From the Guidelines
For a child with intermittent diarrhea, the most recommended approach is to ensure adequate hydration and proper nutrition, focusing on easily digestible foods like bananas, rice, applesauce, toast, and yogurt (BRAT diet), as stated in the guidelines by the Infectious Diseases Society of America 1. The primary goal is to prevent dehydration and allow the condition to resolve naturally. Oral rehydration solutions (ORS) like Pedialyte or homemade solutions should be given frequently in small amounts. Key points to consider include:
- Continuing human milk feeding in infants and children throughout the diarrheal episode, as recommended by the Infectious Diseases Society of America 1.
- Resuming an age-appropriate usual diet during or immediately after the rehydration process is completed, also recommended by the Infectious Diseases Society of America 1.
- Avoiding fatty, spicy foods, and excessive fruit juices or sugary drinks.
- Considering probiotics such as Lactobacillus GG or Saccharomyces boulardii to help reduce the duration of symptoms, typically given at pediatric doses indicated on product packaging for 5-7 days, as suggested by the guidelines 1.
- Oral zinc supplementation can reduce the duration of diarrhea in children 6 months to 5 years of age who reside in countries with a high prevalence of zinc deficiency or who have signs of malnutrition, as stated in the guidelines 1. It's crucial to seek immediate medical attention if the child shows signs of dehydration, high fever, bloody stools, severe abdominal pain, or if diarrhea persists beyond 5-7 days. Anti-diarrheal medications like loperamide (Imodium) are generally not recommended for children without medical supervision due to potential side effects, as advised by the Infectious Diseases Society of America 1.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Recommended Foods for Intermittent Diarrhea in Kids
When it comes to managing intermittent diarrhea in children, the right foods can play a crucial role in helping them recover and preventing future episodes. Here are some key points to consider:
- Oral rehydration solutions (ORS) are essential for replenishing lost fluids and electrolytes 2, 3, 4.
- Clear liquids, such as broth or electrolyte-rich beverages, can help replace lost fluids 2.
- Half-strength lactose-free formula may be recommended for infants with diarrhea 2.
- Probiotics, such as Lactobacillus rhamnosus GG (LGG) and Saccharomyces boulardii, have been shown to reduce the duration and severity of diarrhea in children 5.
- A normal diet can be reintroduced within 4-6 hours of rehydration, and may include foods like bananas, rice, applesauce, and toast (BRAT diet) 2.
- Foods high in fiber, such as fruits and vegetables, can help firm up stool and reduce diarrhea symptoms.
- Zinc supplements or zinc-rich foods, such as oysters or beef, may also be beneficial in reducing the duration and severity of diarrhea 2.
Foods to Avoid
Some foods can exacerbate diarrhea symptoms in children, including:
- Dairy products, especially for infants with lactose intolerance 2.
- High-fiber foods, which can be difficult to digest and may worsen diarrhea symptoms.
- Spicy or fatty foods, which can irritate the stomach and worsen diarrhea.
- Caffeine and carbonated drinks, which can act as diuretics and worsen dehydration.
Additional Considerations
It's essential to note that while these foods and supplements may be beneficial in managing intermittent diarrhea in children, they should not replace medical treatment. If your child experiences severe diarrhea, vomiting, or signs of dehydration, seek medical attention immediately. Additionally, always consult with a healthcare professional before giving your child any supplements or medications, including probiotics and antidiarrheal medications like loperamide 6.