AIM: As there is no report of toddler's diarrhea (TD) from the developing world, we have analyzed our experience of 191 children (<5 years) with chronic diarrhea over 7 years. METHODS: Clinical details, investigations and outcome were retrieved and recorded in a proforma. TD was ascribed in those who had normal growth and no evidence of malabsorption or enteric infections. RESULTS: The etiology of chronic diarrhea was TD 16%, celiac disease (CD) 37%, cow's milk protein allergy (CMPA) 35% and others 12%. The mean age of 30 children with TD was 2.7 ± 1.2 years (22 boys). While comparing TD with CD and CMPA, weight z score (>-2.2) and hemoglobin (>10 or 10.9 g/dL for CD and CMPA, respectively) were independent variables to discriminate TD from CD and CMPA. CONCLUSIONS: TD is common in developing countries like India too. Anthropometry and hemoglobin can differentiate it from CD and CMPA.
AIM: As there is no report of toddler's diarrhea (TD) from the developing world, we have analyzed our experience of 191 children (<5 years) with chronic diarrhea over 7 years. METHODS: Clinical details, investigations and outcome were retrieved and recorded in a proforma. TD was ascribed in those who had normal growth and no evidence of malabsorption or enteric infections. RESULTS: The etiology of chronic diarrhea was TD 16%, celiac disease (CD) 37%, cow's milk protein allergy (CMPA) 35% and others 12%. The mean age of 30 children with TD was 2.7 ± 1.2 years (22 boys). While comparing TD with CD and CMPA, weight z score (>-2.2) and hemoglobin (>10 or 10.9 g/dL for CD and CMPA, respectively) were independent variables to discriminate TD from CD and CMPA. CONCLUSIONS: TD is common in developing countries like India too. Anthropometry and hemoglobin can differentiate it from CD and CMPA.
Entities:
Keywords:
butter; celiac disease; cow’s milk protein allergy; non-specific diarrhea