Why infants and children suffer from diarrhea?
In infants, the most common causes are:
The bottle is ill-prepared: Perhaps too thick (it is appropriate to bring a measure of infant milk powder per 30 cc of water).
The water that was prepared was contaminated bottle : It’s not often when using public mains water or bottled. (There is more risk with well water).
The baby has had any food that has not sat well: Perhaps because it was still young to take it. For example, when you want to porridge or mashed too soon or someone suggested that he give honey to an infant because he was constipated.
There are several types of viruses that typically cause diarrhea to infants. Two of the most common are Rotavirus and Adenovirus . may produce epidemics of diarrhea in the winter and spring, it is transmitted like a cold.
Some bacteria can also cause diarrhea such as Salmonella, Shigella, Campylobacter and Yersinia, among others. Usually cause more fever.
Sometimes, diarrhea can be a symptom accompanying infections of urine.
Many antibiotics can cause diarrhea.
Some drugs, called “prokinetic” which is used to treat gastroesophageal reflux can cause diarrhea, but usually mild.
Is it a serious childhood disease?
Usually, diarrhea diseases are not serious, at least in Western countries in which to enjoy good standard of living and adequate environmental hygiene.
The main danger of diarrhea is dehydration. In addition, they often lose the baby weight but regained it in a few days.
What do we do?
- To prevent dehydration you must give the baby plenty of fluids, in small amounts to not vomit.
- It may be simply water, or better, rehydration solutions recommended by experts (available at pharmacies). It is not recommended to give babies with diarrhea:
- Teas (chamomile tea)
- Fruit juices (not natural or commercial). Some believe that the juice of apple can be astringent, but because they are high in sugar (sorbitol), its effect is the opposite.
- Soft drinks or homemade solutions (lemonade).
- Then, if the child does not vomit, it is important to start giving food early.
- The diet will depend on the age of the infant or child and their regular diet.
Baby takes only a breast, can and should always take an unlimited time. The mother should try drinking more water, be relaxed and ready to give the baby to nurse often.
Baby bottle-fed exclusively: You can use the same formula. Perhaps a bit thinner on the first day. It is recommended that the bottles are smaller in volume, but have to take more time. Between shots, offer water or rehydration solutions.
Baby take other foods besides breast or bottle (In general, older than 6 months).
Diet may be as follows:
Bottles: Must be infant formula, to a lesser amount.
Cereals: You can take them with her usual milk in the bottle or baby food. Can be 1, 2.3 or 5 grains. The classic example is the cream of rice . Do not use leading honey.
Fruits: bananas The baby may take and/or grated apple.
Puree or tinned baby: This preparation is preferable that contains chicken, beef or rice and/or carrot and / or potatoes. (Ojo, white fish is not recommended before 10 months).
Other food that is well tolerated: Products such as yogurt, ham, bread, tapioca or crackers. Parents should make sure the baby is getting enough water or rehydration solution.
What if the baby does not improve?
- If the baby does not improve in 2 days, you should consult your pediatrician.
- Perhaps it appropriate to make an analysis of the feces (stool) for the germ or virus that causes diarrhea, but the result takes about a week and is essential for treatment.
- If the baby is small, and also has fever and vomiting, should ensure that the cause is a urinary tract infection. If you look at that ass is too irritated may indicate that the baby has a lactose intolerance.
- In that case, lactose-free food infant formula can be used for the same way as regular infant formula (one scoop per 30 cc satin water).
Do you need medication?
Today, we know that is not necessary to give any kind of medication. Most diarrheas do well without medicines, and some of them may have side effects or contraindications. However, if the baby has a fever, you can use the usual antipyretics such as paracetamol or aspirin.
Is it necessary to analyze stool?
- It is not always necessary to do a stool culture.
- Most often, the baby is much improved before it reaches the result of stool culture.
- It is usually done if the baby has a fever, or diarrhea is prolonged, especially if it can transmit to others in the family.
- Other types of stool test (immediate or early digestion of parasites) is reserved for diarrhea of long duration or chronic.