Sunday, March 21, 2010

Treatment for Persistent Diarrhea

There are two main goals of treatment of persistent diarrhea are:
1. Prevent dehydration with oral rehydration alrutan as for acute diarrhea
2. Maintain nutritional status through proper diet

Ada3 main diet for the treatment of persistent diarrhea, namely:
1. Diet A: Includes Low milk diet, cereals, legumes, nuts, and oils
2. Diet B: Includes animal's milk-free diet, low-starch diet, cereals, nuts, oils
3. Diet C: includes starch and disaccharide-free diet, glucose, protein, oil (chicken
or egg)

Start with a diet of A unless the child is dehydrated or watery bowel movement for more than seven times a day. If the child is dehydrated or watery bowel movement for more than seven times a day, give diet B.
Diet A Diet B and switch to switch to Diet C if it is in the following situations:
- Dehydration
- Complications of intestinal
- Severe weight loss
- If the frequency of diarrhea for more than seven times a day, after six days, and no significant weight
loss or poor weight gain
If Diet C also fails, it is necessary to bring the child to hospital for treatment.

Antibiotics
There is insufficient evidence to support the routine use of antibiotics in cases of persistent diarrhea. Antibiotics are recommended only if specific bacteria have been isolated from samples of human feces and identified as the cause of persistent diarrhea.
Antibiotics are also recommended for dysentery. Antibiotic choice will depend on the results of laboratory tests. In this test, bacteria originally isolated from human feces samples and grown on artificial medium / artificial. Sensitivity to various antibiotics examined. Antibiotics are most effective against bacteria that were grown from a sample of human feces that is what is recommended

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