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Acute diarrhoea and dehydration
Acute diarrhoea and dehydration · ICD-10: A09
Symptoms
- • 3 or more loose or liquid stools per day
- • Some dehydration: restlessness/irritability, sunken eyes, drinks eagerly/thirsty
- • Severe dehydration: lethargy/unconsciousness, sunken eyes, unable to drink or drinks poorly, skin pinch goes back very slowly (≥2 s)
- • Bloody diarrhoea (dysentery) or lasting 14 days or longer (persistent)
Drugs and regimens
Bismuth subsalicylate⚠ Unverified
Diarrhoea/traveller’s diarrhoea — ≥12 y: 30 mL every 30 minutes
Ciprofloxacin⚠ Unverified
Infectious diarrhoea: 500 mg every 12 h, 5–7 days
Loperamide⚠ Unverified
Diarrhoea — ≥12 y
Loperamide⚠ Unverified
Diarrhoea — 9–11 y (60–95 lb)
Loperamide⚠ Unverified
Diarrhoea — 6–8 y (48–59 lb)
Oral rehydration salts (ORS)⚠ Unverified
Some dehydration (Plan B) — 75 mL/kg over 4 hours
Oral rehydration salts (ORS)⚠ Unverified
No dehydration (Plan A) — after each loose stool
Zinc (for diarrhoea)⚠ Unverified
Acute diarrhoea — daily zinc for 10–14 days