Journal List > Korean J Pediatr Gastroenterol Nutr > v.12(Suppl 1) > 1110103

Korean J Pediatr Gastroenterol Nutr. 2009 Nov;12(Suppl 1):S53-S61. Korean.
Published online Nov 30, 2009.
Copyright © 2009 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Nutritional Support for Acute Diarrhea in Children: Focused on Age-appropriate Diet Therapy after Rehydration
Mi Ae Chu and Byung Ho Choe
Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.

The mainstay in the management of mild to moderately dehydrated children is fast rehydration by using hypotonic ORS (oral rehydration solution) and complete resumption of normal diet, including lactose- containing formula after 4 hours rehydration. Since the majority of young children with uncomplicated acute diarrhea will tolerate large amounts of undiluted non-human milk, withholding food and milk from children during diarrhea is not recommended anymore, regarding time to resolution and diarrhea control. In addition, routine dilution of milk and routine use of lactose-free formula are not necessary after fast ORS therapy. Breastfed infants and children fed with solid foods may safely continue receiving their usual diets during diarrhea instead of gradual reintroduction of feeding. However, young infants or children with severe diarrhea or malnutrition should be carefully treated under supervision if fed with lactose containing, non-human milk exclusively.

Keywords: Diarrhea; Gastroenteritis; Lactose; Nutrition; Treatment; Infant