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Pearl · 04 of 05

Low-osmolarity ORS and zinc: still the backbone of diarrhoea care

Treat acute diarrhoea in children with low-osmolarity ORS, continued feeding and 10–14 days of zinc.

For a child with acute diarrhoea and no or some dehydration, low-osmolarity oral rehydration solution is the treatment, given in small frequent sips or by spoon if vomiting. Continue breastfeeding and normal feeding throughout.

WHO and Indian guidance add zinc for 10 to 14 days — 10 mg daily under six months, 20 mg daily from six months — which shortens the episode and reduces recurrence. Antibiotics are reserved for bloody diarrhoea, suspected cholera, or another indication.

  • Give low-osmolarity ORS in small, frequent amounts, even if the child is vomiting
  • Add zinc for 10–14 days: 10 mg a day under six months, 20 mg a day from six months
  • Continue breastfeeding and normal diet during the illness
  • Reserve antibiotics for bloody diarrhoea, suspected cholera or another clear indication

Why it matters

Simple steps still prevent most deaths from childhood diarrhoea, and they are often skipped.

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