Treatment of Diarrhea Without Dehydration in children

The Case of diarrhea disease in each classification or category requiring treatment, handling and management that are different. Diarrhea in children with classification or category without dehydration is a sign of diarrhea which has two or more signs and symptoms which include the following: there is a sense of want to drink, no thirst, General state of child well, good of awareness and not sunken eyes and abdominal skin pinch can return soon.

How to handle, management and treatment of diarrhea in the category of diarrhea without dehydration?

Treatment at home, should apply the principles of the 5 steps in the treatment of diarrhea, that is:

1. Giving more fluids than usual to children by way of:'
  • Giving the breast milk to children with more frequent and longer
  • In children who are exclusively breastfed, give ORS or boiled water as well as additional fluid
  • In children who are not exclusively breastfed, give the usual milk also taken by children as well as additional and also rehydration salts, for example starch water, vegetable soup, boiled water, etc.)
  • Giving ORS until diarrhea in children has stopped. If the children having trouble to drink ORS because of vomiting, wait 10 minutes, then continued to drink ORS little by little. If the child is less than 1 year old, give ORS 50-100 ml each time defecate. If the child's age or age more than 1 year, then give ORS 100-200 ml each time defecate.
  • Children must be taken 6 packs of oral rehydration salts (200 ml) at home with the provision if: [1] It has been treated with the therapy plan of treatment of moderate and severe dehydration of diarrhea. [2] Unable to return to the health provider if the diarrhea worsens.
2. Giving of Zinc drugs

Although diarrhea in children has stopped, giving Zinc 10 days consecutive should be given to children. The zinc drugs can be given to children in a way chewed or dissolved in 1 tablespoon water or breast milk. Terms of zinc treatment using the following guidelines:
  • For children aged less than 6 months, given at a dose of 10 mg zinc or half a tablet per day.
  • For children older than 6 months, given of zinc at a dose of 20 mg or 1 tablet per day.
3. Giving of food to prevent malnutrition

The third Principle of diarrhea treatment without dehydration is giving food to prevent malnutrition based on the following guidelines:
  • Giving food that suit to the child's age with the same menu when the child are healthy.
  • Giving additional 1-2 teaspoons of vegetable oil every portion of food
  • Giving intake of foods rich in potassium, such as bananas, fresh fruit juice, green coconut water and others that contain calcium.
  • Giving eat more frequently than usual with smaller portions (every 3-4 hours)
  • After diarrhea in children has been stopped, given the same food and other supplementary food for 2 weeks
4. Giving Antibiotics

The fourth principle in treatment of diarrhea without dehydration is the administration of ANTIBIOTICS drugs in accordance with indications and diagnosis of disease. An example: the diagnosis of diarrhea is diarrhea dysentery and cholera then given special antibiotics for diarrhea dysentery and cholera disease.

5. Provide and giving health education

It is addressed to the mother or caregiver of children, in order to bring their children to the doctor or the health service if there are conditions that worsen. The situation that worsen as follows: more frequent loose stools, repeated vomiting, very thirst, fever, bloody stools, eating and drinking very little, the condition gets worse and does not improve within 3 days.

Handling and management and also appropriate treatment of diarrhea and as early as possible in accordance with the guidelines for the management of diarrhea in accordance with the rate will be very helpful in the healing process of proper diarrhea, fast and can save the health of children.

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