Chronic non-specific diarrhea of infancy
Cichowicz-Emmanuelli, E.
Boletin de la Asociacion Medica de Puerto Rico 74(5-6): 178-181
1982
ISSN/ISBN: 0004-4849 PMID: 6758807 Document Number: 700957
Chronic non-specific diarrhea (CNSD) is the most common form of prolonged or recurrent diarrhea in infants and toddlers. It usually begins shortly after weaning or asa postinfectious diarrhea. The mechanism of diarrhea is probably via a multiple protein intolerance, with antigen penetration occurring "physiologically" in the newborn period or secondary to mucosal damage later in infancy. The course of CNSD is characterized by cycles of loose stools, usually accompanied by some atopic symptoms. The diarrhea persists in spite of multiple formula changes, but the child usually gains weight normally. Problems ariw when the diet is adversely manipulated to prevent normal caloric intake or when gastroesophageal reflux is severe. "Gut rest" and parenteral feeding may be necessary in the latter. Otherwise, management consists of using only one formula in spite of the diarrhea, avoiding elimination diets, assuring a good caloric intake and corresponding weight gain, and a varied cable food diet for toddlers. The diarrhea will resolve spontaneously and not recur after age three.
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