DIARRHOEA
POINTS TO REMEMBER
- Most cases are due to Virus.
- Diarrhoea usually clears up with supportive treatment in a few days.
- Aim to get over Dehydration ( Dry Eyes/ Dry mouth/ Dry Nappies/ No urine) with early introduction of fluids.
SUPPORTIVE TREATMENT
- Give small, frequent sips of Oral Rehydration Solution irrespective of Diarrhoea/ Vomiting.
- In babies- continue Breastfeeding.
- Avoid Fresh Fruit juice/ fizzy drinks instead try- Coconut water/ Buttermilk/ Curds/ Lime Juice ( add pinch of table salt)
FEEDS
- Give children solid food as soon as they feel like eating.
- Get over the dehydration before reinforcing solids.
- Give small, light meals sprinkled with Table salt (potatoes, rice, bananas, soup, and boiled vegetables).
MEDICATION
- If Fever- -consider Paracetamol
- Most Episodes DO NOT need Antibiotics. Antibiotics can occasionally cause more harm.
- Antibiotics recommended only if
- Specific type of bacteria has been identified as the cause
- Blood in stool.
- Cholera
SEE DOCTOR IN
- Severe dehydration
- No improvement in 2 days
- Blood in stool
- Severe lethargy/ Unable to feed
- Long lasting diarrhoea with weight loss.
- Tummy bloating
PROPHYLAXIS
- ROTA virus immunisation in first 8 weeks of life
- Wash hands before feed