The dietary therapy and use of probiotics in the treatment of pediatric acute diarrhea

Ae Suk Kim; Jin-Bok Hwang

doi:10.5124/jkma.2012.55.6.532

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Kim and Hwang: The dietary therapy and use of probiotics in the treatment of pediatric acute diarrhea

Focused Issue of This Month

Diarrheal Disease in Children

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2012; 55(6): 532-538.

Published online: 14 June 2012

DOI: https://doi.org/10.5124/jkma.2012.55.6.532

The dietary therapy and use of probiotics in the treatment of pediatric acute diarrhea

Ae Suk Kim, MD¹, Jin-Bok Hwang, MD²

¹Department of Pediatrics, Dongguk University College of Medicine, Gyeongju, Korea.

²Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea.

Corresponding author: Jin-Bok Hwang, pedgi@kmu.ac.kr

Received 5 March 2012 Accepted 19 March 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the process of medical care of acute diarrhea in children, two pathophysiologic aspects should be considered: dehydration associated with electrolyte imbalance, and nutritional disorder. It is important to continue to provide foods easy to digest with appropriate recipes from the early stage after a remedy of dehydration using oral rehydration solution or intravenous fluid therapy according to patients' condition. Nil per os or diluted diet can slow the recovery of an intestinal function and lengthen the diarrheal period. Although the damage on the intestinal mucosa occurs from various causes, the gastrointestinal mucosa maximizes absorbing capacity by expanding the area of a surface. Early oral-feeding contributes to restoring mucosa favorably and thus facilitates a rapid improvement of symptoms. Breast-feeding should continue to be performed in the midst of rehydration, and lactose-containing regular cow's milk formula is recommended for cow's milk-fed patients after rehydration. In mild or severe acute diarrhea, administering probiotics in conjunction with feeding is expected to shorten the diarrheal period.

Keywords: Acute diarrhea, Early feeding, Probiotics

Figures and Tables

Table 1

The guidelines of clinical management of acute diarrhea

From Guarino A, et al. J Pediatr Gastroenterol Nutr 2008;46 Suppl 2:S81-S122 [7].

Table 2

Suitable fluids and foods for acute diarrheal children

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