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Query: UMLS:C0740441 (acute diarrhea)
 2,275 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Between May 1983-March 1984, the International Centre for Diarrhoeal Disease Research, Bangladesh conducted a metabolic balance study involving 47 children with acute cholera between 1-5 years old. Researchers randomly assigned 22 children to the intravenous (IV) solution treatment group. The children received it continuously until the diarrhea stopped. The remaining 25 were treated with oral rehydration solution (ORS) and IV fluid as needed. Health staff attempted to maintain hydration in the ORS/IV group with ORS alone, but IV therapy was reinstated if a child vomited excessively or the child exhibited signs of severe dehydration. Within 6-8 hours after admission and initial rehydration, the children took a nonabsorbable charcoal marker before taking in any food. The appearance of the 1st marker in the stool was called 0 hour and all stools, urine and vomitus between the 0-72 hours were collected. At 72 hours, the children ingested a 2nd marker. The ORS/IV group consumed 40% of the fluid orally. Vomiting within this group was significantly higher than the IV group (p.001). Intake of protein on day 2 and intake of both fat and protein on day 3 were significantly higher in the IV group (p.05, p.01). Daily intake and absorption of energy or carbohydrates in both of the groups, however, were similar. No significant differences in the total consumption of nutrients after recovery existed. Nitrogen absorption was significantly higher in the IV group than the ORS/IV group (p.05). This study demonstrates that an adequate amount of food is consumed and utilized by patients with acute diarrhea while receiving ORS and therefore there is no justification for withholding food during the acute stage of diarrhea.
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PMID:Does oral rehydration therapy alter food consumption and absorption of nutrients in children with cholera? 377 23

This study describes nitrogen balance in children during recovery from severe cholera (bacteriologically confirmed). The subjects were six male children aged 12 to 24 months and weighing 6.29 to 9.86 kg (on recovery). They initially presented with dehydration and base deficit acidosis due to acute watery diarrhea. Nitrogen balance promptly improved with milk feeding even before diarrhea was fully controlled and irrespective of the clinical severity of the disease. There was no increase in stool volume and systemic acid base status remained unaffected when milk feeding was introduced. There was little nitrogen loss in the stool and the apparent absorption of protein was substantial. The negative nitrogen balance that occurred was largely due to the lack of intake. Early feeding and liberal intake appears to produce a more favorable impact than the cautious introduction of food. The common practice of restricting food during recovery from acute diarrhea is inappropriate in cholera.
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PMID:Nitrogen balance during recovery from secretory diarrhea of cholera in children. 727 Apr 78