Giardiasis in Children: Care Instructions

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Your Care Instructions

Giardiasis (say "jee-ar-DYE-uh-sus") is an infection of the intestines caused by the parasite Giardia lamblia. The illness is also called giardia (say "jee-AR-dee-uh").

This illness can cause diarrhea, stomach cramps, gas, and nausea. Your child may feel sick for a wfew weeks and then get better. Or the symptoms may come and go for some time. Sometimes there are no symptoms.

Your child may become infected if he or she eats food or drinks water that has human or animal waste in it. In Canada and the United States, a child can get it by drinking untreated water from wells, streams, rivers, and lakes. Your child also can get sick from having close contact with someone who is infected with giardia, such as workers in a daycare centre.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • If your doctor prescribes medicine, have your child take it as directed. Call your doctor or nurse call line if you think your child is having a problem with his or her medicine.
  • Talk to your doctor if your child is having problems with milk and milk products. Some children with giardia have trouble digesting milk products.
  • If your child has diarrhea, offer small amounts of bland food until he or she feels better. This gives your child's bowel a rest.
  • Give your child lots of fluids. This is very important if he or she is vomiting or has diarrhea. Give your child sips of water or drinks such as Pedialyte or Gastrolyte. These drinks contain a mix of salt, sugar, and minerals. You can buy them at drugstores or grocery stores. Give these drinks as long as your child is throwing up or has diarrhea. Do not use them as a sole source of liquids or food for more than 24 hours.
  • Watch for and treat signs of dehydration, which means that the body has lost too much water. As your child becomes dehydrated, thirst increases, and his or her mouth may feel very dry. Your child may have sunken eyes with few or no tears when he or she cries. Your child may also lack energy and want to be held a lot. He or she will not need to urinate as often as usual.
  • Do not give your child over-the-counter antidiarrhea or upset-stomach medicines without talking to your doctor first. Do not give Pepto-Bismol or other medicines that contain salicylates, a form of aspirin, or aspirin. Aspirin has been linked to Reye syndrome, a serious illness.

To help prevent giardia

  • Do not let your child drink untreated or unpurified water. If you or your child is camping or hiking, boil or purify water from lakes and streams before drinking it.
  • When your child travels in high-risk areas, have her or him drink bottled water and avoid raw fruits and vegetables. Do not let your child drink beverages containing ice cubes.
  • Have your child wash his or her hands often to prevent getting sick from an infected person. Be sure your child washes his or her hands after using the toilet and before eating.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your child has signs of needing more fluids. These signs include sunken eyes with few tears, a dry mouth with little or no spit, and little or no urine for 6 hours.
  • Your child has new belly pain, or the pain is worse.
  • Your child has a new or higher fever or chills.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:

  • Your child isn't gaining weight as expected.
  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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