When winter comes, parents worry about the child’s health problems. Because at this time, along with cold, diarrhea appears prominently in children.
Diarrhea when to say?
If we have loose stools three times a day or more, then we call it diarrhea.
Types of diarrhea
Diarrhea can be divided into three categories. For example:
1. Acute watery diarrhoea: If the duration of diarrhea is less than 14 days.
2. Persistent diarrhoea: If the duration is 14 days or more.
3. Chronic Diarrhea: If the diarrhea persists for more than 28 days.
Today we will discuss acute diarrhea. Acute watery diarrhea is usually caused by a bacterial or viral infection. However, rota viral diarrhea is the most common in children.
What are the symptoms?
Rota diarrhea usually begins with vomiting. As soon as the vomiting subsides, watery stools begin. Parents often say, what is fed is going out through the toilet. Diarrhea is accompanied by fever, body becomes weak, appetite decreases, dehydration occurs in the body. This diarrhea can last up to 7 days.
How is it affected?
Rotavirus mainly enters the esophagus through the oral cavity. This virus is spread around us and is passed from person to person. Infected water, food, toys and even furniture can spread the disease. The reaction begins 28 to 48 hours after exposure to rotavirus.
The severity of rota virus
Rotavirus diarrhea kills more than 600,000 children worldwide every year. About 24 lakh children in Bangladesh suffer from rotavirus-induced gastroenteritis every year. More than 300,000 children are affected by serious infections every year, many of which die.
Rota diarrhea is a viral disease. Antibiotics have no role here. Saline should be fed frequently to replenish the body’s dehydration. If less than 2 years old, 10-20 spoonfuls should be given every time after toilet, if more than 2 years old, 20-40 spoonfuls of saline or Orsaline should be fed. In this case, you must mix a whole packet of Orsaline in 500 ml of water to make food saline. It is good if you can feed canned water, rice starch, chira water, raw banana bharta with it. Breastfeeding is recommended for infants under 6 months of age.
When to admit to the hospital?
If the child is drowsy, if the mouth is dry, if the urine is reduced, if the head is drooping, if he cannot take saline in his mouth, he should be admitted to the hospital or clinic. At this time, dehydration should be filled with intravenous saline.
There are two ways to prevent rota viral diarrhea. For example:
First, living a clean life, always keeping all the things that children use clean. Keep toys that children play with clean and keep your hands and even food preparation areas clean. Above all, only mother’s breast milk for children up to 6 months.
Second, vaccination of children against rota virus. Rotavirus vaccine is currently available in Bangladesh as a preventive measure.
Why is this vaccination important?
Studies have shown that this disease cannot be prevented in many cases even with improved lifestyle. Above all, children between the ages of 2 months and 6 months are most likely to be affected by this disease. Therefore, it is very difficult to treat rotaviral diarrhea in children of this age with oral saline. In most cases, dehydration is treated with intravenous saline. So there is no alternative to this vaccine.
When should the vaccine be given?
Rotavirus vaccination should be given between one and a half months to six months. This vaccine is given orally. The second dose should be given at least 1 month after the first dose. This vaccine will not cause diarrhea caused by rotavirus. Children will be saved from death due to rota virus diarrhea. So protect children from diarrhea by giving timely vaccination to get rid of rota virus diarrhea along with their care to save their lives.
Among other diarrhoea, if the stool is thin like water, then it is cholera, if there is blood, mango (mucus) in the stool, then it is usually due to bacteria like Sigella salmonella, E.coli.
Author: Resident Doctor, Bangladesh Children’s Hospital and Institute.