Bei Durchfall viel Trinken!

Durchfall ist mit der häufigste Grund für einen akuten Besuch beim Kinder- und Jugendarzt. Meistens ist er durch eine Magen-Darm-Infektion verursacht und hört nach 2-4 Tagen von selbst wieder auf. Oft ist etwas erhöhte Temperatur dabei oder auch Erbrechen.

Wann spricht man überhaupt von Durchfall?

Der Stuhlgang kommt häufiger als normal, er wird breiig bis flüssig, mit einer Farbe von bräunlich-gelblich bis grün.

Wie kommt es zu „Durch-fall“?

An häufigsten sind Viren die Ursache, allen voran die Rota-, Adeno- und Noroviren. Selten sind Bakterien beteiligt. Das bekannteste davon ist E. coli.

Durch die Infektion kommt es zu einer erhöhten Durchlässigkeit der Magen-Darm-Schleimhaut. Dadurch wird Körperflüssigkeit dem Stuhl beigemischt und er wird dünner. Die entzündete Schleimhaut kann gleichzeitig die Nahrung nicht mehr so gut aufnehmen und damit geht dem Körper mit der Flüssigkeit auch Energie verloren.

Ist der Magen beteiligt, kommt es zusätzlich noch zu Übelkeit und Erbrechen. Auch hier gehen Flüssigkeit und Nährstoffe verloren.

Warnzeichen sind: Die Kinder werden schlapp und müde. Die Lippen und die Zunge werden trocken. Die Urinproduktion lässt nach. Bei einem Windelkind ist vielleicht noch regelmäßig Urin in der Windel, dieser ist aber ganz konzentriert und dunkelgelb gefärbt.

Alarmzeichen sind: Die Kinder werden teilnahmslos, die Windeln bleiben trocken.

Was kann man tun?

Besonders wichtig: Viel trinken. Insbesondere Säuglinge und Kleinkinder sind am ehesten von Austrocknung betroffen. Hören Sie nicht auf, zu stillen oder die Flasche zu geben. Im Gegenteil, bieten Sie öfter Milch an, um den Flüssigkeitsverlust auszugleichen. Teepausen werden nicht mehr empfohlen, da Studien gezeigt haben, dass Säuglinge, die ohne Unterbrechung weiter normal ihre Milch bekommen, schneller den Durchfall überwinden, als diejenigen, die zwischendrin nur Tee bekamen.

Größeren Kindern kann man leichte Gemüse oder Fleischbrühen anbieten. Als Hausmittel bekannt ist auch die Karottensuppe nach Moro. Zwieback und Salzstangen eignen sich zum vorsichtigen Knabbern. Als Tee eignet sich Kamille- und Fencheltee. Falls die Kinder nicht unter Übelkeit leiden, können sie ganz normal weiteressen. Wichtiger jedoch ist das Trinken. Dies ist die goldene Regel bei Durchfall.

Herzliche Grüße,

Ihre Kinderärztin Dr. med. Anette Meidert

0 Gedanken über “Bei Durchfall viel Trinken!

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