No abstract available.
Diarrhea, Infantile* ; Infant ; Soybean Proteins*

Child, Preschool ; Diarrhea, Infantile ; therapy ; Female ; Humans ; Infant ; Moxibustion

OBJECTIVETo compare therapeutic effects of acupuncture plus massage therapy and western medicine on infantile diarrhea.

METHODSA total of 120 cases of infantile diarrhea were randomly divided into a treatment group of 80 cases and a control group of 40 cases. The treatment group were treated by acupuncture and massage therapy, and the control group by smecta.

RESULTSThe cured rate of 55.0% in the treatment group was better than 35.0% in the control group (P < 0.05).

CONCLUSIONAcupuncture plus massage therapy has obvious therapeutic effect on infantile diarrhea.

Acupuncture Therapy ; Combined Modality Therapy ; Diarrhea, Infantile ; therapy ; Humans ; Massage

In 1962, Durand suggested the term primary lactose intolerance for the disorder withch resulted from a defect of the lactase activity in the intestinal mucosa. However primary lactose intolerance is rare and it is not commonly encountered in routine pediatric practice. Apart from such a primary lactose intolerance, diarrhea, meteorism, and abdominal discomfort after taking lacose containing food are more frequently encoumtered in case of gastroenteritis in which damage of the intestinal mucosa and coating of the mucosa by inflammatory secretions lead to decreased lactase it form the primary lactose intolerance. It is now considered that secondary lactose intolerance may play an important role in case of infantile diarrhea commonly encoutered in pediatric practice. The auther tried the lactase preparation Galantase?to evaluated it's clinical effect on infantile diarrhea of various kind (50 cases). Evaluation of the effect of Galantase was made on the bases of the following criteria. l Marked effective ; nature of stools and number per day returned to normal within 3 days after Galantase administration. l Effective ; nature of stools and number per day decreased within 3 days after Galantase administration. l Ineffective ; all stools remained unchainged and diarrheic. The results obtsined by this study are as followes l Marked effective ; 78 % l Effective ; 12 % l Slight effective ; 4% l Ineffective ; 6% There was no undesirable side effect observed in all 50 cases. Based upon the above effective rate, we concluded that the Galantase is a quite effective medicament for infantile diarrhea, especially for primary and secondary lactose intolerance.
Diarrhea ; Diarrhea, Infantile* ; Gastroenteritis ; Infant ; Intestinal Mucosa ; Lactase ; Lactose Intolerance ; Meteoroids ; Mucous Membrane

We studied 60 hospitalized sick infants with diarrhea to determine the efficacy of lactose free, soy-milk formula(Isomil) on the recovery of diarrhea. 60 sick infants were divided into two groups; Group 1 is consisted of 30 infants who were given Isomil, Group 2 is also consisted of 30 infants who were given 1/2 milk formula during the recovery stage, respectively. There was no difference between the two groups in admission weight, age, duration of diarrhea, number of stools per day, degree of dehydration and serum Na concentration. Initial management of the dirrhea was by means of intravenous fluid therapy and approprate period of fasting to allow intestinal rest. At 2nd day or 3rd day, the patient was given at random lactose free formula or 1/2 milk formula when we started to observe the frequency and consistency of stool. In Group 1, 23 successes and 7 failures. In Group 2, 13 successes and 17 failures. This represented a significant success rate in group I (p<0.025). The data suggest that during the recovery phase of gastroenteritis in young infants, a lactose free, soy-protein formula(Isomil) has definite adventages than 1/2 milk formula.
Dehydration ; Diarrhea ; Diarrhea, Infantile* ; Fasting ; Fluid Therapy ; Gastroenteritis ; Humans ; Infant ; Lactose* ; Milk

To determine the types of metabolic a cidosis using anion gap in acute infantile diarrhea and to correlate it with clinical outcome, we examined 103 infants admitted with acute diarrhea. The serum electrolytes (sodium, potassium, chloride, phosphorus), creatinine, CO2 content and anion gap were measued on first admission day. They were classified group A with normal anion gap (8~16mEq/L) and group B with increased anion gap (>16mEq/L). The results were as follows. 1) The number of group A with normal anion gap (11.6+/-3.3mEq/L) was 62 and the number of group B with incresed anion gap(21.1+/-5.5mEq/L) was 38. 2) The duration of diarrhea was significantly prolonged in group B (9.0+/-2.5 days), compared with group A (5.9+/-1.1 days)(p<0.001). 3) The duration of admission was significantly prolonged in group B(5.6+/-2.2 days), compared with group A (4.+/-01.4days)(p<0.001). 4) Infants in group B, compared with group A, were significantly more severe dehydrated (p.
Acid-Base Equilibrium ; Acidosis* ; Creatinine ; Diarrhea ; Diarrhea, Infantile* ; Electrolytes ; Humans ; Infant ; Potassium

The present paper describes two Korean male infants, 1. 16 year old and newly born neonate from two families who were diagnosed and managed for one of very rare inborn errors of metabolism, congenital chloridorrhea (Darrow-Gamble syndrome). The diagnosis was suggested by one of the authors (HRM) from the unusual combination of metabolic alkalosis with severe gastrointestinal disorder presenting with chronic, profuse watery diarrhea in the newborn period in the first patient; and the maternal polyhydramnios, the appearance of dilated fetal bowel loops on prenatal ultrasonography and profuse watery diarrhea beginning at birth without passage of meconium in the second patient. The diagnosis was confirmed in both patients by examination of the stool chloride concentration which revealed extremely high exceeding the sum of sodium and potassium concentrations. Serum electrolytes and arterial blood gas analyses revealed hyponatremia, hypokalemia and hypochloremia with elevated bicarbonate. With replacement of fluid and electrolyte deficit and adequate dietary supplements of potassium and chloride, both patients remained well although the character of the stools waxed and waned. This is the first reported case of congenital chloridorrhea in korean population.
Adolescent ; Chlorides/*metabolism ; Diagnosis, Differential ; Diarrhea/*congenital/diagnosis/ethnology ; Diarrhea, Infantile/*diagnosis/ethnology/metabolism ; Humans ; Infant, Newborn ; Korea ; Male

The present paper describes two Korean male infants, 1. 16 year old and newly born neonate from two families who were diagnosed and managed for one of very rare inborn errors of metabolism, congenital chloridorrhea (Darrow-Gamble syndrome). The diagnosis was suggested by one of the authors (HRM) from the unusual combination of metabolic alkalosis with severe gastrointestinal disorder presenting with chronic, profuse watery diarrhea in the newborn period in the first patient; and the maternal polyhydramnios, the appearance of dilated fetal bowel loops on prenatal ultrasonography and profuse watery diarrhea beginning at birth without passage of meconium in the second patient. The diagnosis was confirmed in both patients by examination of the stool chloride concentration which revealed extremely high exceeding the sum of sodium and potassium concentrations. Serum electrolytes and arterial blood gas analyses revealed hyponatremia, hypokalemia and hypochloremia with elevated bicarbonate. With replacement of fluid and electrolyte deficit and adequate dietary supplements of potassium and chloride, both patients remained well although the character of the stools waxed and waned. This is the first reported case of congenital chloridorrhea in korean population.
Adolescent ; Chlorides/*metabolism ; Diagnosis, Differential ; Diarrhea/*congenital/diagnosis/ethnology ; Diarrhea, Infantile/*diagnosis/ethnology/metabolism ; Humans ; Infant, Newborn ; Korea ; Male

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

Acupuncture Therapy ; Child, Preschool ; Diarrhea, Infantile ; therapy ; Female ; Humans ; Infant ; Male