Abstract: Physicodiarrhea is a particular type of diarrhoea common in early childhood, with characteristics different from those of other diseases. This paper elaborates on the concept of physico-diarrhea, clinical performance, the basis for diagnosis, points of identification for rational diarrhoea, the impact on the growth and development of infants and young children, and parental responses, with a view to raising parents ‘ awareness of physico-diarrhea and avoiding unnecessary anxiety and excessive medical intervention.
Key words: physico-diarrhea; infants and young children; diagnosis; coping strategies
Introduction
Diarrhoea is one of the more common symptoms in the growth of infants and young children. As a special case, physico-diarrhea is often confusing and worrying to parents. Knowledge of physico-diarrhea helps parents to properly distinguish between normal physiological phenomena and disease, so that appropriate care is taken to ensure the healthy development of infants and young children.
II. The concept of physico-diarrhea
The prevalence of physico-diarrhea is found in infants under six months of age, especially those who are exclusively breastfed. Its main manifestation is an increase in the number of defecations, which can be 4-6 times a day or even more, but not necessarily a very large amount per defecation. The defecation tends to be yellow or yellow or green, sometimes in the form of foam, with no apparent odor or only slight acid. Despite their high incidence, these infants are generally in good mental health, have normal appetite, have stable weight growth and have no other symptoms of discomfort, such as fever, vomiting and abdominal pain.
III. Clinical performance
1. Portability and frequency
Pee is usually in a rare state, with even texture, free of abnormal ingredients such as sept blood and slime. More often than the average infant, there may be defecation after breastfeeding, without affecting the normal life and play of the baby. For example, some infants defecate immediately after each breastfeeding, cumulatively up to 8 – 10 times a day, but with the exception of an increase in the number of defecations, the babies do not show signs of panic.
Infant status
Full of spirit, activity, normal breastfeeding or bottle feeding, and sufficient milk intake. The quality of sleep is also not affected, and after defecation it is still able to maintain a good emotional state, which is no different from a normal healthy baby.
3. Growth and development
Despite the incidence of diarrhoea, physico-diarrhea increases in infant body weight are in line with the normal growth curve and height is within normal range. This indicates that there is no significant disruption to the absorption and use of nutrition in their bodies and that diarrhoea does not pose a substantial impediment to the growth and development of infants.
IV. Basis for diagnosis
1. Medical history and feeding
Detailed information is provided on the birth history of the child, the manner in which the child is fed (and whether it is exclusively breastfed), the addition of supplementary food, etc. The incidence of physico-diarrhea occurs more often in infants who are exclusively breastfed and do not add complementary foods, and the diet of mothers may also have an impact on infant excreta, which can be exacerbated when mothers consume too much sugar and fat food.
2. Clinical signs observation
It focuses on the mental state of the baby, appetite, weight growth and other symptoms. As mentioned earlier, symptoms such as good spirits, good appetite, normal weight growth and no fever, vomiting and abdominal pain are important features of physiological diarrhoea.
Laboratory inspection (auxiliary diagnosis)
In general, physico-diarrhea does not require special laboratory examinations. If there is doubt or a need to identify with reasoned diarrhoea, however, a routine excreta test can be performed. Physico-diarrhea excreta is usually unred, white, puscular, etc.
V. ELEMENTS FOR THE DELIBERATION OF DISAPPEARANCES
1. Symptoms
Reasonable diarrhoea is often accompanied by fever, vomiting, abdominal pain, and abdominal distress, as well as by a demented mental state of the baby ‘ s mental condition, reduced appetite and slow or even stagnant body weight growth. The defecation is often unusual, such as containing sept blood, slime, water or egg soup. For example, diarrhea due to the infection of the rota virus is often accompanied by high heat, vomiting, defecation with a high volume of defecation, frequent and prone to dehydration, and bacterial dysentery is manifested in mucous sepsis, often with an acute (i.e. incontinence) and visible abdominal pain.
2. Results of the excreta test
Routine screening for rational diarrhoea reveals an increase in the number of red, white and pus cells, suggesting inflammation or infection in the intestinal tract. Pathogens, such as pathogenic bacteria, viruses or parasites, can also be detected through urinary training to further clarify the cause of the disease, and no such anomalies are detected in physico-diarrhea.
Impact on infant and young child development
Although physico-diarrhea is more frequent, it does not generally have a negative impact on the growth and development of infants and young children because it does not affect the absorption of nutrients. During infancy, breast milk is the most suitable food for an infant, and its nutrients are easily digested and absorbed. Even with an increase in the number of defecations, infants ‘ intestinal tracts are able to fully absorb nutrients such as proteins, fats, carbohydrates, vitamins and minerals in breast milk to ensure normal body growth and development. As long as the child is in good mental health and is growing weight, parents need not be overly concerned about the long-term effects of diarrhoea on the child ‘ s health.
VII. Parental responses
1. Right perception and psychological peace
Parents first need to recognize that physico-diarrhea is a normal physical phenomenon, and do not become overly anxious because of the high number of baby poops. (b) Maintaining a good mental attitude and avoiding the transmission of anxiety to infants and creating an easy and comfortable family environment for them.
Mother’s diet adjustment
If the baby is exclusively breastfed, the mother can adjust her diet appropriately. Reduced consumption of high sugar, high fat, spicy, irritating foods and foods that can cause allergies, such as milk, eggs, seafood, etc. It is equally important to observe whether there has been an improvement in the number and sexual condition of mothers ‘ diets, but there is no need for excessive restrictions on the mother ‘ s diet.
3. Ass care
Due to the high incidence of defecation in infants, which tends to lead to red and broken skins in the hips, it is necessary to do ass care. On each occasion, warm water is used to wash the buttocks, smoothly dry and rubbed with ass ointment, to keep the ass skin dry and clean and to prevent diaper rashes.
4. Observation and medical guidance
Parents closely observe changes in the mental state, appetite, weight gain and defecation. In the event of abnormal conditions such as infirmity, heat, vomiting, abated appetite, unweight or a significant change in defecation (e.g. sepsis, slime, etc.), the baby should be brought to hospital in time to exclude the possibility of rational diarrhoea.
Conclusions
Physiological diarrhoea is a particular form of diarrhoea common in early childhood and has unique clinical characteristics and diagnostic grounds. Parents and health-care workers should be aware of the physico-diarrhea in an accurate manner and be identified through detailed medical history inquiries, clinical observation and necessary laboratory examinations and rational diarrhoea. For infants with physico-diarrhea, parents need to do routine care and observation without excessive fear and unnecessary therapeutic intervention to ensure healthy and happy growth.
Pediarrhea, functional diarrhoea.
