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Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management.

IR@CFTRI: CSIR-Central Food Technological Research Institute, Mysore

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Title Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management.
 
Creator Ashoka, B. A.
Ankegowda, K.
Salimath, P. V.
Venkat Rao, S.
 
Subject 11 Malnutrition
01 Carbohydrates
 
Description Of 110 cases having watery diarrhea, sugar intolerance was observed in 75 s~jects (68%), maff~vity of whom (97%) were below 2 years. While nutritional status was not ass~iated with the occarrence of sugar baolerance, children from rural areas had a higher incidence than urban childrem Stools in children with sugar intolerance were watery, moderate to large in qaantity, often explosive with a sow odour, had a pH of 6 or less and were positive for sugar. Lactose with 8alactose and/or glaca~e were the most common sugars on stool chromatography, occurring in 56% of the cases. All 75 cases of sugar intolerance had monosaccharides in stool chromatograms. Chromatography often was m~ helpful in pinpointing the offending sugar and did not correlate well with clinical r ~ . Among children with sugar intolerance continued on breast or cow's milk (control diet) thirds responded, and the remaining responded to lactose-free milk (LFM), LFM was fo~d effectice in cases with sugar baggeranc~. Failures to it were due to feeding of breast or cow's milk. LFM was required for 3-4 days for controlling diarrhea Failures to control diet had a significantly longer duration of intravenoas fl~d treatment and hospital stay than re,wonders. Howecer, as j~we to respond to control diet cannot be predicted at the time of admission, use of lactose-free~ may be indicated for the routine treatment of sugar intolerance,
 
Date 1988
 
Type Article
PeerReviewed
 
Format pdf
 
Language en
 
Identifier http://ir.cftri.com/5318/1/Indian%20J%20Pediatr%201988%3B%2055%20%20581-590.pdf
Ashoka, B. A. and Ankegowda, K. and Salimath, P. V. and Venkat Rao, S. (1988) Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management. Indian Journal of Pediatrics, 55 (4). pp. 581-590.