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(Pediatrics in Review. 1987;8:273-278.)
© 1987 American Academy of Pediatrics
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Oral Rehydration Therapy and Dietary Therapy for Acute Childhood Diarrhea

Mathuram Santosham MD, MPH1
Kenneth H. Brown MD2
R. Bradley Sack MD, ScD3
 1 Professor, Department of International Health, Division of Geographic Medicine, The Johns Hopkins University School of Hygiene and Public Health, Baltimore
2 Associate Professor, Department of International Health; Director, Division of Human Nutrition
3 Professor, Department of International Health; Director, Division of Geographic Medicine

1. Oral rehydration therapy can be used to treat acute diarrhea of all ages, regardless of etiology and initial serum sodium value.

2. Vomiting is not a contraindication for oral rehydration therapy.

3. Intravenous fluids must be used in the initial management of children with severe dehydration.

4. Enteral feeding should be continued during diarrhea. If anorexia or malabsorption prevents sufficient intake during illness, compensatory nutritional therapy must be provided during convalescence to assure complete nutritional recovery.

5. Breast-fed infants should continue nursing during illness.

6. Infants who usually receive only cow milk or lactose-containing milkderived formula should be monitored for lactose malabsorption during diarrhea. Reduction in milk intake or a temporary change to a lactose-limited formula may be necessary in some cases.




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Copyright © 1987 by the American Academy of Pediatrics.