionally, diarrhea can easily damage the gastrointestinal mucosa, so it's appropriate to supplement with zinc or folic acid to promote the repair of the gastrointestinal mucosa. It is also important to ensure fluid replenishment to maintain hydroelectrolytic balance, commonly using oral rehydration salts which can replenish both fluids and electrolytes. Attention should also be paid to the child’s mental response and urinary output.

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Pediatrics
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What is a good medicine for children's diarrhea?

An increase in the frequency of bowel movements in children, accompanied by a change in stool characteristics, indicates diarrhea. When a child has diarrhea, the first step should be to test a stool routine to determine whether it is infectious diarrhea or non-infectious diarrhea. In cases of infectious diarrhea, antibiotics should be used under the guidance of a hospital doctor. If the diarrhea is caused by indigestion or rotavirus infection, symptomatic treatment is generally used. Firstly, feeding should continue. For children with watery stools, we should give them oral mucosal protectants, probiotics, and oral rehydration salts. For those with prolonged diarrhea, specifically diagnosed as caused by rotavirus infection, children should be supplemented with zinc for a period, as zinc can promote the repair of intestinal mucosal damage. This means that it can speed up the improvement of diarrhea, while also preventing the recurrence of diarrhea symptoms. (The use of medications should be conducted under the guidance of a professional doctor.)