Stop Colic, 4 healthy kids

INFANT DIARRHEA

Unfortunately, no parent can escape the peril of infant diarrhea. Infectious diarrhea is one of the most common problems in childhood. Each year in the United States, 37 million cases of childhood diarrhea occur in children ages 5 years and younger. On average, every child experiences two bouts of diarrhea a year. Annually in the United States, infant diarrhea results in almost 4 million doctors’ office visits, over 200,000 hospital admissions, and several hundreds of preventable deaths (1). Diarrhea can be caused by a variety of microbes, or parasites, but most often it is caused by viruses. Among all microbes causing diarrhea in infants and children, rotavirus frequently produces more severe diarrhea. Approximately 10% of all cases of childhood diarrhea are caused by a rotavirus; however, among children with severe diarrhea, rotavirus is found in almost 50% of cases (2). Worldwide, rotavirus causes more than 125 million cases of diarrhea annually in children younger than 5 years of age. In the developed countries, children rarely die from diarrhea, dehydration and loss of electrolytes.  But the mortality rate  in developing countries due to dehydration and loss of electrolytes caused by rotavirus is over 800,000 each year (3).

Rotavirus is transmitted by close contact, especially through the fecal-oral route, and possibly through the respiratory route (3). Rotavirus is an important pathogen in day care-acquired illnesses. The virus can remain infectious on inanimate surfaces, such as toys, for several days, and up to four hours on human hands (4). As a rule, rotavirus infection is accompanied by fever, vomiting, and diarrhea followed by dehydration (loss of body water). Dehydration is the cause of children’s sickness when they develop diarrhea; therefore, management and prevention of dehydration is an important strategy in the treatment of diarrhea.

Diarrhea caused by some bacteria, such as E. coli, salmonella, and shigella, is frequently accompanied by high-grade fever and blood in the stool.

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