Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Dec;15(4):229-36.
doi: 10.5223/pghn.2012.15.4.229. Epub 2012 Dec 31.

How to do in persistent diarrhea of children?: concepts and treatments of chronic diarrhea

Kun Song Lee  1 , Dong Soo Kang, Jeesuk Yu, Young Pyo Chang, Woo Sung Park
Affiliations
Review

How to do in persistent diarrhea of children?: concepts and treatments of chronic diarrhea

Kun Song Lee et al. Pediatr Gastroenterol Hepatol Nutr. 2012 Dec.

Abstract

Chronic diarrhea is defined as passing watery stools that lasts for more than 2 weeks. Persistent diarrhea belongs to chronic diarrhea and is a chronic episode of diarrhea of infectious etiology. The etiology of chronic diarrhea is varied. It is important to consider the child's age and clinical manifestations with alarm signals for an application of proper treatments to children with chronic diarrhea. Vicious cycle is present in chronic diarrhea and nutritional rehabilitation can break the vicious cycle of chronic diarrhea and is one of the main one thing among treatments. We should know the exact concept of chronic diarrhea and provide appropriate treatments according to etiologies of chronic diarrhea.

Keywords: Child; Chronic diarrhea; Nutrition.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Etiologies of persistent diarrhea according to its pathophysiology. SCID: severe combined immunodeficiency. Adapted from Walker's pediatric gastrointestinal disease: physiology, diagnosis, management. 5th ed. Hamilton: BC Decker Inc., 2008:265-339 [10].
Fig. 2
Fig. 2
Diagnostic algorithm in onset of neonatal severe diarrhea. CGD: chronic granulomatous disease, CHO: carbohydrate, IPEX: immunodysregulation, polyendocrinopathy, enteropathy, and X-linked syndrome. Adapted from Walker's pediatric gastrointestinal disease: physiology, diagnosis, management. 5th ed. Hamilton: BC Decker Inc., 2008:265-339 [10].
Fig. 3
Fig. 3
The vicious cycle in chronic diarrhea.
Fig. 4
Fig. 4
The algorithm for managements of chronic diarrhea. ORS: oral rehydration solution.
Fig. 5
Fig. 5
The algorithm for managements of chronic diarrhea.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Kliegman RM, Stanton BF, St. Geme JW, 3rd, Schor NF, Behrman RE. Nelson textbook of pediatics. 19th ed. Philadelphia: Saunders Elsevier; 2011. pp. 1339–1346.
    1. Wardlaw T, Salama P, Brocklehurst C, Chopra M, Mason E. Diarrhoea: why children are still dying and what can be done. Lancet. 2010;375:870–872. - PubMed
    1. Bhutta ZA, Ghishan F, Lindley K, Memon IA, Mittal S, Rhoads JM Commonwealth Association of Paediatric Gastroenterology and Nutrition. Persistent and chronic diarrhea and malabsorption: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2004;39(Suppl 2):S711–S716. - PubMed
    1. Weaver LT. Bowel habit from birth to old age. J Pediatr Gastroenterol Nutr. 1988;7:637–640. - PubMed
    1. Mathai J, Raju B, Bavdekar A Pediatric Gastroenterology Chapter, Indian Academy of Pediatrics. Chronic and persistent diarrhea in infants and young children: status statement. Indian Pediatr. 2011;48:37–42. - PubMed