Young children or those with other underlying conditions, febrile children, children with dysentery (blood or mucus in stools), significant diarrhea or persistent vomiting and a caregiver’s report of signs and symptoms of dehydration or a change in mental status should have a medical evaluation to check for other serious conditions presenting with diarrhea, and to rule out conditions where oral rehydration would be contraindicated.
For Infants and Young Children: In 2004, the American Academy of Pediatrics (AAP) endorsed1 the Centers for Disease Control and Prevention’s report2 that children and nursing infants who have diarrhea and who are not dehydrated should continue to be fed age-appropriate diets. The dietary management of dehydration in children weighing less than 10 kg (22 pounds) with minimal dehydration includes replacement of ongoing losses with 2–4 fl oz of oral rehydration fluids for each watery stool or for each episode of vomiting; larger children should be given twice as much. The dietary management of children with mild or moderate dehydration should include replacement of their estimated fluid deficit within 2–4 hours using 50–100 mL per kilogram of weight, in addition to replacement for ongoing losses. Physicians should guide parents on appropriate intakes based on the weight, rate of fluid loss and clinical status of the infant.
Nursing infants should continue nursing on demand. Formula-fed infants who require rehydration should be fed age-appropriate diets as soon as they have been rehydrated. Lactose-free diets are rarely necessary following diarrhea.
For Older Children and Adults: Enfamil Enfalyte is recommended for all ages of children and adults. Older children and adults should continue their normal diet during episodes of diarrhea.
Intake should be adjusted on the basis of clinical indications, amount of fluid loss, patients’ usual water intake and other relevant factors.
Enfamil Enfalyte in Conjunction with Other Fluids: When severe fluid losses or accumulated deficits require parenteral fluid therapy, Enfamil Enfalyte may be given orally while the infant, child or adult is also receiving parenteral therapy to supply part of the estimated fluid needs. Careful attention must be paid to the amount of Enfamil Enfalyte consumed as it contributes to the total fluid intake. After emergency needs have been met, Enfamil Enfalyte alone (orally) may be used. Once the patient can tolerate regular foods, they may be introduced and the amount of Enfamil Enfalyte correspondingly decreased.
WARNING: Do not mix with infant formula, milk, fruit juices or other electrolyte-containing liquids. Not for parenteral (I.V.) use.
CAUTION: This product should be used only as directed by the baby’s doctor. If vomiting or fever is present, or diarrhea continues beyond 24 hours, consult the baby’s doctor.