A 2-year-old baby is brought to you with loose stools for 3 days. On examination, the baby is restless and irritable, the skin pinch goes back slowly, and the baby has sunken eyes. What will you do?
Options:

Correct option is A

Ans. (a) Diagnose the baby having some dehydration and start ORS.
Sol.
The baby's restlessness, irritability, slow skin pinch, and sunken eyes are signs of some dehydration, according to the WHO classification of dehydration in diarrhea cases.
WHO Classification of Dehydration:
· No dehydration: Child is alert, normal skin turgor, no sunken eyes.
· Some dehydration: Child is irritable/restless, sunken eyes, slow skin pinch return → ORS (Oral Rehydration Solution) required.
· Severe dehydration: Lethargic/unconscious, very slow skin pinch return, unable to drink → IV fluids needed.
Explanation of Each Option:
· (a) Diagnose the baby having some dehydration and start ORS – Correct ✅
· ORS is the first-line treatment for some dehydration in children with diarrhea.
· (b) Refer the patient to a higher center – Incorrect ❌
· Referral is only needed if the child has severe dehydration or complications.
· (c) Baby has no dehydration, no treatment required – Incorrect ❌
· The baby has clear signs of some dehydration and requires ORS.
· (d) Baby has some dehydration, start intravenous fluids – Incorrect ❌
· IV fluids are only required for severe dehydration. For some dehydration, ORS is sufficient.
Conclusion:
The correct answer is (a) Diagnose the baby having some dehydration and start ORS, as the baby shows mild to moderate dehydration signs, which can be managed with oral rehydration therapy.