Dast Ya Diarrhoea Mein Bacche Ko Kya Khilayein — ORS, Ghar Ke Fluids Aur Curd-Rice

Dr. Sandip Gupta

Jab bacche ko dast lagti hai, baar-baar watery loose motion se parents dar jaate hain aur jaanna chahte hain ki kya khilayein taaki khana aasani se pache aur baccha hydrated rahe. Is video mein hydration fluids, kya khilayein, kya na khilayein, aur doctor ko kab dikhayein — sab bataya gaya hai. Hydration kyun zaroori hai: Loose motion mein body se paani aur salt dono nikal jaate hain, jisse dehydration hoti hai, aur baar-baar loose motion se khana theek se pachta nahi, jisse weakness ho sakti hai. Isliye jo khana aur fluid dein wo aasani se pachne wala aur weakness se bachane wala ho. 1. ORS — pehli pasand. WHO-standard ORS solution mein salt aur sugar dono hote hain, jo body ko sirf plain paani ke muqable paani absorb karne mein bahut zyada madad karte hain. Hamesha WHO-standard ORS lein; Electral iska ek branded version hai. Bada sachet (~22 gram) 1 litre paani mein gholein; chota sachet (4.4 gram) 200 ml paani mein. Umar ke hisaab se dose, har loose motion ke baad: 2 mahine–2 saal: 50-100 ml; 2-10 saal: 100-200 ml; 10 saal se bade: 200 ml se zyada, jitna baccha chahe. Ye dehydration prevent karne ke liye hai — agar dehydration pehle se zyada hai to doctor ki guidance mein zyada ORS chahiye hoga. (ORS par alag detail video ka zikr hai.) Ghar par ORS, jab sachet na khareed sakein (jaise raat mein): 1 litre paani mein 6 chammach cheeni aur aadha chammach namak ghol lein — ye standard sachet jitna hi effective hota hai. Doosre rehydration fluids: Nimbu paani – ek glass paani mein aadha nimbu nichod kar 2 chammach cheeni aur ek chutki namak. Dal ka paani aur chawal ka paani – boiled dal ka paani, ya zyada paani mein ubla hua chawal ka paani alag se — dono hydrate karte hain aur carbohydrate se energy dete hain. Dono mein thoda namak zaroor daalein, kyunki namak se body paani retain aur absorb karti hai. Chaach ya namak wali lassi – lassi ka dahi natural probiotic hai jo aant ke bad bacteria/virus ki jagah good bacteria le aata hai, jisse diarrhoea jaldi theek hota hai. Zaroori umar ki baat: Ye saare solutions 6 mahine se bade bacchon ke liye hain. 6 mahine se chote, exclusively breastfed bacche aksar din mein 7-8 baar semi-solid motion karte hain, jo sirf frequency se diarrhoea nahi maana jaata — is age group mein watery stool ho to pediatrician se check karana chahiye, kyunki is umar mein diarrhoea kam common hai aur serious infection ka sanket ho sakta hai. 6 mahine se chote bacchon mein diarrhoea ho to: zyada se zyada breastfeed karayein (doctor ki permission se thoda ORS add kar sakte hain), ya formula par ho to zyada formula dein taaki dehydration na ho. 6 mahine se bade bacchon ke liye foods, diarrhoea mein: Curd-rice mixture – chawal aasani se pachne wala carbohydrate deta hai, dahi natural probiotics deta hai jo diarrhoea theek hone mein madad karte hain. Dahi ke saath poha – poha paani mein bhigo kar soft karein, dahi ke saath mila kar thoda namak-cheeni daalein; aasani se pachta hai aur energy deta hai. Vegetable soup – fluid deta hai aur agar vegetables achhe se boiled hon to aasani se pachne wali energy deta hai. Rice-dal khichdi (moong dal) – moong dal aasani se pachta hai; gajar ya aloo jaise vegetables daalne se zyada energy milti hai aur baccha strength paata hai. Kela – chote bacchon ke liye mash karke; achhi well-formed stool banane mein madad karta hai. Mashed aloo aur chawal saath mein. Kheer, ya sabudana, oats ya dalia doodh mein achhe se paka kar. Kya doodh band karna chahiye? 6 mahine se chote bacchon ko breast milk hamesha chalu rakhein. 6 mahine se bade breast milk lene wale, ya 1 saal se bade gaay ka doodh lene wale bacchon mein, agar diarrhoea 14 din se kam ka hai to doodh band karne ki zaroorat nahi. Doodh sirf tab band karein, doctor ki salah se, jab diarrhoea 14 din se zyada ho ya lactose intolerance diagnose ho chuki ho. Diarrhoea mein na khilayein: Aisa khana jo aasani se na pache — masaledar khana ya bahut deep-fried khana, bahar ka mangaya hua khana, ya koi aisa khana jo pachne mein tough ho — kyunki wo achhe se absorb nahi hota aur diarrhoea badha sakta hai. Packaged fruit juices aur "ORS jaise" tetra packs: Diarrhoea mein packaged fruit juice na dein. ORS likhe hue kisi bhi tetra pack ko dhyan se dekhein — agar usme clearly WHO ORS likha nahi hai, aur ORS ke saath koi prefix ya suffix laga hai, to wo aksar energy drink hota hai jisme sugar bahut zyada hoti hai (ye doosre situations mein, jaise bukhar mein extra energy ke liye, useful hai, lekin diarrhoea ke liye nahi) aur diarrhoea badha sakta hai — inhe avoid karein. Doctor se turant kab consult karein: Baar-baar loose motion ke saath dehydration ke lakshan — 6 ghante mein peshaab na aana, gadha peela peshaab, dhansi hui aankhein, sookhi jeebh, baccha dull/inactive ho jaana ya khelna band kar dena, ya sookhi skin — inme sahi rehydration ke liye pediatrician ki guidance zaroori hai, kyunki dehydration serious problem ban sakti hai. Kinke liye relevant hai: wo parents jinke bacche ko diarrhoea ya loose motion hai aur jo jaanna chahte hain ki kya khilayein; jo poochhte hain ki umar ke hisaab se kitna ORS dein; jo ghar par ORS banana chahte hain ya nimbu paani, dal ka paani, chawal ka paani ya lassi jaise alternatives dhoondh rahe hain; jo poochhte hain ki diarrhoea mein doodh band karna chahiye ya nahi; jo curd-rice, khichdi, kela aur doosre aasani se pachne wale foods ke beech choose kar rahe hain; jo poochhte hain ki packaged juice ya "ORS jaise" tetra packs diarrhoea mein safe hain ya nahi; 6 mahine se chote bacchon ke parents jinhe watery stool dikh raha hai; aur jo dehydration ke warning signs par nazar rakhna chahte hain. Disclaimer: Ye video sirf general information aur educational purpose ke liye hai. Ye kisi professional medical advice, diagnosis ya treatment ka vikalp nahi hai. Har baccha alag hota hai — zyada severe dehydration mein sahi ORS quantity ke liye apne pediatrician se zaroor consult karein, aur agar bacche mein dehydration ke lakshan, peshaab kam hona, dhansi hui aankhein, sookhi skin ya asaamanya lethargy dikhe to turant doctor se sampark karein.