What Is Diarrhea?

Diarrhea (loose, watery bowel movements) is a common problem in young children. It rarely means a child has a serious illness. Diarrhea can be caused by at What Is Diarrhea?:

• A virus or bacteria (a stomach bug).
• Something that your child eats or drinks, like too much fruit juice.
• Starting a new medicine.

The biggest risk of diarrhea is dehydration. This means that your child has lost too much fluid and doesn’t have enough electrolytes (salts) in their body for it to work the right way. Your child may need extra liquids given in smaller amounts more often until they’re well at What Is Diarrhea?.

Mild Diarrhea (2 to 5 Watery Bowel Movements a Day)

Mild diarrhea usually goes away in a couple of days.

• Keep your child on their regular diet.
• Offer more breast milk or formula in smaller amounts and more often at What Is Diarrhea?.
• Do notgive fruit juices or liquids that are high in sugar. These include Hawaiian Punch^®, Hi-C^®, Kool-Aid^®, sodas, or syrups. These can make diarrhea worse.
• Do not give teas or broths.
• If your child eats solid foods, give them more starchy foods like rice, cereal, and crackers at What Is Diarrhea?.

Moderate to Severe Diarrhea (6 or More Watery Bowel Movements a Day)

With moderate to severe diarrhea, your child may need to drink an oral rehydration solution (ORS) like Pedialyte^® to help prevent dehydration. An ORS replaces the electrolytes and fluids that your child needs.

• You can buy ORS in liquid or powder form or as popsicles at most pharmacies without a prescription. ORS store brands are just as good as a brand name at What Is Diarrhea?.
• Do not water down (dilute) or mix an ORS with formula.
• Offer your child other things to drink. ORS should not be the only fluid given for more than 6 hours.
• If your child eats solid foods, give them more starchy foods like rice, cereal, and crackers. Do not give them red-colored foods that might look like blood in diarrhea at What Is Diarrhea?
• Try to go back to a normal diet after one day. Do not use sports drinks and home remedies instead of ORS.

Children Younger Than 1 Year of Age

• ORS (oral rehydration solution)
• Breast milk or formula mixed the normal way (if tolerated). Do not stop breastfeeding.
• No water except when used to make formula at What Is Diarrhea?
• Do notgive fruit juices or liquids that are high in sugar, such as Hawaiian Punch®, Hi-C®, Kool-Aid®, sodas or syrups. Do not give teas or broths. These liquids can make your child feel worse.

Children Older Than 1 Year of Age

Same as above, and:

• Water
• Milk, if tolerated
• Ice popsicles made from ORS
• Flavored gelatin cubes at What Is Diarrhea?
• Starchy foods like breads, pasta, mashed potatoes, pretzels
• Yogurt

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Amount of Liquid to Give to Prevent Dehydration

To find out how much fluid your child needs each hour, see the table on page 3. For their age, provide the above-mentioned drinks. To determine when they have achieved their objective, measure the amount provided. Begin slowly. Frequently provide tiny sips of drink. Raise the sum until the objective is achieved at Diarrhoea: What Is It?

* Minimum fluid goals per hour may increase if diarrhea, vomiting or fever are present at What Is Diarrhea?

Signs of Dehydration

Watch for signs of dehydration while treating your child’s diarrhea.

• Does not pee (urinate) enough
  • Newborn (0 to 4 months of age) has less than 6 wet diapers in a day
  • Child (4 months or older) has less than 3 wet diapers in a day or pees less than 3 times in a day.
  • Urine is very dark at What Is Diarrhea?
• No tears when crying
• Dry or sticky mouth
• Hard or fast breathing
• Sunken-looking eyes at What Is Diarrhea?
• Soft spot on baby’s head is flat, sunken, or pulls in
• Constant abdominal pain (bellyache)
• Hard to wake up (lethargic), acts confused or does not know what they are doing

Preventing the Spread of Infection

If a virus caused your child’s diarrhea, do the following to prevent the spread to others at What Is Diarrhea?

• Make sure your child washes hands with soap and water after using the toilet and before eating.
• Wash your hands with soap and water or an alcohol-based hand sanitizer after touching your child and their eating utensils, dirty laundry or diapers at What Is Diarrhea?
• Keep things your child uses, like toys and dirty clothes, away from others. Wash them in hot soapy water.
• Clean the toilet and hard surfaces often with disinfectant or an antimicrobial wipe. Let dry 15 seconds.

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When to Call the Doctor

Call your child’s doctor or health care provider if you think they are getting worse, do not get any better in 48 hours, will not breastfeed or eat, or has:

• Severe stomach pain (more than occasional cramps)
• Bloody diarrhea (more than a streak of blood) at What Is Diarrhea?
• Diarrhea that is more frequent or more severe
• Signs of dehydration (See above)
• A high fever. Use a digital thermometer and wash thoroughly after each use.
  • For children younger than 3 months of age – 100.4° Fahrenheit (F) or 38° Celsius (C) or above
  • For children over 3 months of age – 104°F (40°C) or above, above 102°F (38.9°C) fore more than 2 days or keeps coming back, or treated to bring their fever down, but it hasn’t worked at What Is Diarrhea?
• Any age – has a fever and:
  • Looks very ill, is fussy, or is drowsy
  • Has a stiff neck, a bad headache, or very sore throat
  • Has an unusual rash at What Is Diarrhea?
  • Has immune system problems that make them more likely to get sick, such as sickle cell disease or cancer, or takes medicines that weakens the immune system