Is infantile diarrhea associated with acidosis or alkalosis?

Jun 24, 2024 Source: Cainiu Health
Disease description:

My baby has had diarrhea recently and is in poor spirits. Some friends said that infantile diarrhea is acidosis, while others said it is alkalosis. I would like to ask, is infantile diarrhea acidosis or alkalosis?

Doctor's answer (1)
Dr. Zhou Xiaofeng
Pediatric diarrhea can lead to either acidosis or alkalosis, and the specific condition needs to be determined based on the severity of diarrhea and associated symptoms. 1. **Acidosis**: Under normal circumstances, pediatric diarrhea results in the loss of large amounts of alkaline fluid from the intestines, causing an increase in the concentration of acidic substances in the body, which may lead to acidosis. This situation is more common when diarrhea is severe and accompanied by symptoms such as dehydration and vomiting. Symptoms of acidosis include dizziness, headache, nausea, vomiting, chest tightness, shortness of breath, palpitations, and so on. 2. **Alkalosis**: In severe diarrhea with significant dehydration, blood volume decreases and renal blood flow reduces, which may decrease the exchange of sodium ions and hydrogen ions in the distal renal tubules, leading to hydrogen ion retention and resulting in alkalosis. However, please note that this situation is relatively rare. In most cases, pediatric diarrhea is more likely to cause acidosis rather than alkalosis. Specific determination should be based on the child's individual symptoms and clinical signs. If there is any doubt, it is recommended to seek timely medical attention for professional diagnosis and treatment.