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Diarrhea Is Derived From Greek Word, Meaning 'Flowing Through'. It Is The Second Leading Cause of Death in Children Under 5 Years of Age

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DIARRHEA:

INTRODUCTION:
Diarrhea is derived from Greek word, meaning
'flowing through'. It is the second leading cause of
death in children under 5 years of age.

DEFINITION:
According to WHO, Diarrhea is defined as 'passage
of 3 or more loose stools per day or passing more
stools than normal for the age'.
INCIDENCE:
Every year there are about 1.5 to 2 billion death of
diarrheal diseases occurs. Diarrhea is the second
leading cause of child mortality and morbidity in
the world.

One in 5* children die of diarrhea every year in


India.
It mostly due to contaminated food and water
sources.
CLASSIFICATION:
ETIOLOGY:

The causes of diarrhea are as follows:


1) Infection
2) Drugs
3) Dietary causes
4) Surgical conditions
5) Miscellaneous causes
PHYSIOLOGICAL DISTURBANCES IN DIARRHEA:
CLINICAL FEATURE & ASSESSMENT:

Clinical feature of diarrhea depends on its severity:


1) Mild diarrhea (2-5 loose stool)
2) Moderate diarrhea (10 or more loose stool)
3) Severe diarrhea (100 loose stool within 24 hours)
SIGNS OF MILD DEHYDRATION MODERATE SEVERE DEHYDRATION

DEHYDRATION
DEHYDRATION
ASK < 4 loose stool/ day 4-10 loose stool/ day >10 loose stool/day
•Diarrhea
•Vomiting None or small amount Same Very frequent
•Thrist More than normal More than normal Unable to drink

•Urine Normal Small amount dark No urine for 6 hours

LOOK Baby is well alert Unwell, sleepy or Very sleepy,


•Condition irritable u nconscious

•Tears Present Absent Absent

•Eyes Normal Sunken Very sunken

•Mouth & tongue Wet Dry Very dry


•Breathing Normal Faster than normal Very fast & deep

FEEL Goes back quickly Goes back slowly Goes back very slowly
•Skin
•Pulse Normal Faster than normal Very fast

DIAGNOSTIC EVALUATION:
1. History taking
2. Physical examination
3. Stool examination
4. Stool culture
5. Blood tests MANAGEMENT:

Management of infants and young children with


diarrhea & dehydration focus on:
1) Replacement of the fluids
2) Administration of prescribed drugs
3) Maintenance of nutritional status
4) Educate the mother regarding prevention of
diarrhea

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