Annotation
Toddler diarrhoea: more a nutritional disorder than a disease
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Introduction |
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For the practising paediatrician toddler diarrhoea or chronic
non-specific diarrhoea is a frequently encountered disorder. Every
paediatrician knows the tableau vivant of extremely worried parents
around a sparkling, healthy looking child who appears to be unaware of
all the commotion. After a thorough clinical history and a simple
physical examination, the diagnosis is often obvious. Both defecation
frequency and stool consistency are very different from other children.
The stools are foul smelling, watery, and contain mucus with undigested
vegetable material. The parents are likely to report a short mouth to
anus transit time. Usually, the children have no failure to thrive and
they present in a good nutritional state. Abdominal pain may be present
in a minority. In the developed, Western countries, toddler diarrhoea
is by far the most frequent cause of chronic diarrhoea in children
between 1 and 5 years of age. Since the first description in 1966, research on this common
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