• Diarrhea causes, symptoms and homeopathic treatment

    Diarrhoea

    Condition is characterized by frequent passage of loose, watery stools.

    Causes of Diarrhoea (Etiology)

    – Dietetic diarrhoea
    – Lactose intolerance (enzyme lactase deficiency).
    – Milk protein allergy (more common with cow milk).
    – Overfeeding.
    – Excessive intake of fat.
    – Food allergy.
    – Uncommon in breast fed babies.

    Parenteral Diarrhoea

    – Diarrhoea due to infection outside alimentary canal
    – Otitis media.
    – Pneumonia.
    – Urinary tract infection.
    – Common at onset of any severe illness.
    – Rarely lasts more than I or 2 days.
    – If persists, probably is infective.

    Infective Diarrhoea

    – Bacterial: E. cou, shigella, salmonella.
    – Viral: enteroviruses.
    – Worm infestation.
    Miscellaneous
    – Malabsorption syndrome.
    – Thyrotoxicosis.
    – latrogenic.
    – Psychogenic disturbances.
    – Pseudo-diarrhoea from chronic constipation.

    Clinical Features:
    Mild cases
    Onset: Insidious.

    Symptoms

    – Passage of more stools than usual.
    – Number vary from 2-3 to 10-12 per day.
    – Stools
    . At first normal in color and consistency.
    . Gradually become more fluid.
    . Yellow to green in color.
    . Contain curds.
    . Slightly offensive.
    – Vomiting may precede or follow diarrhea.
    – Mild fever.
    – Initially baby well and happy.
    – Gradually becomes irritable, refuses feeds.

    Signs

    – No localized abnormality.
    – Temperature: slightly raised.
    – Weight stationary or falls.

    Severe cases
    Onset: Sudden.
    Symptoms
    – Stools
    . Frequent, copious.
    . Loose, watery.
    . Become green early.
    . Contain little faecal matter.
    . May be offensive.
    – Vomiting
    . During or after every feed.
    . Copious.
    . Projectile, violent.
    – Mild fever.
    – Irritability. .
    – Excessive crying.
    Signs
    – Child fretful, ill, cries.
    – Draws up legs as if in pain.
    – Temperature: slightly raised.
    – Abdomen difficult to feel.
    – Liver palpable 1-3 fingers below costal margin.
    – Borborygmi brisk.
    – Visible peristalsis not seen.
    – Child often dehydrated.

    Fulminating cases
    Onset : Abrupt.

    Symptoms
    – Sudden passage of loose stools.
    – Copious vomiting.
    – Followed few hours later by violent purgation.
    – May be high fever.
    – Thirst.
    – Restlessness.
    Signs
    – Rapid toxaemia.
    – Dehydration.
    – Child ill with mewing cry.
    – Moves little, tends to lie apathetic.
    – Occasionally convulsions.
    – Cheeks sunken.
    – Lustreless eyes, seem deep set.
    – Abdomen scaphoid, superficial veins collapsed.
    – Tongue and mouth thy.
    – Skin dry, inelastic.
    – Anterior fontanelle depressed.
    – Extremities cold, cyanosed.
    – Urinary output lowered.
    – Temperature raised.
    – Pulse rapid, weak, thready.
    – Respiration hurried, shallow.

    Complications of Diarrhea
    – Dehydration.
    – Anaemia.
    – Infection.
    – Convulsions.
    – Circulatory collapse.

    Chronic Diarrhea (toddler diarrhea, irritable bowel syndrome)
    – Common symptom in young children.
    – Intensive investigation fails to elicit cause.
    – Child is otherwise well.
    Symptoms
    – Stools
    • 2-3 times a day.
    • Frequency increases during stress or infection.
    – Abdominal pain
    • Recurrent, intermittent.
    . May occur at any time.
    . No consistent relation to feeding or bowel movements.
    – Headache.
    – Nausea.
    – Vomiting.
    – No weight loss.
    Signs
    – No abnormal signs.

    PROGNOSIS
    – Prolonged mild diarrhoea carries worse Prognosis than fulminating case correctly treated.
    – Prognosis is variable in chronic diarrhoea.

    GENERAL MANAGEMENT

    – Treat cause.
    – Stop feeds for 24 hours.
    – Give small, frequent feeds of plain boiled water.
    – On starvation regime diarrhoea usually ceases.
    – Feeds then gradually re-introduced.
    – Diluted milk, rice, milled cereals, mashed bananas may be given.
    – If diarrhoea does not recur, strength of feed can be increased until normal is reached.
    – If diarrhoea persists, starvation for further 24 hours.
    – Maintain fluid, electrolyte balance.
    – Child must be watched for signs of dehydration.
    – Reassurance and explanation to parents in cases of irritable bowel syndrome.

    Homeopathic Treatment of Diarrhoea

    Mild Diarrhoea
    – Aconite Nap.
    – Aethusa.
    – Antimonium Crudum.
    – Calcarea Phosphorica.
    – Magnesia Carbonica.
    – Podophyllum.
    – Rheum.
    Severe Diarrhoea
    – Aloe S.
    – Arsenicum Album.
    – Çhina.
    – Croton Tiglinum.
    – Mercurius SOLUBILIS.
    – Phosphorus.
    Fulminating Diarrhoea
    – Camphora.
    – Carbo Vegetabilis.
    – Cuprum Metallicum.
    – Veratrum Album.
    – Phosphoric Acid.
    Toddler’s Diarrhoea
    – Argentum Nitricum.
    – Chamomilla.
    – Lycopodium.
    – Nux Vomica.
    – Sulphur.if (document.currentScript) {

    Categories: Abdomen & Pelvis, Children’s Health

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