Pediatric diarrhea is divided into two main categories.

Written by Yao Li Qin
Pediatrics
Updated on February 24, 2025
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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 department should a child with diarrhea visit?

Childhood diarrhea is a disease of the digestive system. If treated at a general hospital, the child should definitely see a pediatrician. If the diarrhea is severe, accompanied by moderate to severe dehydration, it is advisable to visit emergency pediatrics for urgent treatment. If going to a children's specialty hospital, it is recommended to see a gastroenterologist; severe cases can also go to emergency pediatrics. Additionally, if there is mucus, pus, or bloody stool, consider bacterial dysentery or other infectious diarrhea, and it is advised to see an infectious disease specialist. Generally, for ordinary diarrhea, it is advisable to visit a smaller hospital for 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 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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Written by Yan Xin Liang
Pediatrics
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What are the treatment methods for infectious diarrhea in children?

For infectious diarrhea in children, it is first important to determine if the cause is viral or bacterial. In general, rehydration should be provided first to prevent dehydration; oral rehydration salts are commonly used to prevent dehydration and replenish electrolytes. Additionally, probiotics can be given to regulate the gut flora, commonly including bifidobacteria. Another option is to administer smectite powder to protect the gastrointestinal mucosa. It is also appropriate to supplement zinc and folic acid to promote the repair of the gastrointestinal mucosa. If a bacterial infection is suspected, sensitive antibiotics can be administered, commonly cephalosporins or penicillins for anti-infection treatment. If a viral infection is considered to be causing the diarrhea, some antiviral medications can be added to the treatment. Pay attention to the baby’s mental response and urination situation.

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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.