Showing posts with label Diarrhoea. Show all posts
Showing posts with label Diarrhoea. Show all posts

Sunday, October 6, 2013

What Good And Bad Drinks For Your Baby ?


Here's the truth on your child's drinks and beverage options. Learn which ones are healthiest and which ones to limit or avoid and why.

Note: The information in this slideshow is for children ages 1 and older. Babies under 6 months should drink only breastmilk or formula. Infants 6 to 12 months can also have small amounts of water. Experts recommend that you wait until your child turns 1 to introduce cow's milk.


Water
You can't go wrong with safe drinking water. It hydrates, helps regulate body temperature, and helps prevent constipation and urinary tract infections, all without adding calories or sugar to your baby’s diet.



Coconut water (elaneer / nariyal pani)
Coconut water is a very healthy option for your toddler. It is a rich source of vitamins and minerals and is ideal in preventing dehydration because it replenishes the natural salts lost by the body through sweat or other fluid loss. It is a great drink to give your child if she has diarrhoea.

Note: Coconut water is not suitable for children with kidney problems.



Flavoured or enhanced water
You can make flavoured water by adding a little fruit juice to plain filtered or boiled water. Or you can add freshly cut fruit to a glass of water for a delicate fruity taste or freeze fruits and use them instead of ice cubes. Just be careful that the fruit pieces are not small enough to be accidentally swallowed or they could be a choking hazard!



Limeade (nimbu pani)
Limeade (nimbu paani) is a good source of vitamin C, which helps the body absorb iron. It is also very refreshing in the heat, especially with a hint of mint (pudina). But limeade tends to be high on sugar, especially if it is bought in the market. Market bought varieties might also contain artificial flavours and colouring, which are not good for your child. Check the list of ingredients at the back to choose a variety made from real fruit.



Fruit juice
Juice is an acceptable way to get one serving of fruit each day, but whole fruit is a better choice. Juice lacks fibre and contains less of some nutrients than whole fruit. Plus, children tend to fill up on juice instead of healthier foods. 

You can make the juice at home or buy it in the market. If you buy it, make sure the package says ‘100 per cent juice’ otherwise there might be more colouring and artificial flavours than real juice. Limit your child’s juice intake to 3/4 cup per day. (Children age seven and older can have up to 1 cup a day.).



Milk drinks
After your baby turns one, she needs to have about 350ml of cow's milk each day. This will provide her with essential protein, calcium, magnesium and vitamins B12 and B2 (riboflavin). You can give her milk based drinks such as milkshakes, almond (badaam) milk, smoothies, lassi or chhaach. If she doesn't like milk, give two portions of calcium-rich foods instead.

It is not a good idea to give your child more than 350ml of milk a day. If you do, it may cut her appetite for solid foods that have other essential nutrients like iron and vitamins.



Cultured dairy beverages, yogurt drinks, probiotics and prebiotics
Most of these products have the same nutrients as milk, but some aren't fortified with vitamin D, so read the nutrition label if you are buying a packaged version. Some are made with live bacteria cultures which may aid digestion and protect the body from harmful gut bacteria. However, there may not be enough bacteria in one serving to make a difference to your child's health. Flavoured varieties contain added sugar. You also need to check the 'use by' date and storage instructions especially in hot humid weather.


Vegetable juice
Vegetable juices are a good way to feed veggies to a fussy eater. Tomato (tamatar) or carrot (gajar) juices are usually the favourites. You can try different combinations of vegetables. Some vegetables do not have much flavour on their own. Adding them into the juice with other tastier vegetables is a good way of getting your baby to have them.

If you buy vegetable juice, choose a variety with as little sodium as you can find. Some packaged juices contain more than half of a child's daily sodium allowance in one serving.


Soy milk (non-dairy made from soya beans)
Soy milk is an acceptable alternative to cow's milk (especially for those who are lactose intolerant), but it contains fewer nutrients. If your child drinks soy milk as a substitute for cow's milk, his doctor may recommend a vitamin supplement. He may also be put on a calcium supplement, especially if he does not have any other form of dairy products.

Some soy milk brands are fortified with calcium and vitamins A, D, and B12. Soy milk contains no saturated fat or cholesterol and may be enriched with omega-3 fats. Flavoured varieties tend to contain added sugar.


Rice milk (non-dairy made from rice grains)
Rice milk contains fewer nutrients and less protein than cow's milk. If it is given instead of cow’s milk, your paediatrician will advise you on other ways of getting the vital nutrients in your child’s diet.

Most families make rice milk at home because it is not easily available in the market. If you do buy it, check that the rice milk is fortified with calcium and vitamins A, D, and B12. Sweetened varieties of rice milk contain added sugar. Be sure to check the 'manufacture date' and 'use by' date.


Almond milk (non-dairy made from crushed almonds)
Almond milk contains fewer nutrients and less protein than cow's milk but almonds are rich in several vitamins. If almond milk is given instead of cow’s milk, your paediatrician will advise you on other ways of getting the vital nutrients in your child’s diet.

You can make almond milk at home by blending blanched almonds and water. If you find it in the market, check that it is fortified with calcium and vitamins A, D, and B12. Sweetened varieties of almond milk contain added sugar. Be sure to check the 'manufacture date' and 'use by' date.


Coconut milk beverages
Coconut milk beverage contains fewer nutrients and less protein than cow's milk, so it's not a good substitute. To make the most of this beverage, choose a brand that's fortified with calcium and vitamins A, D, and B12. Some varieties have a bit more saturated fat than low-fat cow's milk; others have less. And while health claims have been made recently for the fat in coconut oil, there's no real evidence that it's particularly good or bad for you. Sweetened varieties of coconut milk beverage contain added sugar. Be sure to check the 'manufacture date' and 'use by' date.


Fizzy drinks and sodas
Fizzy drinks have no nutritional value. Most brands contain artificial colouring or flavours. They also contain high amounts of sugar or artificial sweeteners. Some fizzy drinks also have caffeine. None of these ingredients are good for your child.


Sweetened drinks
Cordial, syrups or other concentrates that are dissolved in water, flavoured drinks that do not specify '100 percent juice' or juice powders contain ingredients that your child doesn't need (sugar, artificial sweeteners) or already gets enough of (vitamins). They may even contain additives that could be harmful (caffeine, artificial flavouring and food colours). Sports drinks often contain extra sodium, which young children don't need.


Tea
Regular tea (green or black) contains antioxidants, which are beneficial, but the tea may also contain caffeine, which your baby shouldn't have. If your child is very fond of tea, give no more than 1/4 of a cup per day and make sure it is very weak. Ginger tea (adrak ki chai) is often given to help soothe colds and sore throats. You can make it with holy basil (tulsi) leaves instead of black tea leaves.


Coffee and cold coffee
Coffee also contains caffeine and often, when coffee or cold coffee is made for children, it has a lot of sugar as well. Store-bought cold coffee or coffee based drinks available in coffee shops and ice cream parlours also often have a dollop of ice cream or chocolate syrup. This makes the drink very high on calories with very few nutrients.

Energy drinks
These products have no nutritional value. Most energy drinks contain large amounts of caffeine as well as sugar or artificial sweeteners. Some contain herbs and additives that may not be safe for children.

Tuesday, September 24, 2013

Diarrhoea


How can I tell if my baby has diarrhoea?

Many parents worry that their baby has loose motions because newborns tend to have a lot of bowel movements. Your baby's potty will depend very much on whether she's being breastfed or formula fed. The stools of breastfed newborn babies are usually yellowish, on the soft or liquid side and may occur up to five times daily. The stools of formula-fed babies, on the other hand, tend to occur once a day and are fairly firm. Check out our baby potty visual guide for more information. 

Sometimes a breastfed baby will do potty during or immediately after each breastfeeding session. Within a month, most breastfed babies are down to one or two potties a day. Occasional loose stools are normal for both breastfed as well as formula-fed babies. But your baby may have diarrhoea if:

  • she is passing stools more frequently than usual
  • her stools are smelly, watery, and mucus-streaked (one doctor says it looks like you've blown your nose in your child's nappy)
  • she has a fever or appears to be losing weight
In addition to this, your baby may be cranky and not eating well. See your doctor if you suspect your baby has diarrhoea. 

What causes diarrhoea in a baby?

The most common cause of loose motions is a virus called rotavirus. Rotavirus infects the gut causing gastroenteritis. This damages the inner lining of the intestine. The injured lining leaks fluid and allows food to pass through without absorbing any nutrients. Most children get affected by this virus a couple of times before they turn five. Children aged between 6 and 24 months are more likely to catch this virus as it gets tougher to maintain hygiene once they begin crawling.

Diarrhoea in babies can also be caused by:

  • formula feeds, if they are not properly diluted
  • colds
  • antibiotics
  • allergies
  • food poisoning
  • enzyme deficiencies in rare cases

Can diarrhoea in a baby be prevented?

The organisms that cause diarrhoea can easily be passed from hand to mouth. So, proper hygiene can help prevent diarrhoea. Wash your hands thoroughly for at least 15 seconds with an antibacterial soap after handling soiled nappies or using the toilet. Keep non-alcoholic wipes handy and wipe your baby's hands frequently when she is crawling around. You could also use a damp washcloth for this purpose. 

How should I treat my baby's diarrhoea?

Make sure your baby drinks plenty of fluids to stop her from dehydrating. If your baby is taking her breast or formula feeds well, stick with them. In addition, older babies may be given sips of water, oral rehydration solution (ORS) or electrolyte solution. Coconut water (elaneer/naariyal pani) is a rich source of electrolytes. 

You can prepare ORS at home as well. Take one litre of water, boiled and then cooled. Stir in 8 teaspoons of sugar and one teaspoon of salt. Give her sips of this mixture every time she vomits and passes stool or urine. 

Babies older than 9 months can also have well-diluted fruit juices. Juices made with 1 part juice added to 10 parts water are ideal. If your child is reluctant to drink, she may prefer homemade ice lollies instead. But it is best not to use any artificial flavouring or food colours when you are making them. Avoid glucose drinks, fizzy drinks and undiluted fruit juices (concentrated sugar draws water into the intestine and can increase diarrhoea). 

Check with your paediatrician before giving your baby anything. Remember that you should not give any anti-diarrhoeal medicine to children below 12 years as they could have serious side-effects. Also avoid herbal remedies without consulting your paediatrician. 

Are breastfed babies less likely to get loose motions?

Yes. Breast-fed babies are better protected from infections that might come from drinking water or feeding bottles. Also, certain elements in breast milk can hinder the growth of the organisms that cause diarrhoea. 

Should I stop giving my baby solid foods if she has diarrhoea?

No. Unless your baby is vomiting frequently, you can continue giving her solid foods. If your child is six months or older you could try foods like bananas, rice, apple puree and dry toast. For an older baby or toddler you could try small amounts of chicken soup and starchy foods like mashed potatoes and pasta. Boiled rice and moong dal would work too. But don't worry if she doesn't want to eat. It's more important that she keeps taking fluids to avoid dehydration. 

When should I call the doctor if my baby has diarrhoea?

Diarrhoea can be worrying if it lasts more than a few hours, but it will usually clear up on its own. If your child is continually passing loose, smelly and watery stools more than 3-4 times in a few hours, call your doctor immediately. The biggest concern with diarrhoea is dehydration, so don't delay in calling your doctor if your child shows these signs of fluid loss:

  • dry skin or lips
  • listlessness
  • tearless crying
  • a sunken fontanelle
  • discoloured hands and feet
  • dark yellow urine or fewer wet nappies than usual
You should also consult your paediatrician if your child shows the following symptoms:
  • refuses to drink water, milk, or any other fluid
  • has a fever which lasts longer than 24 hours
  • has blood in her stools
  • has diarrhoea accompanied by vomiting, which lasts longer than 12 hours 
  • has a swollen abdomen

If your baby's uncomfortable during a bout of diarrhoea, try to comfort her as much as possible. Keep her dry. Be gentle when changing nappies since her delicate bottom may be raw from the frequent passing of stools. Use a barrier cream to prevent irritation if the diarrhoea lasts for more than a day. And try not to worry too much, with the right care, your baby will soon bounce back.