According to the Public Relations Office of the Iranian Pediatric Association, citing Mardomsalari newspaper, Dr. Alireza Eshghi, a member of the Board of Directors of the Iranian Pediatric Association, highlighted the seasonal rise in gastrointestinal illnesses among children.
He noted that, contrary to the common belief that viral illnesses decline with the end of the cold season, certain viruses—particularly enteroviruses—become more active during the warmer months and are responsible for a significant proportion of summer infections.
Summer Fruits and Childhood Diarrhea
Dr. Eshghi explained that diarrhea and vomiting are among the most common reasons for pediatric medical visits during June and July. In addition to viral infections, dietary habits play an important role during this season.
Summer fruits are highly appealing to children because of their sweet taste and high natural sugar content. However, excessive consumption of some fruits with natural laxative properties may aggravate gastrointestinal disturbances and increase the risk of diarrhea.
He emphasized that antibiotics should not be used indiscriminately in these cases, as the majority of summer gastrointestinal illnesses are viral or diet-related and therefore do not require antibiotic therapy. Parents should seek medical evaluation if warning signs such as blood in the stool or persistent fever develop, as these may indicate a bacterial infection.
Oral Rehydration Solution: The Cornerstone of Treating Dehydration
Dr. Eshghi stressed the importance of appropriate fluid replacement in children with diarrhea and vomiting.
“Many families request intravenous fluids as soon as diarrhea begins,” he said. “However, in most cases, oral rehydration solution (ORS) is sufficient to replace lost fluids and electrolytes.”
He added that flavored ORS formulations are now widely available, making them more acceptable and easier for children to consume.
Because diarrhea and vomiting rapidly deplete both water and electrolytes, simply giving plain water is often insufficient. Instead, children should receive ORS or other electrolyte-containing fluids. For children older than two years, pasteurized yogurt drink (doogh) may also be an appropriate option. In addition, a light, easily digestible diet—such as plain rice with yogurt or bread and cheese—is recommended during recovery.
Recognizing the Warning Signs
Dr. Eshghi also discussed the importance of recognizing the early signs of dehydration and the appropriate time to seek medical attention.
He advised parents to pay close attention to changes in their child’s behavior. A normally active child who suddenly loses interest in playing, no longer engages with toys or electronic devices, or develops marked loss of appetite may be showing early signs of dehydration and systemic illness.
In conclusion, he warned that diarrhea and vomiting can rapidly progress into a dangerous cycle of worsening dehydration in children. Parents should not wait until the child becomes severely lethargic or requires intravenous fluid therapy. They should consult a pediatrician promptly if symptoms persist or if any warning signs develop.