It also termed as chronic nonspecific diarrhoea (CNSD) .
Usually affect preschool children. That’s why it is called toddlers diarrhoea.
Onset – usually 1 to 3 year of age . But it can start from infancy untill age 5 years .
There is change in consistency and frequency of stool . It occurs when child remains awake during day time . The rate of purgation 4 -10 /day. Typically begins with large formed or
semi formed stool after awakening . As the day passes stool becomes more watery and less in volume .
Usually at this age children have a great affection for fruit juice and cold
beverage. Which worsen the condition. Immature gut cannot absorb fructose easily ( sugar in fruits ) . If too much of this are taken it can irritate the gut .
Generally parents have only complain about diarrhoea ( with visible food remnants) no failure to thrive , no loss of appetite , normal activities only mild abdominal discomforts .
Fat , Fluid , Fiber rich diet can help to improve diarrhoea.
Alawys try to rule out organic causes as far as possible.
Reference :-
PG text book of pediatrics
Nelson pediatric board review
