1–1½ times usual feed Volume
200 ml (~1 cup) after every loose motion.
200 to 400 ml (~1 to 2 cups) after every loose motion
Drink freely as required
There are no special problems with this group. The dose is the same as adult dose.
|WHO-ORS||mOsmol / L|
The therapeutic values of the substances are as follows:
Osmolarity is a measure of the number of particles in a litre of the liquid they are dissolved in. The
measurement is given in milliosmoles per litre, or mOsmol / L for short.
The conditions of diarrhoea, vomiting, excessive sweating, burns and some medicines may change the
osmolarity of body fluids.
Therefore, it should be corrected by giving right osmolarity solutions to such patients.
Studies have shown that the effectiveness of ORS for treatment of children with acute diarrhoea is improved by giving ORS
having total osmolarity to 245 mOsmol / L.
This last advantage is particularly important because this means reduced chances of hospitalization, and therefore reduced risk of hospital acquired infections, less disruption of breastfeeding, decreased use of needles (which remains a strong advantage especially in high HIV prevalence contexts), less cost, and in areas where IV therapy is not readily available less risk of diarrhoea related deaths.
*The number of ORS sachets to be consumed per day is variable and depends on the patient's condition.
WHO and UNICEF recommend the use of ORS and Zinc for the treatment of acute diarrhoea. When ORS and Zinc team up together, diarrhoea doesn’t stand a chance.
In 2004, the World Health Organization (WHO) set a global recommendation to formalize ORS + Zinc as the gold standard treatment for diarrhoeal disease. WHO recommends the ORS along with routine use of Zinc supplementation, at a dosage of 20 mg / day for children older than 6 months or 10 mg / day in those younger than 6 months, for 10–14 days. ORS with Zinc is also recommended by the Indian Academy of Paediatrics (IAP) and Government of India for the treatment of acute diarrhoea.
Supplementary Zinc benefits children with diarrhoea because it is an important nutrient for protein formation, cell growth, immune function, and intestinal transport of water and electrolytes. Zinc is also important for normal growth and development of children both with and without diarrhoea.
Studies have shown that zinc treatment results in a 25% reduction in duration of acute diarrhoea and a 40% reduction in treatment failure or death in persistent diarrhoea.