Electrolyte Changes in Malnourished under-5 Children with or without Diarrhoea

Abstract

Background: Malnutrition is widely recognized as a major health problem in children in developing country. Malnutrition is a serious public health problem that has been linked to increase risk of morbidity and mortality .Many factors can cause malnutrition, most of which relate to poor diet, family size, family income, repeated ARI and diarrhea that may or may not causes electrolytes changes, particularly in underprivileged populations.
 Objective: To determine the serum electrolyte disturbances in malnourished under 5 children with or without diarrhea.
 Methodology: This is a descriptive study and conducted among 100 under 5 malnourished children of randomly selected in admitted patient of Dhaka Shishu Hospital. It was carried out during January-2015 to December-2017. They were suffering from different grades of malnutrition with or without diarrhea. On the basis of history, physical examination and anthropometrics measurement they were divided into Group A patients (n=56) who were malnourished but had diarrhoea and Group B patients (n=44) who were also malnourished and had no diarrhoea. Serum electrolytes were done in patients of both groups and the results were analyzed statistically by using SPSS windows programs 21.
 Results: Analysis of serum electrolytes in both groups that hyponatremia and hypokalemia were seen more frequently in patients of group A as compared to group B. In group A hyponatremia was seen in 41 patients (71.92%) while it was observed in 16 patients (28.07%) in group B (p<0.00), hypokalemia was seen in 27 patients (69.23%) in group A and in 12 patients (30.76%) in group B (p<0.03).
 Conclusions: Electrolyte changes were commonly seen in moderate and severe malnourished children particularly who presented with diarrhoeal episode of variable duration. If these changes are diagnosed in time the morbidity and mortality decreased.
 J Shaheed Suhrawardy Med Coll, December 2020, Vol.12(1); 50-53

Electrolyte Imbalances in Malnourished Under-5 Children with or without Diarrhoea

“…Hypokalemia impairs the function of multiple organs, with the cardiovascular system, neurological system, muscle, and kidneys being the most affected. Muscle paralysis can occur with severe potassium shortage 16 . In a case series, Ortuno et al observed hypokalemic caused paralysis due to acute diarrhea 17 .…”