Clinical manifestations of childhood diarrhea

Written by Yao Li Qin
Pediatrics
Updated on March 06, 2025
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Childhood diarrhea is caused by various factors that increase the frequency of bowel movements in children and also change the characteristics of the stool. The common clinical manifestations of childhood diarrhea are primarily gastrointestinal symptoms. The child may experience poor appetite, spitting up milk and vomiting, and an increased frequency of bowel movements. However, the volume of stool in mild cases is not too large, appearing thin or watery, and is yellow or yellow-green in color with a sour smell. Most cases of diarrhea without dehydration or systemic poisoning recover within a few days.

In more severe cases of diarrhea, where the child experiences an increased frequency of bowel movements and the stools are watery, there can also be significant dehydration, electrolyte imbalance, and symptoms of systemic infection. These mainly manifest as either fever or lack of fever increase, irritability or lethargy and drowsiness, pale complexion, confused consciousness, and even fainting, shock symptoms.

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Written by Yao Li Qin
Pediatrics
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Why should zinc be supplemented for children with diarrhea?

Childhood diarrhea is a common gastrointestinal disease. After controlling the diarrhea in children, it is generally necessary to supplement with zinc for about ten days. During the diarrhea, the intestinal mucosa is damaged by pathogens. Zinc can promote the repair of the intestinal mucosa, while preventing the child from experiencing diarrhea again in the short term. Therefore, it is very important to supplement with zinc after childhood diarrhea. Additionally, while supplementing zinc, it is also very necessary to supplement other trace elements.

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Written by Yan Xin Liang
Pediatrics
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Moderate dehydration manifestations in children with diarrhea

In cases of moderate dehydration due to diarrhea in children, some common clinical manifestations include sunken eye sockets. If the anterior fontanelle has not closed in infants under one year old, it may appear sunken, and there can be a decrease in skin elasticity, dry lips and mucous membranes, and a reduction in urine output. Some may also experience increased heart rate, dry mouth, and a preference for drinking. In this situation, it is crucial to promptly rehydrate, primarily through oral rehydration. If oral rehydration is difficult, intravenous rehydration should be administered, while also maintaining the balance of water and electrolytes.

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Written by Yao Li Qin
Pediatrics
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Pediatric diarrhea is divided into two main categories.

Childhood diarrhea can be divided into two major categories based on its causes: infectious and non-infectious. Infectious factors primarily include viruses, bacteria, fungi, and parasites, among which viral and bacterial infections are most common. Viral infections are mainly seen in rotavirus infections, while bacterial infections are predominantly associated with pathogenic, invasive, toxigenic, and hemorrhagic strains of Escherichia coli. Additionally, infections from other bacteria such as Campylobacter jejuni and Salmonella also occur. Intestinal infections can also cause diarrhea, such as those accompanying upper respiratory tract infections, pneumonia, urinary tract infections, etc., because the toxins released by the infecting agents during fevers or diarrhea associated with antibiotic treatments can induce diarrhea. Non-infectious causes mainly include dietary and climatic factors.

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Written by Yan Xin Liang
Pediatrics
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What's causing a child's diarrhea and vomiting?

When a child has diarrhea accompanied by vomiting, we first consider the symptoms of acute gastroenteritis. In this situation, we need to analyze the cause. The most common cause is often rotavirus infection. Rotavirus is a self-limiting disease, and treatment is primarily symptomatic, focusing on fluid replenishment to maintain electrolyte balance. It is also important to pay attention to the baby's mental state, responsiveness, and urination. Additionally, we need to be cautious of vomiting and diarrhea caused by intestinal bacterial infections, such as food poisoning, which can present similar symptoms. If a bacterial infection is suspected, we must promptly administer sensitive antibiotics for the infection treatment, while also focusing on symptomatic treatments such as fluid and electrolyte replenishment.

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Written by Yan Xin Liang
Pediatrics
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How many days will it take for a child's diarrhea to get better?

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.