EDUKASI ORANG TUA

Nasihat pada ibu atau pengasuh untuk kembali segera jika ada demam, tinja berdarah, muntah
berulang, makan atau minum sedikit, sangat haus, diare makin sering atau belum membaik dalam
3 hari3.
Indikasi rawat inap pada penderita diare akut berdarah adalah malnutrisi, usia kurang dari satu
tahun, menderita campak pada 6 bulan terakhir, adanya dehidrasi dan disentri yang datang sudah
dengan komplikasi3.

WHO. 2005. Hospital Care for Children. Geneva

DIARRHEA PATIENTS

Choose to eat from this list of low fiber foods:

 Refined cereals like rice, bread, brown bread, refined wheat flour, semolina, noodles,
macaroni, etc.
Washed pulses
 Eggs, chicken, fish
 Vegetables like potato, bottle gourd, spinach
 Fruit juices and fruits like banana, papaya

You may as well choose to eat from this list of low residue foods:

 Banana
 Biscuits
 Rice
 Sago
 Arrowroot
 Potato
 Egg
  Chicken and fish
 Pureed vegetables and fruits
 Refined cereals and their products
 Curd

Fruit juices that are helpful

 Apple
 Pomegranate
 Bael fruit

Foods to be Avoided

 Whole cereals
 Whole pulses
 Raw vegetables and fruits
 Fried foods
 Nuts and dried fruits
 Milk and milk based beverages
 Fibrous vegetables and fruits
 Sweets and sweet meats
 Condiments and spices
 Papar, chutney and pickles

Buah yang diperbolehkan:

1. Pisang

A study found that babies with diarrhea, when given cooked raw banana, started showing
improvements about 24 hours after the treatment began. By the fifth day, almost all the
babies who were given raw bananas had completely recovered while those in the control group,
who did not have raw banana in their diet, continued to suffer from diarrhea for up to 10 days.1
Green or unripe banana has a natural fibrous starch called pectin, which is not digested in the
small intestine and is passed into the colon where it is fermented by bacteria into short chain
fatty acids. These short chain fatty acids stimulate the absorption of salt and water in the colon,
making the stool firmer.2

The pectin also stimulates the production of mucus in the colon and small bowel, which serves as
a barrier between the stomach lining and the acidic gastric substances that may trigger a stomach
upset.

A study conducted on 31 critically ill, tube-fed diarrhea patients who received either banana
flakes or medical treatment for the condition found that 57 percent of the subjects in the banana
flakes group were diarrhea-free on the last day of the study as opposed to the mere 24 percent of
the medically-treated subjects.3

As this fiber changes into soluble sugar when the fruit ripens, ripe banana may not be as effective
in relieving you of diarrhea.

Diarrhea also leads to a lack of nutrient absorption, but this can be fixed with raw bananas,
which aid in nutrient absorption. In a study published in the Digestive Diseases and Sciences
journal, 57 baby boys below the age of 1, with persistent diarrhea were given a week’s treatment
with a rice-based diet containing either green banana, apple pectin, or just the rice diet alone. The
green banana and apple pectin groups showed a 50 percent reduction in stool weights, indicating
that the babies were absorbing significantly greater amount of nutrients.4

Another study also found that bananas increase the body’s ability to absorb calcium for stronger
bones and other body functions.5

How To Have Bananas To Treat Diarrhea6

Now that you know bananas are effective in keeping loose motions at bay, it is important to
understand that having the fruit in a random way is not going to help the cause. Also, remember
that it will take about 24 hours for the fruit’s effect to show.
Have Raw Bananas Boiled

Cook a couple of unripe bananas in boiling water with their skin on for 7 to 10 minutes. Remove
the skin, mash up the bananas, add a bit of salt and butter, and have this twice a day.

About 180–200 g of cooked green bananas (about one and a half banana) per day seems to be
effective for children.

Have 1–2 Tbsps Dry Banana Flakes

You could also try dry banana flakes—about one or two tablespoons of dried banana flakes, with
6.25 gm of carbohydrates and 0.5 gm of fiber per tablespoon, every 8 hours has been found to
work for adults.

Have Pureed Ripe Banana On Toast

Although ripe banana is not usually considered a cure for diarrhea, a study mentions that to
increase the effectiveness of the fruit for diarrhea, you can even puree a small amount of ripe
banana, add a teaspoon of honey to it, and spread it on a well-done toast. The toast will help
absorb excess fluids in the gastrointestinal tract and also help solidify stools.

1. Rabbani, Golam H., Telahun Teka, Badiuz Zaman, N. Majid, Makhduma Khatun, and
George J. Fuchs. “Clinical studies in persistent diarrhea: dietary management with green
banana or pectin in Bangladeshi children.” Gastroenterology 121, no. 3 (2001): 554-560.
2. Kumar, KP Sampath, and Debjit Bhowmik. “Traditional and medicinal uses of banana.”
Journal of Pharmacognosy and Phytochemistry 1, no. 3 (2012).
3. Emery, Elizabeth A., Syed Ahmad, John D. Koethe, Annalynn Skipper, Shelley
Perlmutter, and David L. Paskin. “Banana flakes control diarrhea in enterally fed
patients.” Nutrition in clinical practice 12, no. 2 (1997): 72-75.
4. Rabbani, G. H., Telahun Teka, Shyamal Kumar Saha, Badiuz Zaman, Naseha Majid,
Makhduma Khatun, Mohammad A. Wahed, and George J. Fuchs. “Green banana and
pectin improve small intestinal permeability and reduce fluid loss in Bangladeshi children
with persistent diarrhea.” Digestive diseases and sciences 49, no. 3 (2004): 475-484.
5. Álvarez-Acosta, Thais, Cira León, Salvador Acosta-González, Haydeé Parra-Soto, Isabel
Cluet-Rodriguez, Maria Rosario Rossell, and José A. Colina-Chourio. “Beneficial role of green
plantain [Musa paradisiaca] in the management of persistent diarrhea: a prospective randomized
trial.” Journal of the American College of Nutrition 28, no. 2 (2009): 169-176.

6. Fuchs. “Clinical studies in persistent diarrhea: dietary management with green banana or
pectin in Bangladeshi children.” Gastroenterology 121, no. 3 (2001): 554-560.

What should I avoid eating if I have diarrhea?

You should avoid foods that may make your diarrhea worse, such as

 alcoholic beverages
 drinks and foods containing caffeine
 dairy products such as milk, cheese, and ice cream
 fatty and greasy foods
 drinks and foods containing fructose
 fruits such as apples, peaches, and pears
 spicy foods
 diet drinks and sugarless gum and candies containing sweeteners such as sorbitol,
mannitol, and xylitol.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Foods That Trigger Diarrhea

Certain foods may trigger diarrhea in some people. Some foods to avoid that may cause diarrhea
include:

 Fried foods
 Foods with rich sauces
  Fatty cuts of meat
 Citrus fruit
 Artificial sugar
 Too much fiber
 Fructose
 Pepperment

NIH: National Institute of Diabetes and Digestive and Kidney Diseases