Care Advice
What You Should Know About Diarrhea:
- Most diarrhea is caused by a virus.
- Bacterial infections as a cause of diarrhea are not common.
- Diarrhea is the body's way of getting rid of the germs.
- The main risk of diarrhea is dehydration. Dehydration means the body has lost too much fluid.
- Most children with diarrhea don't need to see their doctor.
- Here are some tips on how to keep ahead of the fluid losses.
Mild Diarrhea:
- Most kids with diarrhea can eat a normal diet.
- Drink more fluids to prevent dehydration. Formula or breastmilk are good choices for diarrhea.
- Do not use fruit juices. Reason: they can make diarrhea worse.
- Solid foods: if on solid foods, eat more starchy foods (such as cereal, crackers, rice, pasta). Reason: they are easy to digest.
Formula-Fed Babies with Frequent, Watery Diarrhea:
- Keep giving formula but feed more often. Offer as much formula as your child will take.
- Mix formula the normal way. Reason: the formula contains plenty of water and doesn't need more.
- Solid foods: if on baby foods, continue them. Cereals are best.
Breastfed Babies with Frequent, Watery Diarrhea:
- Give your baby breastmilk more often.
- Also, give extra fluid if breast milk isn't keeping up with the fluid losses. You can use formula or ORS (Pedialyte).
- Solid foods: if on baby foods, continue them. Cereals are best.
Oral Rehydration Solutions (ORS), such as Pedialyte:
- ORS is a special fluid that can help your child stay hydrated. You can use Pedialyte or the store brand. It can be bought in food stores or drug stores.
- When to use: start ORS for frequent, watery diarrhea if you think your child is getting dehydrated. That means passing less urine than normal. Increase fluids using ORS. Continue giving breastmilk, formula or regular milk.
- Amount: for babies, give 2-4 ounces (60-120 mL) of ORS after every large watery stool.
- Caution: do not give ORS as the only fluid for more than 6 hours. Reason: your child will need calories and cry in hunger.
Probiotics:
- Probiotics are healthy bacteria (such as Lactobacilli). They can replace harmful bacteria in the gut (stomach).
- Probiotics may be helpful in reducing the number of diarrhea stools.
- Yogurt is the easiest source of probiotics.
- If your child is taking solids (4 to 6 months of age), give 1 to 2 ounces (30 - 60 mL) of plain yogurt twice daily.
- Yogurts that are lactose-free may be even more helpful.
Fever Medicine:
- For fevers higher than 102° F (39° C), give an acetaminophen product (such as Tylenol).
- Another choice is an ibuprofen product (such as Advil). Caution: avoid ibuprofen until 6 months or older.
- Note: Fevers less than 102° F (39° C) are important for fighting infections.
- For all fevers: keep your child well hydrated. Give lots of cold fluids.
Diaper Rash - Prevention:
- Wash buttocks after each stool to prevent a bad diaper rash.
- To protect the skin, use an ointment (such as Vaseline or Desitin). Put it on the skin around the anus.
Return to Child Care:
- Your child can go back to child care after stools are back to normal.
- The fever should also be gone.
What to Expect:
- Viral diarrhea lasts 5-14 days.
- Severe diarrhea only occurs on the first 1 or 2 days. But, loose stools can last for 1 to 2 weeks.
Call Your Doctor If:
- Blood in the diarrhea
- Dehydration suspected (no urine in over 8 hours, dark urine, very dry mouth, and no tears)
- Diarrhea lasts over 2 weeks
- You think your child needs to be seen
- Your child becomes worse
Remember! Contact your doctor if you or your child develop any "Contact Your Doctor" symptoms.