Risk of dehydration shock in children due to acute diarrhea

This is an automatically translated article.

This article is expertly consulted by Master, Doctor Ngo Thi Oanh - Pediatrician - Pediatrics - Neonatology - Vinmec Ha Long International General Hospital.
Diarrhea is a common disease in young children, can have many causes such as viruses, bacteria, parasites, ... in which, Rotavirus is the most common virus. Children with acute diarrhea, if not rehydrated in time, may lose too much water, leading to the risk of dehydration shock.

1. Acute diarrhea in children

Diarrhea is a common disease in young children, can have many causes such as viruses, bacteria, parasites, ... in which, Rotavirus is the most common virus. Acute diarrhea can also be caused by certain intestinal bacteria, especially E.Coli. In addition, acute diarrhea can also be caused by food allergies, digestive disorders - absorption, other diseases such as appendicitis, intussusception.
Initially, the patient usually begins with severe vomiting, then diarrhea. Children with acute diarrhea often have many bowel movements, maybe 1-2 times at first, the stools are thick, then the stools are loose, yellow or green, with sputum, blood mixed in the stool. Your child has 3 or more loose stools in a day.
Along with that, children often have anorexia, poor feeding, fatigue and abdominal pain, fever, high fever, irritability, irritability, thirst, dry lips, sunken eyes and fontanelles, and abdominal distension.
Children with acute diarrhea have a high rate of faecal excretion, so it can easily lead to dehydration, electrolyte disturbances, acid-base disorders, life-threatening if not treated promptly.

2. Risk of dehydration shock due to acute diarrhea in children

Parents need to take the child to the hospital immediately if the child has the following symptoms:
When having diarrhea for more than 3 days Vomiting or having frequent bowel movements Abdominal pain or fussing a lot Continuous high fever above 38.5oC Blood sputum dehydration shock.

Nguy cơ sốc mất nước do tiêu chảy cấp ở trẻ
Nguy cơ sốc mất nước do tiêu chảy cấp ở trẻ
Children with acute diarrhea often lose a lot of water due to loose stools and vomiting. If parents do not pay attention to rehydration and electrolytes for the baby properly, leading to severe dehydration, the child may become dehydrated, dehydrated shock. At that time, the baby will have a fever, gradually lethargy, confusion, respiratory failure, pulse collapse, convulsions.
Electrolyte disturbances, acid-base disturbances can lead to acute renal failure. After that, if not treated promptly, the patient may become comatose and even die.
To prevent children from shock from dehydration due to acute diarrhea, parents can rehydrate the child as follows: Rehydration of fluids and electrolytes: for children who can drink: Give oresol solution, children under 2 years old drink 50 -100ml after each bowel movement, children from 2 years old drink 100-200ml after each bowel movement. You can give cold cooked water, porridge soup, fresh coconut water or fruit juice. During this time, still feed the baby normally.

3. Note to prevent acute diarrhea in children

Diarrhea is one of the leading causes of death in young children. Each year around the world, 3-5 million children die from diarrhea. Diarrhea also causes malnutrition and infection, affecting the health of children. Therefore, paying special attention to the prevention of acute diarrhea in children is something that parents should pay special attention to.
Ideally, breastfeeding should be given to infants. Breastfeeding babies as soon as possible after birth, so that babies can be fed colostrum with many antibodies and a reasonable diet to avoid malnutrition.
Food hygiene for children, cooked food, boiled drink, food for children must ensure fresh and sufficient quality. Especially, wash your hands properly before and after feeding and when taking care of your baby's hygiene.
Take prevention Rotavirus vaccine is the most effective way to prevent diarrhea caused by rotavirus to protect children's health. Currently, the World Health Organization has approved the use of two vaccines against Rotavirus, RotaTeq and Rotarix. Both vaccines are currently available at Vinmec Immunization Center.
Master. Doctor Ngo Thi Oanh has over 10 years working in the field of Pediatrics. Competently perform examination, diagnosis and treatment of respiratory, digestive, urological and nutritional diseases in children. During his work, Dr. Oanh regularly updates new knowledge on diagnosis and treatment through specialized conferences and continuous training classes.

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