Diarrhea in children - diet

Definition

Diarrhea in children and babies has many causes, including illness, infection, food sensitivity, consuming too much fruit or fruit juice, and antibiotics. Diarrhea may be caused or worsened by what the child eats or drinks. Some types of diarrhea may be relieved by changing the diet.

See also diarrhea.

Recommendations

In most cases, you should continue feeding your baby or child as usual. Bowel rest was once the treatment of choice, but now it is believed that continuing feeding will result in diarrhea that is easier to manage.

For babies, breastfeedings or formula should almost always be continued.

Many children develop mild and temporary lactose intolerance. Therefore, when young children have diarrhea, the safest course is to give clear liquids for 2 -3 days, then reintroduce formula or milk. If diarrhea occurs again, you may need to switch from regular milk or milk-based formula to a soy formula (such as Isomil, Prosobee, or Nursoy).

Babies who take solid foods may continue to do so, as tolerated. Suggested foods include bananas or apple sauce, white rice or rice cereal, noodles, potatoes, or toasted white bread. Small amounts of ground or finely chopped meats may also be offered if they have already been introduced into your child's diet.

The B.R.A.T. diet is a common treatment for diarrhea used with children who eat solid foods. The B.R.A.T. diet stands for:

• Bananas
  
• Rice (or other starchy food)
  
• Applesauce
  
• Toast
  

Similar foods may be offered to older children. Reduce or avoid fats and sweets until the diarrhea subsides.

In addition to these foods, give babies and children lots of clear fluids for the first 24 to 72 hours. Fluid is very important because it is easy for a child with diarrhea to become dehydrated. Dehydration is a serious condition in babies and young children. Fluids lost need to be replaced.

Babies should be given about 2 ounces per hour. In addition to breast milk, babies should be offered a rehydration solution (Pedialyte, Lytren, or similar product - DO NOT give water or diet sodas). These solutions are available at the supermarket or pharmacy and you do not need a prescription.

Other clear liquids include jello water or jellow (not the diet kind), slightly sweetened teas, and rice water. Offer small amounts every few minutes between bowel movements, up to eight ounces. Avoid sweetened beverages like soda pop, non-carbonated soft drinks, sports drinks, and fruit juices (particularly apple juice). If you give juices at all, dilute them half and half with water.