2. If the diarrhea persists or the following are present

• Severe dehydration  5
• Persistent fever  2
• Bloody or mucoid stools  2
• Severe abdominal cramping or tenderness  2
• Signs of sepsis  2
• Immunocompromised status  5
• Symptoms lasting more than 7 to 10 days  5
• Age 70 years or older
• Blood leukocyte count 15,000 cells/mL or higher  7

 

evaluate with stool with cultures, specific testing(?), or stool multiplex polymerase chain reaction assay (or all 3)

 

 

2. Increase Fluid Intake*: Drink plenty of fluids, especially water, to compensate for the fluid loss caused by diarrhea. It's important to sip small amounts frequently rather than large quantities at once to avoid upsetting the stomach[1][2][3].

2. **Use Oral Rehydration Solutions (ORS)**: ORS contain a balanced mix of salts and sugars that help replenish electrolytes lost during diarrhea. Products like Pedialyte or homemade solutions can be effective. Coconut water is also a good natural alternative as it contains electrolytes without added sugars[1][3][4].

3. **Consume Electrolyte-rich Drinks**: In addition to ORS, drinks such as broths, fruit juices, and sports drinks can help maintain electrolyte balance. However, be cautious with sports drinks as they may contain high sugar levels, which can worsen diarrhea[2][3][4].

4. **Eat Water-rich Foods**: Foods like gelatin, ice pops, and broth-based soups can contribute to fluid intake. The BRAT diet (bananas, rice, applesauce, toast) is gentle on the stomach and can be consumed if solid foods are tolerable[2][3].

5. **Monitor for Dehydration Symptoms**: Be vigilant for signs of dehydration, such as extreme thirst, dark urine, fatigue, dizziness, and dry skin. In children, additional signs include no tears when crying and sunken eyes[1][2][4].

6. **