An interventive study on the 7th communes, Ho»ng Ho¸ district, Thanh Ho¸ province during4/1994 -12/1996 aimed to determine some factors that impacted on efficacy of the home treatment of acute diarrhea. The result showed that more than 50 health cadres did not instruct or incorrectly instructed the method of preparation as well as method of using some self- prepared solutions such as water of boiled rice, salt porridge and fried rice water..10% health cadres did not instruct about the use of traditional medicine or anti-diarrhea drugs. 37,5% health cadres did not instruct for mother about the more severve signs that need take children to health station leading to 8,33% patients with severe dehydration when coming to health station.
diarrhea ; Acute Disease

Acute diarrhea ; seconds

Pediatric acute diarrhea is most common disease in developing countries, according WHO. Treating for acute diarrhea in recent years had substantial improvements. Statistic data of children with acute diarrhea who admitted to the Pediatric Department of Military Hospital 108 between 1987 - 1993 was analysed. Use of antibiotics decreased from 63% in 1987 to 18.2% in 1993. Use of oral ORESOL (for patients with grade A of dehydration) increase from 79.3% in 1987 to 100% in 1993. Nutritional diet should be maintained for children during and after disease period
diarrhea ; Acute Disease ; therapeutics ; child

There was an acute diarrhea outbreak at Vu Thu and Tien Hai districts, Thai Binh province in 2000. The rates of cholera vibrio types were isolated on patients as followed: 16 cases of V.ogawa, 1 case of V.Inaba, 1 case of V.parahaemolyticus. The effective antibiotic consisted of ciprofloxacin, chloramphenicol, tetracycline, amoxycilline. The severe grade was 13,7%, mild grade was 86,3%. The rate of toilet with sanitary standard was low. Households using fresh water were low. Sea food was the cause of infection
diarrhea ; Acute Disease ; Disease Outbreaks

Acute Disease ; Child, Preschool ; Diarrhea ; complications ; Female ; Humans ; Infant ; Intestinal Pseudo-Obstruction ; diagnosis ; etiology ; Male

Vibrio fluvialis is one of the non-cholera, halophilic, gram-negative bacterium that causes gastroenteritis. There have been a few reports of V. fluvialis infections worldwide. In the present report, one case of gastroenteritis caused by V. fluvialis which occurred in chronic liver disease patient in Korea is presented. This was a rare case of gastroenteritis caused by V. fluvialis in 39-years old man who had no history of seafood ingestion. He was admitted because of severe watery diarrhea and abdominal pain, and developed acute renal failure. The patient was improved after fluid and antibiotic therapy for 2 weeks.
Abdominal Pain ; Acute Kidney Injury ; Adult ; Diarrhea ; Eating ; Gastroenteritis* ; Humans ; Korea ; Liver Diseases ; Seafood ; Vibrio*

Vibrio fluvialis is one of the non-cholera, halophilic, gram-negative bacterium that causes gastroenteritis. There have been a few reports of V. fluvialis infections worldwide. In the present report, one case of gastroenteritis caused by V. fluvialis which occurred in chronic liver disease patient in Korea is presented. This was a rare case of gastroenteritis caused by V. fluvialis in 39-years old man who had no history of seafood ingestion. He was admitted because of severe watery diarrhea and abdominal pain, and developed acute renal failure. The patient was improved after fluid and antibiotic therapy for 2 weeks.
Abdominal Pain ; Acute Kidney Injury ; Adult ; Diarrhea ; Eating ; Gastroenteritis* ; Humans ; Korea ; Liver Diseases ; Seafood ; Vibrio*

OBJECTIVETo observe the effect of warming moxibustion on Shenque acupoint (RN8) for the treatment of acute diarrhea in children with infantile cerebral palsy (ICP).

METHODSClinical observation was performed on 60 ICP children suffering from acute diarrhea, who were randomly assigned to two groups equally. The Mox group was treated with warming moxibustion on Shenque acupoint (RN8) and the control group treated with Smecta. The efficacy was evaluated by markedly effective rate and total effective rate after a 6-day treatment, diarrhea arresting time as well as stool examination normalization rate and rotavirus negative reversion rate after a 3-day treatment.

RESULTSThe total effective rate in the two groups was insignificantly different (P>0.05), but the markedly effective rate was significantly higher in the Mox group than in the control group (P<0.01); a significant difference was also seen between groups in terms of diarrhea arresting time, stool examination normalization rate and rotavirus negative reversion rate (all P<0.05).

CONCLUSIONWarming moxibustion on Shenque acupoint is an effective treatment for acute diarrhea in ICP children, with advantages of simple manipulation and rapid effect initiation.

Acupuncture Points ; Acute Disease ; Cerebral Palsy ; complications ; Diarrhea, Infantile ; therapy ; Female ; Humans ; Infant ; Male ; Moxibustion ; methods

Following the acute diarrhea in patients (n = 24) overnight with commonly used laxatives for bowel preparation, the changes in electrolytes and acid-base balance in blood and urine were investigated. Though no alterations of serum sodium or potassium concentrations were noted, mild but significant reduction of mean values (+/- SEM) of plasma pH and HCO3 after diarrhea when compared to those before it developed (pH, from 7.42 +/- 0.01 to 7.39 +/- 0.01, p<0.01; HCO3, from 25.8 +/- 0.6 to 23.7 +/- 0.6 mEq/L, p<0.05). However, significant reduction of concentration in spot urine sodium from 150 +/- 12.3 to 93 +/- 14 mEq/g of crea. (p<0.01) and increase in spot urine potassium from 33 +/- 3.2 to 51 +/- 6.0 mEq/g of crea. (p<0.05) following diarrhea were seen with significant reduction of urine pH from 6.67 +/- 0.21 to 5.5 +/- 0.13 (p<0.001). Also, with this effective urinary acidification following diarrhea, a significant reduction of urinary anion gap as well as significant increment of spot urine ammonium was accompanied (anion gap, from 80.4 +/- 11.1 to 44 +/- 8.5 mEq/g of crea. p<0.001; ammonium, from 87 +/- 18.5 to 229 +/- 37 mg/g of crea. p<0.001) in addition to the significant inverse correlation between these changes in spot urine from basal levels in 24 study subjects (y = -1.13 x +61, r = 0.7, p<0.001). In conclusion, we observed that the acute diarrhea with laxatives used for bowel preparation caused a mild degree of metabolic acidosis with no changes in blood electrolytes.
Acid-Base Equilibrium/*drug effects ; Acute Disease ; Cathartics/pharmacology ; Diarrhea/*metabolism ; Electrolytes/*metabolism ; Human ; Hydrogen-Ion Concentration

PURPOSE: Stool exams are a useful tool for the early presumptive diagnosis of infectious bacterial diarrhea in the Emergency Department (ED). CT scans are often used to increase the physician's level of certainty and to facilitate patient triage by identifying the source of pain in most patients with an acute abdomen in the ED. This study was designed to investigate the correlation between stool exams and abdominal CT in patients with acute diarrhea visiting the ED. METHODS: We conducted a retrospective study in the emergency department of a national university hospital from January 1, 2012 to June 30, 2013. The subjects consisted of 156 patients with acute diarrhea and abdominal pain who had stool exam results and abdominal CT findings. We divided the patients into three groups according to the stool exam results. Simultaneously, we evaluated their CT findings of the bowel and adjacent structures. RESULTS: A total of 156 patients were enrolled. Frequency of abnormal CT findings showed statistically significant correlation with stool exams (p-value <0.001). Abnormal CT findings increased as WBCs and RBCs in stool increased (p-value <0.001). CONCLUSION: The stool exam was a statistically significant predictive variable in indirectly determining the severity of acute diarrhea and it showed correlation with the frequency of abnormal CT findings. It is suggested that stool exams can be used as a susceptible marker for predicting the probability of severe infectious colitis, and for making an early decision regarding close medical attention.
Abdomen, Acute ; Abdominal Pain ; Colitis ; Diagnosis ; Diarrhea* ; Emergency Service, Hospital* ; Humans ; Retrospective Studies ; Tomography, X-Ray Computed ; Triage