Abstract

The treatment of acute diarrhea with glucose- based solutions results in rehydration but does not reduce the severity of diarrhea. Oral rehydration solutions (ORS) based on rice cereal and carrots may reduce stool output and restore fluid volume more quickly.In a prospective, randomized study we evaluated the efficacy of a commercial carrot/rice- based ORS A (Na 52 mmol/L) and two glucose- based ORS B (Na 55 mmol/L) and C (Na 90 mmol/L). Fluid intake, fecal and urine output and absorption of fluid was measured in 161 infants and children (3-48 months of age) during the first 48 hours after admission. The number of stools (p < 0.01)and the mean fecal output (p < 0.05) per kg body weight were significantly lower in group A. Children in group A also had significantly (p < 0.01) greater fluid absorption (mean 464 ml/kg) than in groups C (312 ml/kg) and B (140 ml/kg).A carrot/rice- based ORS was effective in the rehydration of infants and children with dehydration due to diarrhea. The solution decreased stool output and promoted greater absorption of fluid than did the two glucose- based solutions.

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