Every
baby or child has different bowel habits. Your baby may have as many as 4 to 10
stools a day or as few as 1 every 3 days. Many breast-fed babies will have a
bowel movement with each feeding and sometimes between feedings. During
infancy, normal stool may be runny or pasty, especially if the baby is
breast-fed. The presence of mucus in the stool is not uncommon. Unless there is
a change in your baby's normal habits, loose and frequent stools are not
considered to be diarrhea.
Diarrhea occurs when there is an
increase in the frequency of bowel movements or bowel movements are more watery
and loose than normal. Diarrhea has many causes.
Dietary changes
A child may develop diarrhea from
a change in his or her diet. A baby's or child's digestive tract may not
tolerate large amounts of juice, fruit, or even milk. Diarrhea may be caused by
an increase in the amount of juice or fruit a child drinks or eats. Diarrhea
that is caused by a change in the child's diet is not usually serious.
Infection
Diarrhea is often caused by a viral or
bacterial infection, such as
rotavirus, stomach flu (gastroenteritis), or
food poisoning. Diarrhea is the body's way of quickly
clearing any viruses, bacteria, or toxins such as
botulism from the digestive tract. Most cases of
diarrhea are caused by a viral infection and will usually clear up in a few
days.
Diarrhea may also be caused by a parasitic infection, such
as
Giardia lamblia. This parasite, as well as other viral
and bacterial infections, may be spread by drinking
untreated water, unpasteurized dairy products, or by
poor hand-washing.
Other causes
On rare occasions, diarrhea can be a
symptom of a more serious condition, such as:
Diseases that
interfere with the normal digestion of food (malabsorption), such as
cystic fibrosis or
celiac disease.
Children, especially those younger than 6 months of
age and those with other
health risks, need special attention when they have
diarrhea because they can quickly become
dehydrated. Careful observation of your child's
appearance and how much fluid he or she is drinking can help prevent
problems.
Review the Emergencies and Check Your Symptoms sections
to determine if and when you need to see a doctor.
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
child's symptoms.
Review
health risks that may increase the seriousness of your
child's symptoms.
Note:
Certain foods and medicines also can change the look
of your child's stool. Taking medicine containing bismuth subsalicylate (such
as Pepto-Bismol) or iron tablets can make the stool black, and eating lots of
beets may turn the stool red. Some food colorings also can change the color of
your child's stool. Eating foods with black or dark blue food coloring can turn
your child's stool black.
Call your child's health professional immediately if you answer "Yes" to
the following question.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Call your child's health professional immediately if you answer "Yes" to
any of the following questions.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Review
health risks that may increase the seriousness of your
child's symptoms.
Call your child's health professional immediately if you answer "Yes" to
the following question.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Does your child have a recurrent or ongoing fever without an obvious
cause after traveling outside your own country in the last 6 weeks?
You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
child's symptoms.
You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
Did your child's diarrhea start after an increase in a dose of medicine
or after taking a new medicine?
Note:
Call the doctor who prescribed the
medicine to determine whether your child should stop taking the medicine or
take a different one. An appointment may not be necessary.
If your
child is taking a nonprescription medicine, stop the medicine. Call your
child's doctor if you feel your child needs to continue taking the
medicine.
If your baby younger than 3 months of age is becoming
increasingly fussy during the evening, but there has been little or no diarrhea
(there may be loose stools), you may be able to talk to your doctor over the
telephone about
colic. For more information, see the topic
Colic.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
child's symptoms.
Review
health risks that may increase the seriousness of your
child's symptoms.
Note:
Certain foods and medicines also can change the look
of your child's stool. Taking medicine containing bismuth subsalicylate (such
as Pepto-Bismol) or iron tablets can make the stool black, and eating lots of
beets may turn the stool red. Some food colorings also can change the color of
your child's stool. Eating foods with black or dark blue food coloring can turn
your child's stool black.
Call your child's health professional immediately if you answer "Yes" to
the following question.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Call your child's health professional immediately if you answer "Yes" to
any of the following questions.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Review
health risks that may increase the seriousness of your
child's symptoms.
Call your child's health professional immediately if you answer "Yes" to
the following question.
Note:
Do not allow your child to eat until you
have talked with your child's doctor. You may give your child sips of water or
oral rehydration solution (ORS).
Does your child have a recurrent or ongoing fever without an obvious
cause after traveling outside your own country in the last 6 weeks?
You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
child's symptoms.
You may wait to see if your child's symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
Did your child's diarrhea start after an increase in a dose of medicine
or after taking a new medicine?
Note:
Call the doctor who prescribed the
medicine to determine whether your child should stop taking the medicine or
take a different one. An appointment may not be necessary.
If your
child is taking a nonprescription medicine, stop the medicine. Call your
child's doctor if you feel your child needs to continue taking the
medicine.
If your baby younger than 3 months of age is becoming
increasingly fussy during the evening, but there has been little or no diarrhea
(there may be loose stools), you may be able to talk to your doctor over the
telephone about
colic. For more information, see the topic
Colic.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
As soon as you notice your child has
diarrhea, it is important to take action to prevent
dehydration.
Oral rehydration solutions (ORSs) are used to prevent or correct dehydration
in young children. ORSs contain the right mix of salt, sugar, potassium, and
other minerals to help replace body fluids lost from diarrhea. It may be wise
to keep some ORS on hand so that if your child develops diarrhea, you can start
replacing lost fluids immediately. ORS will help prevent dehydration, but it
will not stop the diarrhea.
The amount of ORS your child needs
depends on the severity of his or her dehydration. The more severe the
dehydration, the more ORS you will need to give your child.
If you breast-feed
your baby, feed your baby more often to replace lost fluids. Give an
oral rehydration solution (ORS) between feedings only if signs of dehydration
develop.
If you use a bottle to feed your
baby, increase the number of feedings to make up for lost fluids. The amount of
extra fluid your baby needs depends on your baby's size and the severity of his
or her diarrhea. For example, a newborn may need as little as
1 fl oz (30 mL) at each extra
feeding while a 12-month-old baby may need as much as
3 fl oz (89 mL) at each extra
feeding. Give an ORS between feedings only if signs of dehydration develop.
If signs of mild
or moderate dehydration develop,
the amount of breast milk, formula, or ORS your baby needs depends on his or
her weight and the degree of dehydration present. You can give the ORS in a
dropper, spoon, or bottle. Continue to give the ORS until your baby's stools
return to normal.
If your baby has started eating cereal, you may
replace lost fluids with cereal. Offer the cereal mixture after each diarrhea
stool. You may also offer any other foods that your child has had
before.
Children 1 year through 11 years of age
Oral rehydration solution (ORS),
half-strength orange juice, or plain water (if the child is eating food) may be
used to replace fluids lost from diarrhea.
Offer your child
0.5 cups (120 mL) to
1 cup (240 mL) of fluids after
each diarrhea stool.
Allow your child to drink as much fluid as he
or she wants.
If diarrhea is persistent or if your child is
dehydrated, using an ORS as the main source of
replacement fluids is the safest approach.
The
amount of ORS your child needs depends on his or her
weight and the degree of dehydration present.
Keep giving the ORS
until your child's stools return to normal.
Cereal may also be used to replace lost fluids.
Offer 0.5 cups (118 mL) to
1 cup (237 mL) of the cereal
mixture after each diarrhea stool.
Give your child frequent small meals,
at least 6 a day, while he or she is having diarrhea.
The best foods for your child are easily
digestible foods, such as rice cereal, pasta, breads, cooked beans, mashed
potatoes, cooked carrots, applesauce, and bananas.
Pretzels or
salty crackers can help your child replace the salt lost from
diarrhea.
Foods containing large amounts of sugar or fat should be
avoided.
General tips
Avoid giving your child apple juice, chicken
broth, soda pop, sports drinks (such as Gatorade, All Sport, or Powerade),
ginger ale, or tea. These drinks do not contain the right mixture of minerals
and sugar to replace lost fluids and may make the diarrhea worse.
Do not offer soda pop, juice, ice cream,
or candy because they contain a lot of sugar and lack the calories and minerals
your child needs.
You may use plain water to replace lost fluids if
your child is older than 1 year of age and is eating food.
Do not withhold food from your child. Studies have shown that children who are fed easily digestible
foods have shorter episodes of diarrhea.
If your child drinks cow's
milk, he or she may continue to drink it.
Do not give your child
prescription or nonprescription medicine to stop diarrhea unless you are told
to do so by your child's doctor.
Protect the diaper area with zinc
oxide or another cream. Diaper rash is common after diarrhea. For more
information, see the topic
Diaper Rash.
Wash your hands and
your child's hands thoroughly after each diaper change and before each
feeding.
Until your doctor has assured you that your child's
diarrhea is not infectious, your child should not attend school or day
care.
To
clean up diarrhea from hard surfaces, such as a toilet seat or bathroom floor,
you can use diluted chlorine bleach. To do this, mix 5 tablespoons of 6%
household bleach in 1 gallon of water. The solution needs to stay on the
surface area for 10 minutes to be effective. Let the surface air dry if
possible. Protect your hands with gloves while using the bleach solution. Wash
your hands after you are done cleaning up. Soiled linens and clothing should be
handled as little as possible and washed separately in a hot water cycle.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to
evaluate your child's symptoms if any of the following occur during home
treatment:
Do not allow your child to drink untreated
or unfiltered water from a lake or stream or unpasteurized milk. Untreated
water and unpasteurized milk are sources for viral, bacterial, and parasitic
infections, such as
Giardia lamblia. Avoid having your child brush his or
her teeth with untreated water. Even a small amount of untreated water can
contain enough parasites, virus, and bacteria to cause diarrhea.
Diarrhea can spread because of poor hygiene.
Practice good hand-washing.
Be sure to wash your hands and your child's
hands after each diaper change or trip to the bathroom.
Teach your
child to wash his or her hands after using the bathroom and before every
meal.
Do not place soiled diapers on surfaces that are used to
prepare or serve food.
If your child attends school or day care, keep
your child home until your doctor has determined that his or her diarrhea
cannot be passed to others (is not infectious).
Food poisoning is a common cause of diarrhea in children
and adults. Most cases of food poisoning at home may be prevented by taking a
few precautions when preparing and storing food. Perishable foods, such as
eggs, meats, poultry, fish, shellfish, milk, and milk products, should be
treated with extra care. Also, precautions should be taken if you are pregnant,
you have an
impaired immune system or a chronic illness, or you
are preparing foods for other high-risk groups, such as young children or older
people. For more information, see the topic
Food Poisoning and Safe Food Handling.
The U.S. Department of
Agriculture recommends the following steps to prevent food poisoning:
Many counties in the United States have extension services
listed in the phone book. These services can answer your question about safe
home canning and food preparation.
When you travel in wilderness areas or to other countries of the world,
it is common to get diarrhea from food or water because the methods of food
preparation are different. For information on how to prevent traveler's
diarrhea, see
traveler's diarrhea.
Rotavirus vaccine(What is a PDF document?)
helps protect babies and young children from getting a
rotavirus infection, which can cause diarrhea and
dehydration. Talk to your child's doctor about this
vaccine for your child.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.