SlideShare a Scribd company logo
Pediatrics
Chronic diarrhoe in children

Aymen fathi zemmal
10110068
Contents:
 SOEPEL
 Difinition, types, causes,
investivations, management and
treatment of diarrhea.
SOEPEL
Present history: Azam almitairi 5 year old has projectile
of vomiting of eaten food in large amounts, diarrhea
and abdominal pain.
Diarrhea

Abdominal pain

S
O

sudden

sudden

C

diffuse

R

Not radiated

A

Dizzines and severe dehydration

T

Since 4 years

Aggreviated after cold water
drinking

E
S

Since 4 years with diarhea

severe

severe






Birth history: normal vaginal delivery neonatal period: is
preterm 6 months associated with hydroamonia.
Vaccination
Feeding history: both artificial and maternal feeding now
having normal family diet.
Development history: delayed in walking and speaking.
Past history:
birth history

Normal vaginal delivery, preterm 7 months mother got
……water pregnancy………………

Vaccination history

got all vaccinations according to saudi vaccination programme

Nutritional history Mix of artificial and maternal breast feeding, now having family diet.
Developmental
history

Delayed walking and speaking.

Past history
• Medical

Eczema and sodium and pottasium deficiency.

• surgical

no

• Medications

Sodium chloride solution ,IV to prevent dehydration

• allergies

no

• Tropical travel

no

Family history

The biggest brother16 years old have same condion, rest of brothers are
having well health, mother and father are relatives.
SOEPEL



General examination and abdominal examination.
All patients with chronic diarrhea should go for
sigmoidoscopy and rectal biopsy.
SOEPEL


Evaluation(DD):celiac disease, crohn’s disease.

Plan: blood tests.
 Stool test for pathogens such C.difficile toxin.
Rigid sigmoidscopy with normal and abnormal biobsy.
Colonscopy to see malignancy or colitis.

SOEPEL
SOEPEL
Elaboration: always treat causes and handle food.
IV to prevent dehydration.
Antibiotics for infective diarrhea.
In congenital patient should try as possible as can to keep
diet balance.
Diarrhea
Increased stool water and this increases stool
frequency and the passage of liquid stool.
 Diarrhea types:
 osmotic diarrhea. Ex: glucose-galactose malabsortion.
 Secretory diarrhea. Ex: after ileac resection.
 Inflammatory diarrhea(mucosal destruction).
ex: infective causes and ulcerative colitis and Crohn’s disease.
 Abnormal motility.
ex: diabetic patients and hyperthyroid overactivity.





enodrine
congenital







SOEPEL
Diarrhea difinition.
Diarrhea causes.
Investigations.
Pharmacological and non-pharmacological treatment.
Diarrhea treatment.

More Related Content

What's hot

Celiac disease in children 2021
Celiac disease in children 2021Celiac disease in children 2021
Celiac disease in children 2021
Imran Iqbal
 
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
drmksped
 
Gerd in infants
Gerd in infantsGerd in infants
Gerd in infants
joannayeh
 
Cow milk protein allergy
Cow milk protein allergyCow milk protein allergy
Cow milk protein allergy
Drhunny88
 
Gastroesophageal reflux disease in children.Indian Society of Pediatric Gast...
Gastroesophageal reflux disease  in children.Indian Society of Pediatric Gast...Gastroesophageal reflux disease  in children.Indian Society of Pediatric Gast...
Gastroesophageal reflux disease in children.Indian Society of Pediatric Gast...
Vijitha A S
 
Diarrhoea in children
Diarrhoea in childrenDiarrhoea in children
Diarrhoea in children
Virendra Hindustani
 
Approach to anemia in children
Approach to anemia in childrenApproach to anemia in children
Approach to anemia in children
vinay nandimalla
 
SHORT STATURE
SHORT STATURESHORT STATURE
SHORT STATURE
meducationdotnet
 
GERD IN CHILDREN
GERD IN CHILDRENGERD IN CHILDREN
GERD IN CHILDREN
Virendra Hindustani
 
Inflammatory Bowel Disease In Pediatrics
Inflammatory Bowel Disease In PediatricsInflammatory Bowel Disease In Pediatrics
Inflammatory Bowel Disease In Pediatrics
د.محمود علاونة أبو رواد
 
Chronic diarrhea in children 2021
Chronic diarrhea in children 2021Chronic diarrhea in children 2021
Chronic diarrhea in children 2021
Imran Iqbal
 
Child with Lower GI Bleeding - Case Presentation
Child with Lower GI Bleeding - Case PresentationChild with Lower GI Bleeding - Case Presentation
Child with Lower GI Bleeding - Case Presentation
Fatima Farid
 
Approach to a child with short stature AG
Approach to a child with short stature AGApproach to a child with short stature AG
Approach to a child with short stature AG
Akshay Golwalkar
 
Gastroesophageal reflux disease pediatrics
Gastroesophageal reflux disease pediatricsGastroesophageal reflux disease pediatrics
Gastroesophageal reflux disease pediatrics
AnirudhN6
 
persistent diarrhea & Chronic diarrhea
persistent diarrhea & Chronic diarrheapersistent diarrhea & Chronic diarrhea
persistent diarrhea & Chronic diarrhea
Fahad Shareef
 
Hematuria In Children
Hematuria In ChildrenHematuria In Children
Hematuria In Children
Dang Thanh Tuan
 
Neonatal Cholestasis
Neonatal CholestasisNeonatal Cholestasis
Neonatal Cholestasis
Dr. Maimuna Sayeed
 
Chronic hepatits in children
Chronic hepatits in childrenChronic hepatits in children
Chronic hepatits in children
Virendra Hindustani
 
Approach to chronic diarrhea
Approach to chronic diarrheaApproach to chronic diarrhea
Approach to chronic diarrhea
Chetan Ganteppanavar
 
Cow’s milk protein allergy in infants and children
Cow’s milk protein allergy in infants and childrenCow’s milk protein allergy in infants and children
Cow’s milk protein allergy in infants and children
Azad Haleem
 

What's hot (20)

Celiac disease in children 2021
Celiac disease in children 2021Celiac disease in children 2021
Celiac disease in children 2021
 
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
Persistent diarrhoea and chronic diarrhoea in children.7thsem 2017
 
Gerd in infants
Gerd in infantsGerd in infants
Gerd in infants
 
Cow milk protein allergy
Cow milk protein allergyCow milk protein allergy
Cow milk protein allergy
 
Gastroesophageal reflux disease in children.Indian Society of Pediatric Gast...
Gastroesophageal reflux disease  in children.Indian Society of Pediatric Gast...Gastroesophageal reflux disease  in children.Indian Society of Pediatric Gast...
Gastroesophageal reflux disease in children.Indian Society of Pediatric Gast...
 
Diarrhoea in children
Diarrhoea in childrenDiarrhoea in children
Diarrhoea in children
 
Approach to anemia in children
Approach to anemia in childrenApproach to anemia in children
Approach to anemia in children
 
SHORT STATURE
SHORT STATURESHORT STATURE
SHORT STATURE
 
GERD IN CHILDREN
GERD IN CHILDRENGERD IN CHILDREN
GERD IN CHILDREN
 
Inflammatory Bowel Disease In Pediatrics
Inflammatory Bowel Disease In PediatricsInflammatory Bowel Disease In Pediatrics
Inflammatory Bowel Disease In Pediatrics
 
Chronic diarrhea in children 2021
Chronic diarrhea in children 2021Chronic diarrhea in children 2021
Chronic diarrhea in children 2021
 
Child with Lower GI Bleeding - Case Presentation
Child with Lower GI Bleeding - Case PresentationChild with Lower GI Bleeding - Case Presentation
Child with Lower GI Bleeding - Case Presentation
 
Approach to a child with short stature AG
Approach to a child with short stature AGApproach to a child with short stature AG
Approach to a child with short stature AG
 
Gastroesophageal reflux disease pediatrics
Gastroesophageal reflux disease pediatricsGastroesophageal reflux disease pediatrics
Gastroesophageal reflux disease pediatrics
 
persistent diarrhea & Chronic diarrhea
persistent diarrhea & Chronic diarrheapersistent diarrhea & Chronic diarrhea
persistent diarrhea & Chronic diarrhea
 
Hematuria In Children
Hematuria In ChildrenHematuria In Children
Hematuria In Children
 
Neonatal Cholestasis
Neonatal CholestasisNeonatal Cholestasis
Neonatal Cholestasis
 
Chronic hepatits in children
Chronic hepatits in childrenChronic hepatits in children
Chronic hepatits in children
 
Approach to chronic diarrhea
Approach to chronic diarrheaApproach to chronic diarrhea
Approach to chronic diarrhea
 
Cow’s milk protein allergy in infants and children
Cow’s milk protein allergy in infants and childrenCow’s milk protein allergy in infants and children
Cow’s milk protein allergy in infants and children
 

Viewers also liked

Approach to chronic diarrhea - Dr. Vishnu Biradar
Approach to chronic diarrhea - Dr. Vishnu BiradarApproach to chronic diarrhea - Dr. Vishnu Biradar
Approach to chronic diarrhea - Dr. Vishnu Biradar
amol1713
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
Abino David
 
Diarrhea in children
Diarrhea  in childrenDiarrhea  in children
Diarrhea in children
Azad Haleem
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
Varun Karri
 
approach to a patient with Chronic diarrhoea
approach to a patient with Chronic diarrhoeaapproach to a patient with Chronic diarrhoea
approach to a patient with Chronic diarrhoea
Rawalpindi Medical College
 
An approach to a patient with chronic diarrhea
An approach to a patient with chronic diarrhea An approach to a patient with chronic diarrhea
An approach to a patient with chronic diarrhea
Rawalpindi Medical College
 
Acute diarrhea in children
Acute diarrhea in childrenAcute diarrhea in children
Acute diarrhea in children
Priya Dharshini
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
Varun Karri
 
Diarrhea
DiarrheaDiarrhea
Diarrhea
Cindy Escoba
 
Diarrhea
DiarrheaDiarrhea
Diarrhea
Tati Chaves
 
Chronic diarrhea
Chronic diarrheaChronic diarrhea
Chronic diarrhea
Ahmad AL-dhlawiy
 
Diarrhoea and dehydration in children
Diarrhoea and dehydration in childrenDiarrhoea and dehydration in children
Diarrhoea and dehydration in children
Soma Sekhar Reddy
 
Approach to chronic diarrhoea
Approach to chronic diarrhoea Approach to chronic diarrhoea
Approach to chronic diarrhoea
Abhinav Srivastava
 
Diarrhea ppt
Diarrhea pptDiarrhea ppt
Diarrhea ppt
Kapil Dhingra
 
Dairrea cronica
Dairrea cronicaDairrea cronica
Dairrea cronica
Pediatriasur
 
persisitent diarrhea in children
persisitent diarrhea in childrenpersisitent diarrhea in children
persisitent diarrhea in children
soundar rajan
 
Dehydration
DehydrationDehydration
Dehydration
ahm732
 
Acute diarrhoeal disease (add)
Acute diarrhoeal disease (add)Acute diarrhoeal disease (add)
Acute diarrhoeal disease (add)
Afiqi Fikri
 
Approch to chronic diarrhea
Approch to chronic diarrheaApproch to chronic diarrhea
Approch to chronic diarrhea
HAMAD DHUHAYR
 
Chloride losing diarrhoea prakash
Chloride losing diarrhoea prakashChloride losing diarrhoea prakash
Chloride losing diarrhoea prakash
CMCH,Vellore
 

Viewers also liked (20)

Approach to chronic diarrhea - Dr. Vishnu Biradar
Approach to chronic diarrhea - Dr. Vishnu BiradarApproach to chronic diarrhea - Dr. Vishnu Biradar
Approach to chronic diarrhea - Dr. Vishnu Biradar
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
 
Diarrhea in children
Diarrhea  in childrenDiarrhea  in children
Diarrhea in children
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
 
approach to a patient with Chronic diarrhoea
approach to a patient with Chronic diarrhoeaapproach to a patient with Chronic diarrhoea
approach to a patient with Chronic diarrhoea
 
An approach to a patient with chronic diarrhea
An approach to a patient with chronic diarrhea An approach to a patient with chronic diarrhea
An approach to a patient with chronic diarrhea
 
Acute diarrhea in children
Acute diarrhea in childrenAcute diarrhea in children
Acute diarrhea in children
 
Chronic diarrhoea
Chronic diarrhoeaChronic diarrhoea
Chronic diarrhoea
 
Diarrhea
DiarrheaDiarrhea
Diarrhea
 
Diarrhea
DiarrheaDiarrhea
Diarrhea
 
Chronic diarrhea
Chronic diarrheaChronic diarrhea
Chronic diarrhea
 
Diarrhoea and dehydration in children
Diarrhoea and dehydration in childrenDiarrhoea and dehydration in children
Diarrhoea and dehydration in children
 
Approach to chronic diarrhoea
Approach to chronic diarrhoea Approach to chronic diarrhoea
Approach to chronic diarrhoea
 
Diarrhea ppt
Diarrhea pptDiarrhea ppt
Diarrhea ppt
 
Dairrea cronica
Dairrea cronicaDairrea cronica
Dairrea cronica
 
persisitent diarrhea in children
persisitent diarrhea in childrenpersisitent diarrhea in children
persisitent diarrhea in children
 
Dehydration
DehydrationDehydration
Dehydration
 
Acute diarrhoeal disease (add)
Acute diarrhoeal disease (add)Acute diarrhoeal disease (add)
Acute diarrhoeal disease (add)
 
Approch to chronic diarrhea
Approch to chronic diarrheaApproch to chronic diarrhea
Approch to chronic diarrhea
 
Chloride losing diarrhoea prakash
Chloride losing diarrhoea prakashChloride losing diarrhoea prakash
Chloride losing diarrhoea prakash
 

Similar to Pediatrics chronic diarrhea

Pyloric Stenosis.pptx
Pyloric Stenosis.pptxPyloric Stenosis.pptx
Pyloric Stenosis.pptx
SushmitaBajagain
 
Pyloric stenosis.pdf
Pyloric stenosis.pdfPyloric stenosis.pdf
Pyloric stenosis.pdf
SushmitaBajagain
 
Kidney and Urinary Tract Infections in Children
Kidney and Urinary Tract Infections in Children Kidney and Urinary Tract Infections in Children
Kidney and Urinary Tract Infections in Children
Fatima Farid
 
Overview of Childhood Constipation
Overview of Childhood Constipation Overview of Childhood Constipation
Overview of Childhood Constipation
Fatima Farid
 
Gerd case presentation edited
Gerd case presentation editedGerd case presentation edited
Gerd case presentation edited
Victor Effiom
 
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing careOmphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
Stephanopoulos Osei
 
Pyloric stenosis
Pyloric stenosisPyloric stenosis
Pyloric stenosis
Nibi Baby
 
Approach to abdominal pain
Approach to abdominal painApproach to abdominal pain
Approach to abdominal pain
Zaheen Zehra
 
Dirrhoea
DirrhoeaDirrhoea
Dirrhoea
Masunga Dwasi
 
Write up undernutrition[1]
Write up undernutrition[1]Write up undernutrition[1]
Write up undernutrition[1]
MasaiDaniel1
 
-11-The child with alterations in gastrointestinal functions.ppt
-11-The child with alterations in gastrointestinal functions.ppt-11-The child with alterations in gastrointestinal functions.ppt
-11-The child with alterations in gastrointestinal functions.ppt
JamalYaseenJameelOde
 
14.Acute diarrhea.pdf
14.Acute diarrhea.pdf14.Acute diarrhea.pdf
14.Acute diarrhea.pdf
Medicine37
 
My safe motherhood_booklet_english
My safe motherhood_booklet_englishMy safe motherhood_booklet_english
My safe motherhood_booklet_english
CONSULTANT IN OBGYN, ODISHA ,INDIA
 
My safe motherhood_booklet_english
My safe motherhood_booklet_englishMy safe motherhood_booklet_english
My safe motherhood_booklet_english
dpmo123
 
3. SMALL FOR DATES.pptx
3. SMALL FOR DATES.pptx3. SMALL FOR DATES.pptx
3. SMALL FOR DATES.pptx
ChristopherChewe4
 
gastroenteritis ..pptx
gastroenteritis ..pptxgastroenteritis ..pptx
gastroenteritis ..pptx
athirasureshkumar1
 
Unit 4 presentation on diarrhea by Anjali yadav.pptx
Unit 4 presentation on diarrhea by Anjali yadav.pptxUnit 4 presentation on diarrhea by Anjali yadav.pptx
Unit 4 presentation on diarrhea by Anjali yadav.pptx
anchalyadav895389
 
Chronic diarrhea
Chronic diarrheaChronic diarrhea
Chronic diarrhea
DiNa Maklad
 
Cow's milk allergy
Cow's milk allergyCow's milk allergy
Cow's milk allergy
Mariam Alosfoor
 
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
deerecover715
 

Similar to Pediatrics chronic diarrhea (20)

Pyloric Stenosis.pptx
Pyloric Stenosis.pptxPyloric Stenosis.pptx
Pyloric Stenosis.pptx
 
Pyloric stenosis.pdf
Pyloric stenosis.pdfPyloric stenosis.pdf
Pyloric stenosis.pdf
 
Kidney and Urinary Tract Infections in Children
Kidney and Urinary Tract Infections in Children Kidney and Urinary Tract Infections in Children
Kidney and Urinary Tract Infections in Children
 
Overview of Childhood Constipation
Overview of Childhood Constipation Overview of Childhood Constipation
Overview of Childhood Constipation
 
Gerd case presentation edited
Gerd case presentation editedGerd case presentation edited
Gerd case presentation edited
 
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing careOmphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
Omphalocele/Exomphalos, cleft palate & Oesophageal atresia and Nursing care
 
Pyloric stenosis
Pyloric stenosisPyloric stenosis
Pyloric stenosis
 
Approach to abdominal pain
Approach to abdominal painApproach to abdominal pain
Approach to abdominal pain
 
Dirrhoea
DirrhoeaDirrhoea
Dirrhoea
 
Write up undernutrition[1]
Write up undernutrition[1]Write up undernutrition[1]
Write up undernutrition[1]
 
-11-The child with alterations in gastrointestinal functions.ppt
-11-The child with alterations in gastrointestinal functions.ppt-11-The child with alterations in gastrointestinal functions.ppt
-11-The child with alterations in gastrointestinal functions.ppt
 
14.Acute diarrhea.pdf
14.Acute diarrhea.pdf14.Acute diarrhea.pdf
14.Acute diarrhea.pdf
 
My safe motherhood_booklet_english
My safe motherhood_booklet_englishMy safe motherhood_booklet_english
My safe motherhood_booklet_english
 
My safe motherhood_booklet_english
My safe motherhood_booklet_englishMy safe motherhood_booklet_english
My safe motherhood_booklet_english
 
3. SMALL FOR DATES.pptx
3. SMALL FOR DATES.pptx3. SMALL FOR DATES.pptx
3. SMALL FOR DATES.pptx
 
gastroenteritis ..pptx
gastroenteritis ..pptxgastroenteritis ..pptx
gastroenteritis ..pptx
 
Unit 4 presentation on diarrhea by Anjali yadav.pptx
Unit 4 presentation on diarrhea by Anjali yadav.pptxUnit 4 presentation on diarrhea by Anjali yadav.pptx
Unit 4 presentation on diarrhea by Anjali yadav.pptx
 
Chronic diarrhea
Chronic diarrheaChronic diarrhea
Chronic diarrhea
 
Cow's milk allergy
Cow's milk allergyCow's milk allergy
Cow's milk allergy
 
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
Group 4 ppt IYCF_2.pdf for breastfeeding support and counselling For presenta...
 

More from HAMAD DHUHAYR

Kawasaki disease
Kawasaki disease Kawasaki disease
Kawasaki disease
HAMAD DHUHAYR
 
Approch to cough in children
Approch to cough in childrenApproch to cough in children
Approch to cough in children
HAMAD DHUHAYR
 
Typical antipsychotic
Typical antipsychoticTypical antipsychotic
Typical antipsychotic
HAMAD DHUHAYR
 
Personality disorder - cluster C
Personality disorder - cluster CPersonality disorder - cluster C
Personality disorder - cluster C
HAMAD DHUHAYR
 
Amniotic fluid disorder
Amniotic fluid disorderAmniotic fluid disorder
Amniotic fluid disorder
HAMAD DHUHAYR
 
liver abscess
liver abscess liver abscess
liver abscess
HAMAD DHUHAYR
 
nerve injury
nerve injurynerve injury
nerve injury
HAMAD DHUHAYR
 
Hirdschsprug disease
Hirdschsprug disease Hirdschsprug disease
Hirdschsprug disease
HAMAD DHUHAYR
 
Postoperative fever -hamad
Postoperative fever -hamadPostoperative fever -hamad
Postoperative fever -hamad
HAMAD DHUHAYR
 
Ulner nerve
Ulner nerveUlner nerve
Ulner nerve
HAMAD DHUHAYR
 
Retention of urine
Retention of urine Retention of urine
Retention of urine
HAMAD DHUHAYR
 
Parathyroid
Parathyroid Parathyroid
Parathyroid
HAMAD DHUHAYR
 
Esophagial carcinoma
Esophagial carcinoma Esophagial carcinoma
Esophagial carcinoma
HAMAD DHUHAYR
 
Atropine
Atropine Atropine
Atropine
HAMAD DHUHAYR
 
Lower back pain
Lower back painLower back pain
Lower back pain
HAMAD DHUHAYR
 
SCC
SCCSCC
Upper git bleeding
Upper git bleeding Upper git bleeding
Upper git bleeding
HAMAD DHUHAYR
 
Hsv,ebs,cmv and hzv
Hsv,ebs,cmv and hzvHsv,ebs,cmv and hzv
Hsv,ebs,cmv and hzv
HAMAD DHUHAYR
 
ABG
ABGABG
Thyrotoxicosis in pregnancy - hamad
Thyrotoxicosis in pregnancy - hamadThyrotoxicosis in pregnancy - hamad
Thyrotoxicosis in pregnancy - hamad
HAMAD DHUHAYR
 

More from HAMAD DHUHAYR (20)

Kawasaki disease
Kawasaki disease Kawasaki disease
Kawasaki disease
 
Approch to cough in children
Approch to cough in childrenApproch to cough in children
Approch to cough in children
 
Typical antipsychotic
Typical antipsychoticTypical antipsychotic
Typical antipsychotic
 
Personality disorder - cluster C
Personality disorder - cluster CPersonality disorder - cluster C
Personality disorder - cluster C
 
Amniotic fluid disorder
Amniotic fluid disorderAmniotic fluid disorder
Amniotic fluid disorder
 
liver abscess
liver abscess liver abscess
liver abscess
 
nerve injury
nerve injurynerve injury
nerve injury
 
Hirdschsprug disease
Hirdschsprug disease Hirdschsprug disease
Hirdschsprug disease
 
Postoperative fever -hamad
Postoperative fever -hamadPostoperative fever -hamad
Postoperative fever -hamad
 
Ulner nerve
Ulner nerveUlner nerve
Ulner nerve
 
Retention of urine
Retention of urine Retention of urine
Retention of urine
 
Parathyroid
Parathyroid Parathyroid
Parathyroid
 
Esophagial carcinoma
Esophagial carcinoma Esophagial carcinoma
Esophagial carcinoma
 
Atropine
Atropine Atropine
Atropine
 
Lower back pain
Lower back painLower back pain
Lower back pain
 
SCC
SCCSCC
SCC
 
Upper git bleeding
Upper git bleeding Upper git bleeding
Upper git bleeding
 
Hsv,ebs,cmv and hzv
Hsv,ebs,cmv and hzvHsv,ebs,cmv and hzv
Hsv,ebs,cmv and hzv
 
ABG
ABGABG
ABG
 
Thyrotoxicosis in pregnancy - hamad
Thyrotoxicosis in pregnancy - hamadThyrotoxicosis in pregnancy - hamad
Thyrotoxicosis in pregnancy - hamad
 

Recently uploaded

Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
FFragrant
 
Nosodes in Homeopathy, Understanding the Basis and Applications.pptx
Nosodes in Homeopathy, Understanding the Basis and Applications.pptxNosodes in Homeopathy, Understanding the Basis and Applications.pptx
Nosodes in Homeopathy, Understanding the Basis and Applications.pptx
jeearu
 
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptxHow to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
AmandaChou9
 
Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)
MuhammedMNasser
 
Top 10 Habits for Longevity [Biohacker Summit 2024]
Top 10 Habits for Longevity [Biohacker Summit 2024]Top 10 Habits for Longevity [Biohacker Summit 2024]
Top 10 Habits for Longevity [Biohacker Summit 2024]
Olli Sovijärvi
 
vaginal thrush presentation by Dr. Rewas Ali
vaginal thrush presentation by Dr. Rewas Alivaginal thrush presentation by Dr. Rewas Ali
vaginal thrush presentation by Dr. Rewas Ali
RewAs ALI
 
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptxGeriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
Dinesh Danny
 
lessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical educationlessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical education
DrJALAGAMTHIRUPATHIR
 
Minimal Residual Disease (MRD)
Minimal Residual Disease           (MRD)Minimal Residual Disease           (MRD)
Minimal Residual Disease (MRD)
Reenaz Shaik
 
General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...
PratibhaSonawane5
 
Recognizing and Managing Bacterial Vaginosis.pptx
Recognizing and Managing Bacterial Vaginosis.pptxRecognizing and Managing Bacterial Vaginosis.pptx
Recognizing and Managing Bacterial Vaginosis.pptx
FFragrant
 
Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.
Reenaz Shaik
 
Journal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptxJournal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptx
AdhyaDubey1
 
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptxPULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
neeti70
 
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptxselllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
Joebest8
 
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptxPOTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
souravpaul769171
 
Best All Range PCD Pharma Franchise in India
Best All Range PCD Pharma Franchise in IndiaBest All Range PCD Pharma Franchise in India
Best All Range PCD Pharma Franchise in India
See Ever Healthcare
 
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.GawadHemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
NephroTube - Dr.Gawad
 
PULMONARY DRUG DELIVERY SYSTEM......pptx
PULMONARY DRUG DELIVERY SYSTEM......pptxPULMONARY DRUG DELIVERY SYSTEM......pptx
PULMONARY DRUG DELIVERY SYSTEM......pptx
PRAMESHPANWAR1
 
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
Dr.Nishant Janu
 

Recently uploaded (20)

Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
 
Nosodes in Homeopathy, Understanding the Basis and Applications.pptx
Nosodes in Homeopathy, Understanding the Basis and Applications.pptxNosodes in Homeopathy, Understanding the Basis and Applications.pptx
Nosodes in Homeopathy, Understanding the Basis and Applications.pptx
 
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptxHow to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
 
Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)
 
Top 10 Habits for Longevity [Biohacker Summit 2024]
Top 10 Habits for Longevity [Biohacker Summit 2024]Top 10 Habits for Longevity [Biohacker Summit 2024]
Top 10 Habits for Longevity [Biohacker Summit 2024]
 
vaginal thrush presentation by Dr. Rewas Ali
vaginal thrush presentation by Dr. Rewas Alivaginal thrush presentation by Dr. Rewas Ali
vaginal thrush presentation by Dr. Rewas Ali
 
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptxGeriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
Geriatric radiography.pptx Geriatric radiography.pptxGeriatric radiography.pptx
 
lessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical educationlessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical education
 
Minimal Residual Disease (MRD)
Minimal Residual Disease           (MRD)Minimal Residual Disease           (MRD)
Minimal Residual Disease (MRD)
 
General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...
 
Recognizing and Managing Bacterial Vaginosis.pptx
Recognizing and Managing Bacterial Vaginosis.pptxRecognizing and Managing Bacterial Vaginosis.pptx
Recognizing and Managing Bacterial Vaginosis.pptx
 
Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.
 
Journal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptxJournal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptx
 
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptxPULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
PULMONARY EMBOLISM AND ITS MANAGEMENT.pptx
 
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptxselllllllllllllllllllllllllllllllllllllllllllllll.pptx
selllllllllllllllllllllllllllllllllllllllllllllll.pptx
 
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptxPOTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
POTENTIAL TARGET DISEASES FOR GENE THERAPY SOURAV.pptx
 
Best All Range PCD Pharma Franchise in India
Best All Range PCD Pharma Franchise in IndiaBest All Range PCD Pharma Franchise in India
Best All Range PCD Pharma Franchise in India
 
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.GawadHemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
Hemodialysis: Chapter 8, Complications During Hemodialysis, Part 3 - Dr.Gawad
 
PULMONARY DRUG DELIVERY SYSTEM......pptx
PULMONARY DRUG DELIVERY SYSTEM......pptxPULMONARY DRUG DELIVERY SYSTEM......pptx
PULMONARY DRUG DELIVERY SYSTEM......pptx
 
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
Gestational Trophoblastic Disease( GTD)- Molar pregnancy, Gestational Trophob...
 

Pediatrics chronic diarrhea

  • 1. Pediatrics Chronic diarrhoe in children Aymen fathi zemmal 10110068
  • 2. Contents:  SOEPEL  Difinition, types, causes, investivations, management and treatment of diarrhea.
  • 3. SOEPEL Present history: Azam almitairi 5 year old has projectile of vomiting of eaten food in large amounts, diarrhea and abdominal pain. Diarrhea Abdominal pain S O sudden sudden C diffuse R Not radiated A Dizzines and severe dehydration T Since 4 years Aggreviated after cold water drinking E S Since 4 years with diarhea severe severe
  • 4.      Birth history: normal vaginal delivery neonatal period: is preterm 6 months associated with hydroamonia. Vaccination Feeding history: both artificial and maternal feeding now having normal family diet. Development history: delayed in walking and speaking. Past history:
  • 5. birth history Normal vaginal delivery, preterm 7 months mother got ……water pregnancy……………… Vaccination history got all vaccinations according to saudi vaccination programme Nutritional history Mix of artificial and maternal breast feeding, now having family diet. Developmental history Delayed walking and speaking. Past history • Medical Eczema and sodium and pottasium deficiency. • surgical no • Medications Sodium chloride solution ,IV to prevent dehydration • allergies no • Tropical travel no Family history The biggest brother16 years old have same condion, rest of brothers are having well health, mother and father are relatives.
  • 6. SOEPEL   General examination and abdominal examination. All patients with chronic diarrhea should go for sigmoidoscopy and rectal biopsy.
  • 7. SOEPEL  Evaluation(DD):celiac disease, crohn’s disease. Plan: blood tests.  Stool test for pathogens such C.difficile toxin. Rigid sigmoidscopy with normal and abnormal biobsy. Colonscopy to see malignancy or colitis. 
  • 9. SOEPEL Elaboration: always treat causes and handle food. IV to prevent dehydration. Antibiotics for infective diarrhea. In congenital patient should try as possible as can to keep diet balance.
  • 10. Diarrhea Increased stool water and this increases stool frequency and the passage of liquid stool.  Diarrhea types:  osmotic diarrhea. Ex: glucose-galactose malabsortion.  Secretory diarrhea. Ex: after ileac resection.  Inflammatory diarrhea(mucosal destruction). ex: infective causes and ulcerative colitis and Crohn’s disease.  Abnormal motility. ex: diabetic patients and hyperthyroid overactivity. 