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Chronic diarrhea

J A Vanderhoof1

  • 1Joint Section of Pediatric Gastroenterology and Nutrition, University of Nebraska Medical Center, Omaha, USA.

Pediatrics in Review
|December 16, 1998
PubMed
Summary
This summary is machine-generated.

Chronic diarrhea diagnosis differs by age. Infants may have formula intolerance, while toddlers often improve with dietary changes. Older children and adolescents should be evaluated for inflammatory bowel disease.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Internal Medicine

Background:

  • Chronic diarrhea diagnosis varies significantly with patient age.
  • Early identification and management are crucial to prevent complications like intractable diarrhea of infancy.

Purpose of the Study:

  • To outline the age-specific differential diagnosis of chronic diarrhea.
  • To provide guidance on appropriate initial management strategies based on age.

Main Methods:

  • Literature review of pediatric and adolescent chronic diarrhea.
  • Analysis of age-related etiological factors and diagnostic approaches.

Main Results:

  • Infants: Primarily formula intolerance; extensively hydrolyzed formula recommended. Toddlers: Irritable colon or viral enteritis; high-fat, low-carbohydrate diet beneficial. Children/Adolescents: Inflammatory bowel disease is a likely cause.

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Conclusions:

  • Chronic diarrhea in infants and toddlers often responds to specific dietary interventions.
  • In children and adolescents, chronic diarrhea typically indicates significant organic disease, necessitating further investigation.