PEDIATRIC DIARRHEA

Pediatric Diarrhea Acute (< 2 weeks) Dietary High sugar load Lactose intolerance Infectious Viral (Gastroenteritis) Bacterial (e.g., E. coli, Salmonella, Yersinia, Campylobacter, Shigella) Parasitic (e.g., Giardia, E. histolytica) Drugs Antibiotics Laxatives Chronic (> 2 weeks) Non-Bloody Red Flags Present Celiac Disease Inflammatory Bowel Disease (e.g., Crohn’s Disease) Pancreatic insufficiency Secretory neoplasm No Red Flags Celiac Disease Constipation with overflow diarrhea Lactose intolerance Bacterial overgrowth Carbohydrate malabsorption Drugs / Toxins Hyperthyroid Irritable bowel syndrome Red Flags for Non-Bloody Chronic Diarrhea Night-time awakening Systemic symptoms: Fever Weight loss / FTT Rash Joint swelling Bloody (Red Flag) Inflammatory Bowel Disease (e.g., Crohn’s Disease, Ulcerative Colitis) C. difficile Drugs (e.g., antibiotics, laxatives)