Authors :
Dr. Venugopal Reddy. I; Dr. Bhaskar Shenoy; Dr. Obul Reddy
Volume/Issue :
Volume 8 - 2023, Issue 5 - May
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://t.ly/J0PK
DOI :
https://doi.org/10.5281/zenodo.7982411
Abstract :
Diarrhea is a common manifestation of
gastrointestinal disease, and its definition has
traditionally been based on the frequency, volume, and
consistency of stools. However, a consensus statement
issued by the American Gastroenterological Association
suggests that chronic diarrhea should be defined as a
decrease in fecal consistency lasting for two or more
weeks. Diarrhoea is one of the most common causes of
morbidity and mortality in children worldwide, and the
World Health Organization (WHO) defines a case as the
passage of three or more loose or watery stools per day.
A total of 50 children were included in the study, and the
patient selection was based on age, presenting symptoms
suggestive of chronic diarrhoea. This two-year study of
chronic diarrhoea in children in Karnataka and
neighboring states found that cow milk protein
intolerance was the most common entity encountered,
followed by celiac disease and post infectious diarrhoea.
The male preponderance encountered in this series
is a reflection of the referral pattern in general, resulting
from socio-cultural factors. The incidence of celiac
disease is the 2nd most common cause of CD in this
study (10%), likely due to referral to our institution by
various peripheral hospitals when they could not
diagnose after routine investigations. This study found
that children of 1 year of age are the most at risk for
chronic diarrhoea, with a male to female ratio of 3:2.
Cow milk protein intolerance (CMPI) was the most
common aetiological factor (62.0%), followed by celiac
disease (CMI) and tuberculosis (TB). The referral
pattern, prevalence of the disease, skills of the physician
and availability of appropriate diagnostic facilities all
influence the aetiological spectrum and outcome of
chronic diarrhea.
The high incidence of celiac diseases may be due to
referral to our institution by various peripheral hospitals
when they could not diagnose after routine
investigations. Regional hospitals and laboratory
diagnostics should be well equipped to diagnose these
cases. Mortality of CD (2%) was a case of glucose
galactose intolerance which has poor outcome.
Diarrhea is a common manifestation of
gastrointestinal disease, and its definition has
traditionally been based on the frequency, volume, and
consistency of stools. However, a consensus statement
issued by the American Gastroenterological Association
suggests that chronic diarrhea should be defined as a
decrease in fecal consistency lasting for two or more
weeks. Diarrhoea is one of the most common causes of
morbidity and mortality in children worldwide, and the
World Health Organization (WHO) defines a case as the
passage of three or more loose or watery stools per day.
A total of 50 children were included in the study, and the
patient selection was based on age, presenting symptoms
suggestive of chronic diarrhoea. This two-year study of
chronic diarrhoea in children in Karnataka and
neighboring states found that cow milk protein
intolerance was the most common entity encountered,
followed by celiac disease and post infectious diarrhoea.
The male preponderance encountered in this series
is a reflection of the referral pattern in general, resulting
from socio-cultural factors. The incidence of celiac
disease is the 2nd most common cause of CD in this
study (10%), likely due to referral to our institution by
various peripheral hospitals when they could not
diagnose after routine investigations. This study found
that children of 1 year of age are the most at risk for
chronic diarrhoea, with a male to female ratio of 3:2.
Cow milk protein intolerance (CMPI) was the most
common aetiological factor (62.0%), followed by celiac
disease (CMI) and tuberculosis (TB). The referral
pattern, prevalence of the disease, skills of the physician
and availability of appropriate diagnostic facilities all
influence the aetiological spectrum and outcome of
chronic diarrhea.
The high incidence of celiac diseases may be due to
referral to our institution by various peripheral hospitals
when they could not diagnose after routine
investigations. Regional hospitals and laboratory
diagnostics should be well equipped to diagnose these
cases. Mortality of CD (2%) was a case of glucose
galactose intolerance which has poor outcome.
