Author's details
- Hakim A Abubakre
- BA (Hons) International Business Management, Msc Digital Marketing.
Reviewer's details
- Dr. Khashau Eleburuike
- MBBS (Ilorin) MSc. Global Health Karolinska Institute.
- Resident doctor in family medicine in Northen Sweden.

- Date Published: 2025-08-28
- Date Updated: 2025-08-28
Diarrhoea Disease (For Families in Sub-Saharan Africa)
Introduction
❓ What is Diarrhoea?
- Passing 3 or more loose or watery stools per day.
- Caused by germs (stomach infection), unsafe food or water, or poor hygiene.
- It can be mild, but in children it can be very dangerous.
⚠️ In sub-Saharan Africa, diarrhoea is one of the top causes of death in children under 5.
Discussion
🚨 Why It Is Dangerous
- Main risk: dehydration (losing too much water and salt).
- Can lead to:
- Weakness, malnutrition, stunted growth in children
- Risk of other infections
- Death if untreated
👀 Signs & Symptoms
Common:
- Loose or watery stool
- Stomach cramps, bloating, nausea
Warning signs:
- Blood or mucus in stool
- High fever
- Dry mouth, sunken eyes, little/no urine
- Severe weakness or confusion
- In babies: fewer wet nappies, refusing to feed, green or persistent vomiting
🏠 What to Do at Home
✅ Give Oral Rehydration Solution (ORS)
- Ready-made ORS from clinic or pharmacy
- Homemade ORS: 1 liter clean water + 6 teaspoons sugar + ½ teaspoon salt
- Give small sips often
✅ Give zinc (10–14 days for children) – ask health worker
✅ Continue breastfeeding and feeding soft foods
✅ Rest and wash hands often
❌ Avoid:
- Sugary drinks
- Spicy, greasy food
- Alcohol, caffeine
🏥 When to Go to the Health Centre Immediately
- Blood in stool
- Severe vomiting or can’t drink/breastfeed
- Severe dehydration (sunken eyes, no urine, very thirsty, drowsy)
- Diarrhoea lasting more than 2–7 days
- High fever (>39°C / 102°F)
🛡️ Prevention
- Wash hands with soap & water after toilet, before eating or feeding a child
- Drink safe water (boil, filter, or use chlorine tablets)
- Use toilets/latrines (no open defecation)
- Cook food well & store it safely
- Exclusive breastfeeding for babies (first 6 months)
- Give children the rotavirus vaccine
📌 Key Message
💡 Diarrhoea kills, but it can be prevented and treated.
- ORS + zinc + feeding = saves lives.
- Look for danger signs → seek medical help quickly.
- Clean water, handwashing, and safe food keep families healthy.
References
- World Health Organization (WHO). Diarrhoeal disease. 2023. https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
- UNICEF. Diarrhoea remains a leading killer of young children, despite the availability of simple treatment solution. 2022.
- WHO & UNICEF. Ending Preventable Child Deaths from Pneumonia and Diarrhoea by 2025: Global Action Plan. Geneva: WHO/UNICEF, 2013.
- Ministry of Health, Nigeria. Integrated Management of Childhood Illness (IMCI) Guidelines. 2019.
