Electrolyte imbalance in infants with diarrhea worsened by improper dilution of oral rehydration salt (ORS): Case reports from primary healthcare setting in Rohingya refugee camp

Healthcare workers often miss to properly communicate on the proper way of oral rehydration salt (ORS) preparation, especially, regarding the volume of water to be mixed to get appropriate concentration of solution. Severe complications, like electrolyte imbalance and acute gastrointestinal (GI) bleeding, can happen if prepackaged ORS is dissolved in a smaller amount of water than the recommended amount. We presented here case reports of two infants from the Rohingya refugee camps with the diagnosis of acute watery diarrhea with dehydration and hypernatremia, potentially worsened by excessive salt intake due to inappropriate dilution of ORS.