Hi!
You can suggest this paper by the WHO (for Phisicisans)
http://www.who.int/child-adolescent-health/New_Publications/CHILD_HEALTH/ISB
N_92_4_159318_0.pdf
that speaks about the treatment for diarrhea, it states:
“In general, children with mild diarrhea who are not dehydrated should
continue to eat normally but should receive more fluids. (Fruit juices and
soft drinks can make diarrhea worse and should be avoided.) Children who
have mild to moderate dehydration should be given an oral rehydration
solution in small, frequent amounts for several hours to correct the
dehydration and then should go back to eating normally. Children who are
breastfed should be breastfed throughout. A child who is vomiting will need
to eat smaller amounts more frequently. Follow your doctor's guidance and
avoid giving your child store-bought medicines for vomiting or diarrhea
unless your doctor recommends them. “
4.2.3 Rule 3: Continue to feed the child, to prevent malnutrition
The infant usual diet should be continued during diarrhea and increased
afterwards. Food should never be withheld and the child's usual foods should
not be diluted. Breastfeeding should always be continued. The aim is to give
as much nutrient rich food as the child will accept. Most children with
watery diarrhoea regain their appetite after dehydration is corrected,
whereas those with bloody diarrhoea often eat poorly until the illness
resolves. These children should be encouraged to resume normal feeding as
soon as possible. When food is given, sufficient nutrients are usually
absorbed to support continued growth and weight gain.
Continued feeding also speeds the recovery of normal intestinal function,
including the ability to digest and absorb various nutrients. In contrast,
children whose food is restricted or diluted lose weight, have diarrhoea of
longer duration, and recover intestinal function more slowly.
What foods to give
This depends on the child's age, food preferences and pre-illness feeding
pattern; cultural practices are also important. In general, foods suitable
for a child with diarrhoea are the same as those required by healthy
children.
Specific recommendations are given below.
Milk
• Infants of any age who are breastfed should be allowed to breastfeed as
often and as long as they want. Infants will often breastfeed more than
usual; this should be encouraged.
• Infants who are not breastfed should be given their usual milk feed (or
formula) at least every three hours, if possible by cup. Special commercial
formulas advertised for use in diarrhoea are expensive and unnecessary; they
should not be given routinely. Clinically significant milk intolerance is
rarely a problem.
• Infants below 6 months of age who take breastmilk and other foods should
receive increased breastfeeding. As the child recovers and the supply of
breastmilk increases, other foods should be decreased. (If fluids other than
breastmilk are given, use a cup, not a bottle.) This usually takes about one
week. If possible, the infant should become exclusively breastfed (see Annex
6).
There is no value in routinely testing the stools of infants for pH or
reducing substances. Such tests are oversensitive, often indicating impaired
absorption of lactose when it is not clinically important. It is more
important to monitor the child's clinical response (e.g. weight gain,
general improvement). Milk intolerance is only clinically important when
milk feeding causes a prompt increase in stool volume and a return or
worsening of the signs of dehydration, often with loss of weight
Regards,
Ana Charfen
LLLL Mexico City
-----Mensaje original-----
De: Lactation Information and Discussion
[mailto:[log in to unmask]] En nombre de Debra Ray
Enviado el: Miércoles, 10 de Enero de 2007 04:47 p.m.
Para: [log in to unmask]
Asunto: rotovirus and nursing
I just got an email from a mother (permission to post) who says that her 15
month old with vomiting and diarrhea was diagnosed with Rotovirus,
hospitalized overnight for IV fluids. Home the next morning, then vomiting
and
diarrhea began again. She saw her pediatrician, and was told that the baby
had developed secondary lactose intolerance and that she should formula feed
for a few days. Mother is not keen on this idea. This child eats solids and
all,
but nurses quite a bit. I told her that I wouldn't be too anxious to
introduce
something new (especially a foreign protein) into the diet of a child who is
already experiencing gastric distress. Any thoughts or ideas? Please email
me
privately. Thanks! Debra Ray, RNC, IBCLC, Lawrenceburg, KY
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