Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management.
IR@CFTRI: CSIR-Central Food Technological Research Institute, Mysore
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Relation |
http://ir.cftri.com/5318/
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Title |
Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management.
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Creator |
Ashoka, B. A.
Ankegowda, K. Salimath, P. V. Venkat Rao, S. |
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Subject |
11 Malnutrition
01 Carbohydrates |
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Description |
Of 110 cases having watery diarrhea, sugar intolerance was observed in 75 s~jects (68%), maff~vity
of whom (97%) were below 2 years. While nutritional status was not ass~iated with the occarrence
of sugar baolerance, children from rural areas had a higher incidence than urban childrem Stools
in children with sugar intolerance were watery, moderate to large in qaantity, often explosive with
a sow odour, had a pH of 6 or less and were positive for sugar. Lactose with 8alactose and/or glaca~e
were the most common sugars on stool chromatography, occurring in 56% of the cases. All 75 cases
of sugar intolerance had monosaccharides in stool chromatograms. Chromatography often was m~
helpful in pinpointing the offending sugar and did not correlate well with clinical r ~ .
Among children with sugar intolerance continued on breast or cow's milk (control diet)
thirds responded, and the remaining responded to lactose-free milk (LFM), LFM was fo~d effectice
in cases with sugar baggeranc~. Failures to it were due to feeding of breast or cow's milk. LFM was
required for 3-4 days for controlling diarrhea Failures to control diet had a significantly longer
duration of intravenoas fl~d treatment and hospital stay than re,wonders. Howecer, as j~we to
respond to control diet cannot be predicted at the time of admission, use of lactose-free~ may
be indicated for the routine treatment of sugar intolerance,
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Date |
1988
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Type |
Article
PeerReviewed |
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Format |
pdf
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Language |
en
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Identifier |
http://ir.cftri.com/5318/1/Indian%20J%20Pediatr%201988%3B%2055%20%20581-590.pdf
Ashoka, B. A. and Ankegowda, K. and Salimath, P. V. and Venkat Rao, S. (1988) Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management. Indian Journal of Pediatrics, 55 (4). pp. 581-590. |
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