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Treatment of diarrhea: - Where There Is No Doctor - A village health care handbook - Page 202
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Where There Is No Doctor 2011 155
Treatment of diarrhea:
For most cases of diarrhea no medicine is needed. If the diarrhea is severe,
the biggest danger is dehydration. If the diarrhea lasts a long time, the biggest
danger is malnutrition. So the most important part of treatment has to do with
giving enough liquids and enough food. No matter what the cause of diarrhea,
always take care with the following:
1. PREVENT OR CONTROL DEHYDRATION. A person with diarrhea must drink
a lot of liquids. If diarrhea is severe or there are signs of dehydration, give him
Rehydration Drink (p. 152). Even if he does not want to drink, gently insist that he do
so. Have him take several swallows every few minutes.
2. MEET NUTRITIONAL NEEDS. A person with diarrhea needs food as soon
as he will eat. This is especially important in small children or persons who are
already poorly nourished. Also, when a person has diarrhea, food passes through
the gut very quickly and is not all used. So give the person food many times a
day—especially if he only takes a little at a time.
♦ A baby with diarrhea should go on breastfeeding.
♦ An underweight child should get plenty of energy foods and some
body-building foods (proteins) all the time he has diarrhea—and extra when
he gets well. If he stops eating because he feels too sick or is vomiting, he
should eat again as soon as he can. Giving Rehydration Drink will help the
child be able to eat. Although giving food may cause more frequent stools at
first, it can save his life.
♦ If a child who is underweight has diarrhea that lasts for many days or keeps
coming back, give him more food more often—at least 5 or 6 meals each day.
Often no other treatment is needed.
♦ If possible, give zinc supplements to a baby or child with diarrhea (see p. 393).
FOODS FOR A PERSON WITH DIARRHEA
When the person is vomiting or
feels too sick to eat, he should
drink:
watery mush or broth of rice,
maize powder, or potato
rice water (with some mashed rice)
chicken, meat, egg, or bean broth
REHYDRATION DRINK
Breast milk
yogurt or fermented milk drinks
As soon as the person is able to eat, in addition to giving the
drinks listed at the left, he should eat a balanced selection of the
following foods or similar ones:
energy foods
ripe or cooked bananas
crackers
rice, oatmeal, or other
well‑cooked grain
fresh maize (well cooked
and mashed)
potatoes
applesauce (cooked)
papaya
(It helps to add a little sugar or
vegetable oil to the cereal foods.)
body-building foods
chicken (boiled or roasted)
eggs (boiled)
meat (well cooked, without
much fat or grease)
beans, lentils, or peas
(well cooked and mashed)
fish (well cooked)
milk (sometimes this
causes problems,
see the next page)
fatty or greasy foods
most raw fruits
DO NOT EAT OR DRINK
any kind of laxative or purge
highly seasoned food
alcoholic drinks
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