Most kids battle diarrhea — frequent, runny bowel movements (poop) — from time to time. The good news is that it usually doesn't last long and is more annoying than dangerous. Still, it's important to know how to relieve and even prevent diarrhea.
Diarrhea is usually brought on by gastrointestinal (GI) infections caused by germs (viruses, bacteria, or parasites).
Viral gastroenteritis (often called the "stomach flu") is a common cause of diarrhea and, often, nausea and vomiting. It can spread through a household, school, or childcare center quickly. The symptoms usually last just a few days, but kids (especially babies) who can't get enough fluids can become dehydrated.
Rotavirus infection, a frequent cause of diarrhea in kids, can bring on explosive, watery diarrhea. Outbreaks are more common in the winter and early spring months, especially in childcare centers. A very effective rotavirus vaccine is now recommended for infants.
Enteroviruses, particularly coxsackievirus, also can cause diarrhea in kids, especially during the summer months.
Sometimes, diarrhea can be due to a non-infectious disease or condition, especially if it lasts several weeks or longer. In those cases, it could be a sign of a food allergy, lactose intolerance, or diseases of the gastrointestinal tract, such as celiac disease and inflammatory bowel disease.
Symptoms usually start with crampy abdominal pain followed by diarrhea that usually lasts no more than a few days. Infections with many of the viruses, bacteria, and parasites that cause diarrhea also can bring on other symptoms, such as:
In cases of viral gastroenteritis, kids often develop fever and vomiting first, followed by diarrhea.
Call your doctor if your child has diarrhea and is younger than 6 months old or has:
Call the doctor immediately if your child seems to be dehydrated. Signs include:
Mild diarrhea usually isn't cause for concern if your child is acting normally and drinking and eating enough. It usually passes in a few days, and kids recover with home care, rest, and plenty of fluids.
Kids who aren't dehydrated or vomiting can continue eating and drinking as usual. In fact, continuing a regular diet may even shorten the diarrhea episode. You may want to serve smaller portions of food until the diarrhea ends.
Do not give your child an over-the-counter anti-diarrhea medicine unless your doctor gives the OK.
The goal when treating diarrhea is to replace the lost fluids and electrolytes (salts and minerals). For kids who aren't dehydrated, doctors recommend:
For kids who show signs of mild dehydration, doctors often recommend rehydration with an oral rehydration solution (ORS). These are available in most grocery stores and drugstores without a prescription and replace body fluids quickly. Your doctor will tell you what kind to give, how much, and for how long.
Kids should never be rehydrated with water alone because it doesn't contain the right mix of sodium, potassium, and other important minerals and nutrients.
In some cases, kids with severe diarrhea may need to get IV fluids at the hospital for a few hours to help combat dehydration.
It's almost impossible to prevent kids from ever getting diarrhea. But here are some ways to make it less likely: