Frequency of Hyponatremic Dehydration in Children (02–60 Months) With Acute Watery Diarrhea in a Tertiary Care Hospital

Fayyaz  Khan; Salman Mustaan  Khan

doi:10.54112/bcsrj.v6i6.2197

Authors

Fayyaz Khan Department of Pediatrics, Saidu Group of Teaching Hospital, Swat, Pakistan
Salman Mustaan Khan Department of Pediatrics, Saidu Group of Teaching Hospital, Swat, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2197

Keywords:

Sodium concentration, Hyponatremia, Dehydration, Acute diarrhea, Paediatrics

Abstract

Acute watery diarrhea remains a major cause of fluid and electrolyte imbalance in young children, particularly in low-resource settings. Hyponatremic dehydration is a clinically important complication that may worsen outcomes if not identified early. Determining its frequency may help improve timely diagnosis and management. Objective: To find out the frequency of hyponatremic dehydration in children with acute watery diarrhea. Methods: This cross-sectional study was conducted in the Department of Pediatrics at Saidu Group of Teaching Hospital, Swat, from 06-January-2025 to 06-April-2025. A total of 194 children aged 2 to 60 months were selected for this study who presented with acute watery diarrhea, defined as three or more loose or watery stools within 24 hours lasting <14 days. Children with pneumonia and severe comorbidities were excluded. All the children were assessed for hyponatremic dehydration, which was diagnosed if the sodium concentration was < 135 mEq/L. Data was analyzed with SPSS 27. Results: The mean age of 194 children with acute watery diarrhea was 30.45±17.37 months, with a sodium concentration of 137.46±5.47 mEq/L. The majority of the patients were male, 121 (62.4%). Mostly were from a lower socioeconomic background, 92 (47.4%). The frequency of hyponatremic dehydration was 61 (31.4%) among these children. Conclusion: The present study observed that the frequency of hyponatremic dehydration in children with acute watery diarrhea was 61 (31.4%).

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References

Cheng H, Ma Y, Liu X, Tian C, Zhong X, Zhao L. A systematic review and meta-analysis: Lactobacillus acidophilus for treating acute gastroenteritis in children. Nutrients. 2022;14(3):682. https://doi.org/10.3390/nu14030682

Stanyevic B, Sepich M, Biondi S, Baroncelli GI, Peroni D, Di Cicco M. The evolving epidemiology of acute gastroenteritis in hospitalized children in Italy. Eur J Pediatr. 2022;181(1):349-358. https://doi.org/10.1007/s00431-021-04210-z

Hartman S, Brown E, Loomis E, Russell HA. Gastroenteritis in children. Am Fam Physician. 2019;99(3):159-165.

Palumbo E, Malorgio C, Siani A, Bonora G. Diarrhoea in children: aetiology and clinical aspects. Infez Med. 2009;17(2):95-99.

De Jesus MCS, Santos VS, Storti-Melo LM, De Souza CDF, Barreto IDC, Paes MV, et al. Impact of a twelve-year rotavirus vaccine program on acute diarrhea mortality and hospitalization in Brazil: 2006-2018. Expert Rev Vaccines. 2020;19(6):585-593. https://doi.org/10.1080/14760584.2020.1775081

Kauna R, Sobi K, Pameh W, Vince JD, Duke T. Oral rehydration in children with acute diarrhoea and moderate dehydration: effectiveness of an ORS tolerance test. J Trop Pediatr. 2019;65(6):583-591. https://doi.org/10.1093/tropej/fmz017

Lakshminarayanan S, Jayalakshmy R. Diarrheal diseases among children in India: current scenario and future perspectives. J Nat Sci Biol Med. 2015;6(1):24-28. https://doi.org/10.4103/0976-9668.149073

Nasrin L, Islam MS, Islam MB, Nuzman S, Anam AZ, Ibrahim F. Frequency of hyponatremia and hypokalemia in children under 5 years with acute diarrhoea. Saudi J Med Pharm Sci. 2024;10(6):340-343. https://doi.org/10.36348/sjmps.2024.v10i06.003

Wu CJ, Li CS. [The impact of iatrogenic hypernatremia on the prognosis of critical patients]. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2009;21(8):474-477. https://doi.org/10.3760/cma.j.issn.1003-0603.2009.08.009

Arif M, Afridi AS, Ali F, Banuri SU, Salman M, Khan M. Frequency of hyponatremia and hypokalemia in children with acute diarrhea. Pak J Med Health Sci. 2021;15(9):2565-2567. https://doi.org/10.53350/pjmhs211592565

Khan AY, Idris A, Shabbir A, Rashid S, Danish AI, Qudrat SM. Frequency of hyponatremia in children admitted to the pediatric intensive care unit in a tertiary-care hospital: a cross-sectional study. JRMC. 2024;28(3):400-403. https://doi.org/10.37939/jrmc.v28i3.2473

Ara F, Mahmud NU, Ul Quader MM, Amin Ahowdhury MJB, Tayeb Ali GM, Sharmin T. Frequency and outcome of sodium disturbances in children admitted with acute watery diarrhea in a tertiary hospital of Bangladesh. Bangladesh J Child Health. 2022;46(3):110-114. https://doi.org/10.3329/bjch.v46i3.72673

Rashid N, Sadia G, Noor F, Ayub MR. Frequency and outcome of sodium imbalance in dehydrated children presenting with acute watery diarrhea. Pak J Med Health Sci. 2020;14(1):341-343.

Mishra A, Kumar A, Mandal J, Sinha S. Clinical assessment of hyponatraemic dehydration in neonates and children. Int J Curr Pharm Res. 2023;15(3):127-132.

Verma AK. Hyponatraemic dehydration in neonates and children: a prospective study. Int J Pharm Clin Res. 2022;14(7):589-594.

Ahmad MS, Wahid A, Ahmad M, Mahboob N, Mehmood R. Prevalence of electrolyte disorders among cases of diarrhea with severe dehydration and correlation of electrolyte levels with age of the patients. J Coll Physicians Surg Pak. 2016;26(5):394-398.

Usman M, Goheer L, Farid MN, Quddus HA, Murtaza HM, Maryum S. Episodes of hypernatremic dehydration in children with acute diarrhea. Pak Paed J. 2023;46(2):115-119.