Alternative Names

When your infant has diarrhea; When your baby has diarrhea; BRAT diet; Diarrhea in children

Information

Children who have diarrhea may have less energy, dry eyes, or a dry, sticky mouth. They may also not wet their diaper as often as usual.

Give your child fluids for the first 4 to 6 hours. At first, try 1 ounce (2 tablespoons or 30 milliliters) of fluid every 30 to 60 minutes. You can use:

• An over-the-counter drink, such as Pedialyte or Infalyte -- do not water down these drinks
• Pedialyte frozen fruit pops

If you are nursing, keep breastfeeding your infant. If you are using formula, use it at one half strength for 2 to 3 feedings after the diarrhea starts. Then begin regular formula feedings again.

If your child throws up, give only a little bit of fluid at a time. You can start with as little as 1 teaspoon (5 ml) of fluid every 10 to 15 minutes.

When your child is ready for regular foods, try:

• Bananas
• Chicken
• Crackers
• Pasta
• Rice cereal

Avoid:

• Apple juice
• Dairy
• Fried foods
• Full-strength fruit juice

The BRAT diet was recommended by some health care providers in the past. There is not a lot of evidence that it is better than a standard diet for upset stomach, but it probably can't hurt.

BRAT stands for the different foods that make up the diet:

• Bananas
• Rice cereal
• Applesauce
• Toast

Bananas and other solid foods are most often not recommended for a child who is actively vomiting.

WHEN TO CONTACT THE HEALTH CARE PROVIDER

Contact your child's provider if your child has any of these symptoms:

• Blood or mucus in the stool
• Dry and sticky mouth
• Fever that does not go away
• Much less activity than normal (is not sitting up at all or looking around)
• No tears when crying
• No urination for 6 hours
• Stomach pain
• Vomiting

References

Kotloff KL. Acute gastroenteritis in children. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 366.

Larson-Nath C, Gurram B, Chelimsky G. Disorders of digestion in the neonate. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 83.

Nguyen T, Akhtar S. Gastroenteritis. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 84.