Tell a friend about Pedsource!

diarrhea -Reply

** Confidential **
>>>>>>>>>>>>>>>
Received: by mutley.nch.edu.au; id AA089238361; Wed, 21 May 1997
05:59:21 +1000
Received: from banzai.pcc.com(205.219.166.145) by mutley.nch.edu.au
via smap (3.2)
id xma008921; Wed, 21 May 97 05:59:20 +1000
Received: by banzai.PCC.COM (Smail3.1.29.1 #3)
id m0wTuTN-0000BXa; Tue, 20 May 97 15:21 EDT
Sender: hidden@email-address
Received: from halcon ([200.10.84.2]) by banzai.PCC.COM with esmtp
(Smail3.1.29.1 #3) id m0wTuTH-00001JC; Tue, 20 May 97 15:21
EDT
Received: from jaime-son ([200.10.84.40]) by halcon (SMI-8.6/8.6.9) with
ESMTP id OAA03283 for ; Tue, 20 May 1997
14:20:06 +0500
X-Msmail-Priority: Normal
X-Priority: 3
X-Mailer: Microsoft Internet Mail 4.70.1155
Mime-Version: 1.0
Content-Type: text/plain; ch[censored]t=ISO-2022-KR
Content-Transfer-Encoding: 7bit
Sender: hidden@email-address
Precedence: bulk
Reply-To: "jinyoung jaime song"
Really-From: "jinyoung jaime song"

$)Ci am here in Amazone tropical area. there are enough patients with
diarrhea. majorities are rota viral infection. and there are some patients
with chronic persistent diarrhea, mucoid diarrhea. here i can't find out
cholestyramine for control diarrhea. i want to know how can i control the
dirrhea induced by rota virus. are there any medicine for stop diarrhea not
antibiotics.

and in chronic persistent diarrhea, what can i do. they had used many
antiboitics.

This message is from PEDTALK - a Pediatric Focused email discussion
group.

Admin questions: "hidden@email-address" or
"http://www.pcc.com/lists/"

<<<<<<<<<<<<<<<
The key to the treatment of Rotaviral diarrhoea and in fact all acute
gastroenteritis in childhood is early oral electrolyte replacement. The WHO
has guidelines on oral replacement therapy in the treatment of acute
diarrhoea.

There is no role for agents which slow bowel motility in children, they infact
can complicate the disease process. Antibiotics are only useful in the
treatment of specific bacterial infections.

Post gastroenterits diarrhoea is the result of lactase deficiency and requires
a formular that does not contain lactose. In your context that would mean
the quick return to breast feeding.

The Prevention of Diarrhoea in the Amazon or any where else is to
encourage mothers to Breast feed their Children.

Dr Michael G. Ryan
The Child Protection Unit
The New Children's Hospital
E-mail: hidden@email-address
Snail mail: P.O Box 3515
Parramatta NSW 2124
Australia
Tel: +61 (02) 9845 2493
Fax: +61 (02) 9845 2495

diarrhea -Reply

Would never treat with antibiotics for acute gastroenteritis unless cultures
for bacteria is present; even with salmonella, I would not treat unless
sytems continues to persist, with weight loss, dehydration, bloody diarrhea,
dropping HCTs; (treatment increases carrier state); shigella would treat;
if cultures ova/parasite cultures +, rx, say giardia
good oral hydration electrolyte rx is the therapy of choice; antibiotics
would actually make the diarrhea worse
have had young patients treeated with anti-peristaltic agents, eg lomotol,
who ended up with hemolytic uremic syndrome, dropped hct, developed cerebral
edema and died.

-scott yang
dept of pediatrics, keesler afb