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Chronic Diarrhea in Children

Chronic diarrhea in children is when a child has loose or watery stools 3 or more times a day for more than two weeks.

In developing countries,

  • chronic diarrhea often stems from an ongoing intestinal infection that lasts longer than usual.
  • This is sometimes called protracted diarrhea.
  • However, there’s no clear line between protracted and chronic diarrhea.

In countries with better living conditions,

  • chronic diarrhea is less common
  • its causes often differ depending on the child’s age.
    • The outcome of chronic diarrhea can vary greatly, ranging from mild conditions that resolve on their own, like toddler’s diarrhea, to more severe, inherited diseases that can lead to serious digestive problems.

Chronic diarrhea can be a cause of concern for parents and caregivers, as it can affect a child’s overall health, including their growth and development. At Gertrude’s Children’s Hospital, we understand how distressing this condition can be for families. Our goal is to provide thorough information and expert care to help you navigate this challenging time.

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Symptoms

  • Frequent Loose Stools: The primary symptom is the consistent presence of loose or watery stools, often occurring more than three times a day.
  • Abdominal Pain or Cramping: Some children may experience discomfort or pain in the abdominal area.
  • Bloating and Gas: Chronic diarrhea can be accompanied by feelings of bloating or excessive gas.
  • Fatigue: Persistent diarrhea can lead to dehydration and malnutrition, causing fatigue and lack of energy.
  • Weight Loss: Unexplained weight loss or failure to gain weight as expected can occur if the diarrhea affects the child’s ability to absorb nutrients properly.
  • Dehydration: Signs of dehydration may include dry mouth, sunken eyes, reduced urine output, and lethargy.
  • Poor Growth: Chronic diarrhea can impact a child’s growth and development, leading to stunted growth in some cases.
  • Irritability: Children with chronic diarrhea may become more irritable or fussy, especially if the condition affects their comfort and sleep.

Causes

  • Infections: Enteric infections are the leading cause of chronic diarrhea in children, both in developing and industrialized countries.
  • Abnormal Digestive Processes: Some children may have conditions that affect how their digestive system works, leading to chronic diarrhea.
  • Immune/Inflammatory Conditions: Conditions like celiac disease, eosinophilic gastroenteritis, and inflammatory bowel diseases (like Crohn’s disease or ulcerative colitis) are common causes.
  • Nutrient Malabsorption: Some children have conditions from birth that prevent their bodies from properly absorbing certain nutrients.
  • Structural Defects:Some children are born with genetic conditions that affect the structure of their intestines, which can lead to chronic diarrhea.

Diagnosis

  • Stool Tests: These tests can help identify infections, the presence of blood, or signs of malabsorption.
  • Blood Tests: Blood tests can reveal signs of infection, inflammation, or anemia, and assess the child’s overall nutritional status.
  • Allergy Tests: If a food allergy or intolerance is suspected, tests may be conducted to identify specific allergens.
  • Imaging Studies: Ultrasound, X-rays, or other imaging techniques may be used to check for structural abnormalities in the gastrointestinal tract.

Treatment Options

  • Rehydration: Since dehydration is a major risk in chronic diarrhea, replacing lost fluids and electrolytes is the most important initial treatment step.
  • Evaluating Nutritional Needs: A thorough assessment of the child’s nutrition status is essential. Foods that may worsen the condition should be identified and avoided.
  • Boosting Caloric Intake: For children with moderate to severe malnutrition, it’s important to gradually increase calorie intake
  • Digestive Function Monitoring: Regular tests to check how well the child’s digestive system is absorbing nutrients are important.
  • Medications: Treatment options include drugs that fight infections

Why Choose Us

Expert team

Our pediatric specialists have extensive experience in treating children.

Personalized care

We create treatment plans that fit each child’s unique needs

Support and education

We teach children and families how to care for them and prevent future cases

Advanced treatments

Access to the latest treatments and products

Frequently Asked Questions

Q: What should I do if my child has chronic diarrhea?

A: If your child has chronic diarrhea, the first step is to consult a healthcare professional. They can help determine the underlying cause and recommend appropriate treatment to manage the condition.

Q: Can chronic diarrhea affect my child’s growth?

A: Yes, chronic diarrhea can lead to malabsorption of nutrients, which can affect your child’s growth and development. Early diagnosis and treatment are crucial to preventing long-term effects.

Q: Are there home remedies that can help manage chronic diarrhea?

A: While maintaining hydration and making dietary changes can help manage symptoms, it’s important to consult a healthcare provider to address the underlying cause of the diarrhea and receive appropriate treatment

Contact

Please feel free to contact us with any general or medical enquiry by calling us.

+254-709-529-000

+254-733-645-000

Primary Clinic Days

Monday - Saturday
8:00 am - 8:00 pm
Sundays & Public Holidays
9:00 am - 7:00 pm

Specialist Clinic Days

Monday - Saturday
8:00 am - 5:00 pm
Sunday
9:00 am - 5:00 pm