ORS in children with diarrhea – what parents should know?

July 26, 2024 by Dr. Vibin KV0
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Understanding ORS

  • Purpose: ORS helps replenish fluids and electrolytes lost due to diarrhea.
  • Composition: A balanced mixture of water, salts, and sugars.

Importance of ORS

  • Prevents Dehydration: Replaces lost fluids and vital salts (sodium, potassium).
  • Effective and Safe: Proven to reduce mortality and severity of diarrhea-related dehydration.
  • Accessible: Can be prepared at home or purchased pre-mixed.

Preparing ORS at Home

If commercial ORS is unavailable, it can be made at home:

  1. Ingredients:
    • 1 liter of clean drinking water (4.2 cups)
    • 6 level teaspoons of sugar (30 ml)
    • 0.5 level teaspoon of salt (2.5 ml)
  2. Instructions:
    • Dissolve the sugar and salt in the water thoroughly.
    • Use within 24 hours to ensure effectiveness.

Administering ORS

  • Frequent and Small Amounts: Offer small sips frequently, especially after each episode of diarrhea.
  • Use Appropriate Tools: Administer with a spoon or cup, avoiding bottles for better control.
  • Monitor Hydration: Check for signs of adequate hydration, such as normal urination, alertness, and moist mouth.

Signs of Dehydration

  • Mild to Moderate: Increased thirst, dry mouth, fewer wet diapers or trips to the bathroom.
  • Severe: Very dry mouth and skin, sunken eyes, no tears when crying, sunken soft spot on an infant’s head, lethargy or irritability, rapid heartbeat.

When to Seek Medical Help

  • Persistent Diarrhea: Lasting more than a few days.
  • Severe Dehydration: Especially if accompanied by the severe signs listed above.
  • Additional Symptoms: High fever, blood in stool, vomiting, or if the child is very young (infants).

Additional Tips for Parents

  • Continue Feeding: Offer regular meals alongside ORS to maintain nutrition.
  • Breastfeeding: Continue breastfeeding if applicable, as it provides essential nutrients and additional hydration.
  • Maintain Hygiene: Good hygiene practices are crucial to prevent infections that can cause diarrhea.

Practical Advice

  • Storage: Store ORS in a clean container and use within 24 hours.
  • Education: Learn and practice the preparation of ORS, especially when traveling to areas where commercial ORS might be unavailable.
  • Awareness: Recognize the signs of dehydration early and act promptly.

By understanding and effectively using ORS, parents can significantly improve their child’s recovery from diarrhea and prevent severe dehydration.


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Dr. Vibin KV

Dr. Vibin KV is best pediatrician in south Delhi, near safdarjung enclave. He has over 14 years experience in managing sick children from newborn to 18 years of age.
Conditions treated and services provided at the clinic include:
1) Respiratory illnesses with cough or noisy breathing- bronchiolitis, bronchitis, pneumonia, wheezing, asthma, foreign body, Inhaler therapy etc.
2) Vaccinations in all age groups.
3) New Born baby care.
4) Diarrhea, dysentery, dehydration.
5) Liver and Kidney Failure.
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