How To Deal With Baby 6 Months Of Diarrhea?

Illustration of How To Deal With Baby 6 Months Of Diarrhea?
Illustration: How To Deal With Baby 6 Months Of Diarrhea?

Morning,. My 6-month-old child was given the rotavirus vaccine Saturday March 21. At night he had diarrhea until then. Eating and drinking are still okay as usual. Is it dangerous? How to treat it?

1 Answer:

Hello, Novita.

Thank you for consulting

The rotavirus vaccine belongs to a live attenuated vaccine; where the toxin that causes the disease has been eliminated, but on the other hand can still trigger an immune reaction so the child is expected to become immune to subsequent infections.

About 2.41% of diarrhea cases were found after vaccination, 1.52% vomiting while 1.7-4.3% fever. Still not yet known with certainty the causes. On the one hand, some proteins from weakened virus particles can still cause changes in the microenvironment on the surface of the small intestine, causing diarrhea or vomiting in infants or toddlers with sensitive intestines. On the other hand, the immune system that is activated after the rotavirus vaccine can overreact, causing inflammatory reactions and changes in the micro intestinal environment, causing diarrhea or vomiting.

Other things that may be a risk factor are inadequate breastfeeding, weakening of the immune system (for example, rare rare-combined immunodeficiency disease), premature birth, low birth weight or due to malnutrition. The presence of subclinical intestinal bacterial infections may play a role. In addition, the presence of intrusion cases is an important complication.

While the condition of fever is a relatively natural thing, because it actually shows that the immune system 'responds' to the vaccine. Fever can be overcome by administering paracetamol syrup in doses that are adjusted to the age and weight of the child, as stated in the package.

About the danger lies in the side effects that occur due to diarrhea. Diarrhea is defined as a change in the frequency of bowel movements (3 or more times a day) stool consistency to be soft or watery (type 6 or 7 based on the Bristol Stool Scale). Important side effects of diarrhea are dehydration and electrolyte imbalance due to fluid and electrolyte loss associated with diarrhea. Infants and children are more sensitive than adults, due to differences in fluid composition.

Therefore, it is necessary to correct fluid and electrolyte, according to the amount of loss due to diarrhea. Fluid correction can be done by administering ORS mixed with drinking water. The dose of ORS is in accordance with the severity of diarrhea and the age and weight of the child. The instructions for use can be read on each sachet package ORS. In addition to ORS, pedialite can also be given, with the principle of administration which is also adjusted to the weight of diarrhea, weight and age of the child, as stated on the packaging.

In addition, breastfeeding and food can continue. Some studies indicate that the protective effect of breast milk is higher than the natural intestinal immunity mediated by surface-IgA (sIgA). Diarrhea should also subside on its own. If the condition of the child is classified as mild-moderate diarrhea and can be corrected by giving pedialit or ORS, then given the situation of the COVID-19 pandemic, it should stay at home.

However, children still need to be monitored, and if things do not improve, children are lazy to eat and drink, tend to be sleepy, dehydration gets worse or diarrhea continues to occur, immediately seek help to the nearest health facility. Don't forget to always wear a mask and bring alcohol-based antiseptics or hand sanitizers with at least 60% alcohol content if you have to leave the house.

Thus information from me, hopefully can be useful.


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