Clinical manifestations of pediatric diarrhea

Written by Yan Xin Liang
Pediatrics
Updated on March 26, 2025
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Childhood diarrhea is caused by a variety of pathogens and factors, characterized primarily by diarrhea. Key features include increased stool frequency and changes in stool characteristics, possibly accompanied by fever, vomiting, abdominal pain, and varying degrees of electrolyte and acid-base imbalances. The pathogens involved can be viruses, bacteria, parasites, fungi, etc. Additionally, factors like the misuse of antibiotics leading to intestinal flora imbalance, improper feeding, and getting chilled can also cause it. Symptoms can vary from mild to severe diarrhea. Generally, mild diarrhea primarily involves gastrointestinal symptoms and may accompany vomiting or poor appetite, with increased stool frequency and changes in stool characteristics, but no significant dehydration or systemic acidosis, usually recovering within a few days. Severe diarrhea is often an acute condition that can develop from mild diarrhea, presenting more severe gastrointestinal symptoms as well as noticeable dehydration, electrolyte imbalances, and systemic toxicity symptoms such as fever, lethargy, drowsiness, and shock.

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Written by Yan Xin Liang
Pediatrics
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What is the cause of diarrhea in children?

Childhood diarrhea is divided into infectious diarrhea and non-infectious diarrhea, with the common type in children being infectious diarrhea, which includes rotavirus enteritis, bacterial enteritis, and bacterial dysentery, among others, with rotavirus enteritis being the most common. It is characterized by watery diarrhea or "egg-flower" style diarrhea. It is also accompanied by dry mouth, reduced urine output, and some can have symptoms such as vomiting and fever. Similarly, bacterial diarrhea can also present with vomiting, fever, and other symptoms. Other types of diarrhea, such as allergic diarrhea, commonly occur from milk allergies, and there are cases of lactose intolerance that also result in diarrhea. Therefore, there are many causes of childhood diarrhea, and each case should be analyzed specifically.

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Written by Yao Li Qin
Pediatrics
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What are the symptoms of diarrhea in children?

When children experience diarrhea, it is defined by an increased frequency of bowel movements and changes in the stool's consistency, which might appear as watery, mushy, or mucus-filled. The mucus may contain blood streaks. Additionally, children may exhibit systemic symptoms including persistent fever accompanied by nausea and vomiting, while the frequency of bowel movements noticeably increases, and the fever may present as persistent high temperature. Due to frequent episodes of diarrhea, the child might show signs of dehydration such as poor skin elasticity, sunken eye sockets, and if not yet closed, a sunken fontanelle. The skin can be particularly dry, and the child may have reduced urine production. In cases of severe diarrhea, the child may also appear lethargic or drowsy and show signs of circulatory collapse.

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Written by Yan Xin Liang
Pediatrics
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Clinical manifestations of pediatric diarrhea

Childhood diarrhea is caused by a variety of pathogens and factors, characterized primarily by diarrhea. Key features include increased stool frequency and changes in stool characteristics, possibly accompanied by fever, vomiting, abdominal pain, and varying degrees of electrolyte and acid-base imbalances. The pathogens involved can be viruses, bacteria, parasites, fungi, etc. Additionally, factors like the misuse of antibiotics leading to intestinal flora imbalance, improper feeding, and getting chilled can also cause it. Symptoms can vary from mild to severe diarrhea. Generally, mild diarrhea primarily involves gastrointestinal symptoms and may accompany vomiting or poor appetite, with increased stool frequency and changes in stool characteristics, but no significant dehydration or systemic acidosis, usually recovering within a few days. Severe diarrhea is often an acute condition that can develop from mild diarrhea, presenting more severe gastrointestinal symptoms as well as noticeable dehydration, electrolyte imbalances, and systemic toxicity symptoms such as fever, lethargy, drowsiness, and shock.

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Written by Yao Li Qin
Pediatrics
57sec home-news-image

Pediatric viral diarrhea infections are most commonly caused by what?

Children are prone to diarrhea due to the immature development of their gastrointestinal tract, with viral infections being very common among them. The most common virus causing diarrhea in children is the rotavirus. Initially, children may show symptoms similar to a cold, followed by watery or soup-like stools. Children can easily become dehydrated and suffer from electrolyte imbalances, so it is crucial to seek medical attention promptly. Another common virus causing diarrhea in children, similar to rotavirus but often more severe, is the norovirus. Norovirus also damages the intestinal mucosa, leading to watery stools and rapid dehydration and electrolyte imbalances. Therefore, it's essential to be highly vigilant and take preventive measures against these viral infections.

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Written by Yao Li Qin
Pediatrics
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What medicine should a child take for diarrhea?

For children with diarrhea, it is first necessary to determine the cause of the diarrhea. If the child has diarrhea due to a viral infection, with watery stools, the first step is to replenish oral rehydration salts to prevent dehydration and oral mucosal protectants, and then give the child probiotics. For severe diarrhea, some anti-diarrheal medications can also be taken. If the child has diarrhea due to a bacterial infection, or dysentery, which is also a bacterial infection, or caused by Shigella bacteria, it is necessary to treat the child with antibiotics under the guidance of a hospital doctor in order to achieve the treatment goal. (Please use medication under the guidance of a professional physician, and do not self-medicate.)