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INFANTILE DIARRHEA

DR MUHAMMAD YASEEN MAYO


HOD PEDIATRIC DEPARTMENT
SIMC LODHRAN
INTRODUCTION
 Diarrhea is the condition of having at least three
loose or liquid bowel movements each day.

 Infantile diarrhea is one of the most common


diseases in infants and toddlers.

 Often it is caused by some form of bowel irritation


due to a pathogen or food intolerance.
INTRODUCTION
 Clinicalmanifestations are mainly diarrhea and
vomiting.

 Insevere cases it usually associated with


dehydration and electrolyte imbalance.
ETIOLOGY
Infectious factors
 Virus
 Rotavirus
 Enteric adenovirus
 Denovirus
 Astrovirus
 ECHO
 Coxsackie
Etiology
 Bacteria
 Escherichia coli (E. coli)
 Enteropathogenic E. coli EPEC
 Enterotoxigenic E. coli ETEC
 Enteroinvasive E. coli EIEC
 Enterohemorrhagic E. coli EHEC
 Campylobacter jejuni jejuni
 Yersinia enterocolitica enterocolitica
Etiology

 Protozoa
 Entamoeba histolytic.
 Giardia Lamblia.
 Balantidium coli.
Etiology
 Antibiotic associated diarrhea (AAD)

 Some antibiotics decrease carbohydrate


transport and intestinal lactase levels.

 Eradication of normal gut flora and


overgrowth of other organisms may cause
diarrhea.
Etiology
Noninfectious factors
 Dietary factor
Excess or irregular feeding.
Sudden alteration of diet Feeding starch or
fat too early.
Allergy to cow's milk.
Clinical manifestations
 Mild diarrhea

 Caused by dietary factors or gastrointestinal


infections.

 The stools become frequent, usually not more


then 10 times in day.

 There is no dehydration or electrolyte


disturbances.
Clinical manifestations
 Severe diarrhea

 Caused by intestinal infections.

 The stools become more frequent more then 10


times in day

 Usually moderate to severe dehydration and


electrolyte disturbances.
Diagnosis

 Diagnosis is based on Ask look and feel.


Treatment

 Feeding Properly.

 Correcting water and electrolyte disturbances.

 Reasonable medicine administration.

 Good care and symptomatic treatment.

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