a. Diarrhoea is defined as change in bowel pattern often with frequent loose stools.
b. Breast-fed infant may normally pass frequent loose stools and as there is no change in bowel pattern, it would not be considered as diarrhoea.
c. Detailed history helps to define of diarrhoea. Large volume of watery stools in a well -nourished child us due to viral infection and needs no drugs except replacing losses with ORS.
d. Zinc helps in fast improvement. Small volume of stools with mucus and / or blood denotes bacterial infection and would need antibiotic.
e. There is no need to change diet or withdraw mil in case of diarrhoea. It is only in chronic diarrhoea that diet may need modification.
Dr Yeshwant Amdekar is one of the senior most practicing pediatricians in India having been in paediatric practice for last 47 years. He served as a teacher at Grant Medical College for 30 years and retired as a professor of Pediatrics in the year 2000. He has taught an entire generation of paediatricians and continues to do so even today.
He is presently Medical Director of the B.J.Wadia Hospital for children which is Mumbai's only dedicated and largest children's hospital. He was President of the Indian Academy of Pediatrics in the year 1995 and has served the academy in various positions. He has also authored four books and has contributed articles in indexed journals and chapters in textbooks. He has been a recipient of many prestigious orations.
Dr Amdekar has been a great source of encouragement to young paediatricians as well as development of paediatric sub-specialities including paediatric hepatology.