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Expert Q&A
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| By David L. Fay, M.D. Family Physician Associate Director, Waukesha Family Practice Residency Program | ||
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Our 2 1/2-year-old was diagnosed with chronic nonspecific childhood diarrhea when she was only a year old. We were told that it could last until she was 3 or 4 years old. So far nothing has changed and we have significantly reduced the amount of juice she drinks. Anything else we can do to change the bowel movements so that they are less messy and smelly?
The most common reasons for chronic nonspecific childhood diarrhea are excessive carbonated fluid intake, nondigestible carbohydrate malabsorption from excessive fruit juice ingestion and low fat intake. Increasing the fat intake to 40% of calories and decreasing juice and carbonated beverages are helpful. Restricting fluids to 90 milliliters per kilogram per day, or 6.6 ounces per pound per day may also help. Otherwise, there are no well-documented treatments for the condition."