PERSISTENT DIARRHEA IN CHILDREN
Abstract
Diarrhea continues to be a leading cause of illness and mortality in children [1]. While most episodes are acute, infection-related, and resolve on their own, diarrhea that persists for more than four weeks (classified as chronic) can indicate more serious conditions requiring specific diagnosis and treatment to prevent severe outcomes. This timely symposium gathers expert contributions to address the complexities of chronic diarrhea (CD) in children. Tripathi and Srivastava provide a foundational guide for clinicians, outlining a practical approach to diagnosing a child with CD—a process that is often challenging [2]. Their work presents diagnostic and treatment algorithms tailored to factors such as stool characteristics, patient age, and the underlying physiological cause. A key focus is the selective use of tests, from routine to specialized (including serology, imaging, endoscopy, and histopathology), with particular emphasis on the growing role of genetic testing for conditions like congenital diarrheas, monogenic inflammatory bowel disease (IBD), and immunodeficiencies. The authors also stress that effective care requires not only prompt diagnosis but also comprehensive management involving nutritional support and therapies targeted to the specific cause.
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