Health Topics

 Babies:

Children:

• Give liquids in small amounts and frequently
• Offer your child foods that he or she usually eats
• Your child may be better able to handle food in smaller, more frequent feedings

• Diarrhea (frequent, loose, watery stools) lasting 2-3 days but usually no more than a week
• Nausea and vomiting lasting 1-2 days
• Abdominal pain (belly pain)
• Fever (sometimes)

Early signs:

• No urine output in 8-12 hours (babies usually have 6-8 wet diapers in 24 hours)
• Less active than normal, unusually sleepy, or difficult to arouse
• The urine is dark yellow and may smell "strong" like ammonia
• Mouth saliva is thick and sticky rather than thin and watery
• No tears when crying

Later signs:

• All of the signs written above
• Baby's soft spot is sunken
• Child's eyes are sunken
• Baby or child has no energy and is difficult to wake up

Diet

• Usually, the diarrhea and vomiting only last a short time. The child's diet may not need to change if the diarrhea is mild. If your baby is breastfeeding, continue to feed on demand.
• If your baby is bottle-fed, continue feeding as usual with full-strength formula. Older children can continue their normal diet, but should avoid foods that may make the diarrhea worse, such as apple or pear juice.
• The BRAT (Bananas, Rice, Applesauce and Toast) diet alone isn't recommended anymore because it does not provide enough nutrition for a child with Gastroenteritis and does not make the symptoms go away any faster.
• Foods that are good for your child are: cereals, bread, potatoes, lean meats, plain yogurt, bananas, applesauce and vegetables.
• Avoid giving your child only clear liquids because they don't replace necessary minerals lost from the diarrhea and vomiting. Also, avoid giving apple juice, carbonated drinks, Jell-O water, chicken broth, or sports drinks. These contain sugars or fat that may make the diarrhea worse and lack important minerals necessary for the baby or child who is dehydrated.

• If the diarrhea gets worse, offer your baby or child an Oral Rehydration Solution (ORS) such as Naturalyte, Pedialyte, Rehydralyte, Infalyte, or a generic brand, to prevent dehydration.
• ORS come in a variety of flavors and come in liquid form and freezer pops. ORS can be found at supermarkets, pharmacies and discount stores. If your child is dehydrated, she/he may like the taste of ORS.
• Children with mild diarrhea and no signs of dehydration may NOT like the salty taste of ORS because their bodies haven't lost enough salt yet for them to crave salts.
• Warning: Do not use anti-diarrhea medications unless directed by your doctor. 

• Avoid diaper wipes.
• Cleanse the diaper area gently and thoroughly with soap and water and pat dry with a clean towel.
• Apply a zinc-based ointment (i.e. Desitin) thickly after cleansing the bottom. This keeps the diarrhea stool away from your child's skin.
• Wash hands and diapering surfaces well after each diaper change.

• You are unable to get fluids into the child and diarrhea lasts longer than 24 hours.
• You are able to get fluids into the child but diarrhea lasts more than 7-10 days.
• Your child shows any of the following signs:
• No urine output in 8-12 hours
• No tears when crying
• Unusually drowsy or fussy
• Inside of the mouth/or lips are dry
• Eyes appear sunken
• Child is extremely thirsty
• Blood is present in the diarrhea or vomit
• Bile (dark green) is present in the vomit
• Baby's soft spot is sunken

Your doctor may ask to see your child or have your child seen in the emergency department. Your child will be examined and watched for signs of dehydration. The nurse or assistant will measure how much fluid goes in and comes out of your child. Your child will be weighed. You may be asked to help care for your child by giving him/her an Oral Re-hydration Solution. This replaces the fluid lost from diarrhea and vomiting and allows you to be active in your child's care. This may keep your child from needing an IV.

If the diarrhea and vomiting continue and your child refuses fluids by mouth, he/ she may need an IV. An IV will let special fluids go into your child through a vein. 

It is not possible to keep a child from being exposed to the germs that cause gastroenteritis. Proper hand washing by the whole family is the best way to prevent the spread of disease.

Encourage everyone in the family to wash their hands with soap and water after using the bathroom, after handling diapers and before handling food or preparing food or drink.