1. Pediatrics
Chronic diarrhoe in children
Aymen fathi zemmal
10110068

2. Contents:
 SOEPEL
 Difinition, types, causes,
investivations, management and
treatment of diarrhea.

3. SOEPEL
Present history: Azam almitairi 5 year old has projectile
of vomiting of eaten food in large amounts, diarrhea
and abdominal pain.
Diarrhea
Abdominal pain
S
O
sudden
sudden
C
diffuse
R
Not radiated
A
Dizzines and severe dehydration
T
Since 4 years
Aggreviated after cold water
drinking
E
S
Since 4 years with diarhea
severe
severe

4. 
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


Birth history: normal vaginal delivery neonatal period: is
preterm 6 months associated with hydroamonia.
Vaccination
Feeding history: both artificial and maternal feeding now
having normal family diet.
Development history: delayed in walking and speaking.
Past history:

5. birth history
Normal vaginal delivery, preterm 7 months mother got
……water pregnancy………………
Vaccination history
got all vaccinations according to saudi vaccination programme
Nutritional history Mix of artificial and maternal breast feeding, now having family diet.
Developmental
history
Delayed walking and speaking.
Past history
• Medical
Eczema and sodium and pottasium deficiency.
• surgical
no
• Medications
Sodium chloride solution ,IV to prevent dehydration
• allergies
no
• Tropical travel
no
Family history
The biggest brother16 years old have same condion, rest of brothers are
having well health, mother and father are relatives.

6. SOEPEL


General examination and abdominal examination.
All patients with chronic diarrhea should go for
sigmoidoscopy and rectal biopsy.

7. SOEPEL

Evaluation(DD):celiac disease, crohn’s disease.
Plan: blood tests.
 Stool test for pathogens such C.difficile toxin.
Rigid sigmoidscopy with normal and abnormal biobsy.
Colonscopy to see malignancy or colitis.


8. SOEPEL

9. SOEPEL
Elaboration: always treat causes and handle food.
IV to prevent dehydration.
Antibiotics for infective diarrhea.
In congenital patient should try as possible as can to keep
diet balance.

10. Diarrhea
Increased stool water and this increases stool
frequency and the passage of liquid stool.
 Diarrhea types:
 osmotic diarrhea. Ex: glucose-galactose malabsortion.
 Secretory diarrhea. Ex: after ileac resection.
 Inflammatory diarrhea(mucosal destruction).
ex: infective causes and ulcerative colitis and Crohn’s disease.
 Abnormal motility.
ex: diabetic patients and hyperthyroid overactivity.


11. 

enodrine
congenital

12. 
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SOEPEL
Diarrhea difinition.
Diarrhea causes.
Investigations.
Pharmacological and non-pharmacological treatment.
Diarrhea treatment.