What's causing a child's diarrhea and vomiting?

Written by Yan Xin Liang
Pediatrics
Updated on December 13, 2024
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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 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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Can children with diarrhea eat eggs?

In cases of diarrhea in children, we must pay attention to their diet. Since diarrhea itself is inflammation of the intestines, digestive function is definitely impaired, and the activity of digestive enzymes will also decrease. Under these circumstances, it is essential to provide a bland and easily digestible diet. If the diarrhea persists for a long time, it is best to feed with diarrhea-specific formula. Eggs are relatively difficult to digest, and in cases of diarrhea, they should be avoided as much as possible. Eating eggs can increase the burden on the gastrointestinal tract, hinder digestion and absorption, and is not conducive to the recovery of the condition. Thus, it is advisable to avoid consuming eggs when experiencing diarrhea.

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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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Can children with diarrhea eat carrots?

Childhood diarrhea occurs due to disturbances in gastrointestinal function, leading to abnormal nutrient absorption and subsequently an increase in the frequency and changes in the nature of bowel movements. When children experience diarrhea, their diet should be adjusted to light, easily digestible liquid or semi-liquid food. It's also important to eat less food that is high in fiber, as rough fiber can promote intestinal peristalsis and may exacerbate the frequency of bowel movements. Carrots, being high in beta-carotene and plant fibers, also enhance gastrointestinal motility. Therefore, it is better for children with diarrhea to consume fewer carrots.

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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.