Γαστρεντεριτιδα

http://www.worldgastroenterology.org/UserFiles/file/guidelines/acute-diarrhea-english-2012.pdf

5.3 Diet

The practice of withholding food for > 4 hours is inappropriate. Food should be started 4 hours after starting ORT or intravenous fluid. The notes below apply to adults and children unless age is specified.

Give:

• An age-appropriate diet — regardless of the fluid used for ORT/maintenance

• Infants require more frequent breastfeedings or bottle feedings — special formulas or dilutions unnecessary

• Older children should be given appropriately more fluids

• Frequent, small meals throughout the day (six meals/day)

• Energy and micronutrient-rich foods (grains, meats, fruits, and vegetables)

• Increasing energy intake as tolerated following the diarrheal episode

Avoid:

• Canned fruit juices — these are hyperosmolar and can aggravate diarrhea.

Probiotics are specific defined live microorganisms, such as Lactobacillus GG (ATCC 53103), which have demonstrated health effects in humans. Controlled clinical intervention studies and meta-analyses support the use of specific probiotic strains and products in the treatment and prevention of rotavirus diarrhea in infants. However, all effects are strain-specific and need to be verified for each strain in human studies. Extrapolation from the results of even closely related strains is not possible, and significantly different effects have been reported.

Αυτές είναι οι οδηγίες του World Gastroenterology Organisation


με τη διευκρίνιση

Rice-based ORS is superior to standard ORS for adults and children with cholera, and can be used to treat such patients wherever its preparation is convenient. Rice-based ORS is not superior to standard ORS in the treatment of children with acute noncholera diarrhea, especially when food is given shortly after rehydration, as is recommended to prevent malnutrition.

To ρυζάλευρο δεν συστήνεται σε παιδιά που ΔΕΝ έχουν χολέρα, γιατί δίνεται προτεραιότητα στις τροφές.