Toddler Diarrhoea - What To Do

What is toddler diarrhoea?

Toddler diarrhoea is a fairly common condition among young children, especially those aged between one and four years. Diarrhoea in toddlers is a very loose foul smelling mess contained in and often oozing out of your toddlers nappy or underpants. And if that is not bad enough it can occur many times in a day. 

Unlike adults, whose diarrhoea can result from stress, medication, or underlying health issues, toddler diarrhoea is generally more harmless and self-limiting and typically does not signal a severe health issue.

The frequency of bowel movements can vary in toddlers, but during an episode of diarrhoea, they might pass sloppy stools several times a day. This condition can last from a few days to up to two weeks, depending on the cause. Parents should closely monitor their child's hydration, as toddlers are more prone to dehydration during diarrhoea bouts. Ensuring they have plenty of water, or electrolyte solutions to stay hydrated is essential for their recovery.

What are the symptoms of toddler diarrhoea?

Recognising the common symptoms of toddler diarrhoea is crucial for parents and caregivers. The primary symptom is frequent watery stools, occurring more than three times a day. You might also notice changes in the colour or smell of your toddler’s bowel movements. Additionally, some children may experience increased urgency to go to the toilet, which can lead to accidents.

Distinguishing between mild and severe symptoms is vital for managing your child's health. Mild diarrhoea might come with slight abdominal discomfort and minimal fussiness. However, severe symptoms can include persistent watery stools, high fever, vomiting, and noticeable discomfort. If your toddler exhibits these severe symptoms of diarrhoea it’s essential to seek medical attention.

Dehydration is a significant concern with toddler diarrhoea. Signs of dehydration include dry mouth, decreased urine output, lethargy, and irritability. If your child shows these symptoms, ensuring they stay hydrated is vital. Offer plenty of fluids, and consider using oral rehydration solutions designed for toddlers. Monitoring your child's symptoms closely will help you take action and keep them healthy and happy.

What causes toddler diarrhoea?

Diarrhoea in toddlers can have several causes, including dietary changes such as the introduction of new foods; excessive intake of fruit juices or purees; and gastrointestinal infections. These factors can disrupt the gut balance, leading to diarrhoea in toddlers. Other potential causes can include:

• Lactose intolerance following gastro;
• Allergy to foods;
• Intolerance to foods;
• Intestinal bacterial, viral or parasitic infections;
• An unbalanced microflora;
• Side effects of some medications;
• Irritable Bowel Syndrome in older children;
• Coeliac Disease;

It is important to identify the cause before diarrhoea can be treated effectively, seek medical advice if you are unsure of the cause and are concerned. 

Toddler diarrhoea with no other symptoms?

When your toddler has diarrhoea they are at risk of dehydration. Be sure to offer them water regularly during the day. Make sure your toddler is having at least six wet nappies a day or if they are toilet trained they are still going to the toilet regularly; and their lips are not dry.

A rehydration electrolyte solution may be required if diarrhoea has been severe or lasts several days. Ask your local pharmacist if this is appropriate. Until the cause of your toddler’s diarrhoea is determined always treat the diarrhoea as contagious and be vigilant with hand washing and nappy disposal.

When to seek medical help when your toddler has diarrhoea?

Recognising warning signs that require urgent medical care is critical when dealing with toddler diarrhoea. If your child has a high fever (over 38.5°C), blood in their stools, or signs of dehydration—such as dry mouth, decreased urination, or lethargy—seek medical advice immediately.

Besides these urgent signs, consider the duration of the diarrhoea. If it persists for more than 24 hours in a child under two years old, or longer than 48 hours in older children, consult a healthcare professional. Prolonged diarrhoea can lead to dehydration and other complications, so early intervention is key.

If you or your doctor suspects the diarrhoea is due to a food allergy or intolerance, seek the help of a dietitian for a suitable balanced diet to help alleviate the symptoms of the diarrhoea.

If your toddler’s diarrhoea does not resolve your doctor may order tests from poo samples. This is to identify any bacteria, parasites, or other causes. They may also prescribe or recommend medications or diet restrictions tailored to your toddler’s needs.

Frequently asked questions about toddler diarrhoea

How to stop diarrhoea in toddlers

To help stop diarrhoea in toddlers, focus on keeping them hydrated. Offer plenty of water, or age-appropriate oral rehydration solutions. Introduce bland foods like bananas, rice, and toast to help firm up stools. Avoid dairy products, sugary foods, and high-fat items, as these may worsen diarrhoea. Monitor their symptoms closely, and if diarrhoea persists for more than 24 hours, or if they show signs of dehydration (such as dry mouth or decreased urination), consult a healthcare professional for further guidance and treatment.

When should diarrhoea be a concern in toddlers?

Diarrhoea in toddlers should be a concern if it lasts for more than 24 hours, especially if accompanied by other symptoms such as high fever (above 38.5°C), severe abdominal pain, or blood in the stool. Additionally, watch for signs of dehydration, which can include dry mouth, decreased urination, lack of tears when crying, or unusual lethargy. If your toddler is refusing to drink fluids or shows any concerning symptoms, it is important to talk to your healthcare professional for further evaluation and appropriate care.

What can you give a toddler for diarrhoea?

For toddlers experiencing diarrhoea, it is essential to focus on hydration and a suitable diet. Offer clear fluids such as water, or oral rehydration solutions (always read the label and follow directions for use) to prevent dehydration. Offer foods that are bland and gentle on the stomach such as bananas, rice, and toast. Avoid dairy products, sugary snacks, and high-fat foods, as these may worsen diarrhoea. If diarrhoea persists for more than 24 hours, or if your toddler shows signs of dehydration or other concerning symptoms, seek medical attention.

What settles upset stomach and diarrhoea in toddlers?

To settle an upset stomach and diarrhoea in toddlers, focus on hydration and a gentle diet. Offer water, or oral rehydration solutions to prevent dehydration – always read the label and follow directions for use. Introducing bland foods can also help (e.g. bananas, rice, and toast). Avoid dairy products, sugary foods, and fatty items, as these can irritate the stomach further. Additionally, ensure your toddler gets plenty of rest. If symptoms persist or worsen, talk to your healthcare professional.

What are the red flags for diarrhoea in children?

Red flags for diarrhoea in children include if it lasts longer than 24 hours, if they have a high fever (over 38.5°C), severe abdominal pain, or persistent vomiting. In addition, if there is blood or mucus in the stool, or there are signs of dehydration (dry mouth, decreased urination, lack of tears when crying, or unusual lethargy) or they are refusing to drink, then it is important to seek medical attention for further evaluation and appropriate care.