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Supplement evidence

084 / 575Digestive support

Oral rehydration salts

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The short answer

Correctly formulated glucose-electrolyte solutions treat dehydration from diarrhea and fluid loss.

Evidence and scope
Established for an indicated use

This status does not grade the ingredient for every goal, outcome, or person.

Important limitation
The benefit is tied to the stated indication, dose, and population; it is not evidence of broader disease prevention or longer life.
Before deciding
Key concern: Kidney/heart failure, severe dehydration, altered consciousness, bloody diarrhea, or persistent vomiting require medical care.

01 / PRACTICAL GUIDE

Dose, absorption, and combinations

These are indication-specific reference or studied ranges—not a personalized prescription. Start with the objective, then check the form, label, medicines, and health conditions.

Reference range by objective
Oral rehydrationMix exactly as labeled or use WHO-formulated solution; sip according to losses

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source

More is not automatically better. A clinician or product label may specify a different amount.

Absorption / solubilityFat/water classification is not the key factor

Fat/water solubility is not the useful decision point; preparation, fluid, timing, or strain identity matters more.

How it is commonly taken

Use the exact water volume; do not make it more concentrated.

Do not combine casually

Kidney/heart failure, severe dehydration, altered consciousness, bloody diarrhea, or persistent vomiting require medical care.

Dose and use source

Dose and use links lead to primary or official source material. Search links are discovery tools, not proof that every returned paper applies.

02 / EVIDENCE

What the research says

We keep supportive, mixed, negative, safety, and contextual findings together. The headline never replaces the underlying papers.

2research papers in this ledger
15unique primary studies represented
447unique participants represented

These are audited counts for this JIVANA collection, not search-result totals. Participants are counted once when multiple papers use the same cohort; review papers are not added again to participant totals.

Open the research timelineResearch timeline

Entries are ordered by publication year. A study period appears only when the source reports it.

2004
Supports a specific usePMID 15086953

Oral rehydration versus intravenous therapy for childhood gastroenteritis dehydration

There was no clinically important efficacy or safety difference for appropriate children; about one in 25 assigned oral therapy required intravenous rescue. Hospital stay was shorter with oral therapy, while trial quality was low and persistent vomiting limited applicability. The abstract omitted an aggregate participant count.

Study design and methods
Design
Systematic review and meta-analysis of 14 randomized or quasi-randomized trials
Population
Children with dehydration caused by acute gastroenteritis
Intervention
Oral rehydration therapy versus intravenous fluids
Outcome
Rehydration failure, mortality, electrolyte disturbance, length of stay, phlebitis, and ileus
Open research record
1995
Supports a specific usePMID 7837862

Multicentre evaluation of reduced-osmolarity oral rehydration salts

Standard ORS produced 39% more stool output, 18% more ORS intake, and 22% longer diarrhea than reduced-osmolarity ORS. Intravenous rescue was numerically more common with standard ORS; cholera applicability remained uncertain.

Study design and methods
Design
Randomized four-country multicenter trial
Population
447 boys aged 1–24 months with acute diarrhea and dehydration
Intervention
Reduced-osmolarity ORS 224 mmol/L versus then-standard ORS 311 mmol/L
Outcome
Stool output, ORS intake, diarrhea duration, intravenous rescue, and sodium
Open research record
Unscreened discovery appendix—not evidence268 candidate publicationsSearch run: Aug 21, 2026

Complete for the displayed PubMed query at the search timestamp—not for all databases or every possible synonym. Candidates can be irrelevant, duplicate the same study, or report negative findings. They are never summed as evidence or participants until screened.

03 / SOURCES

Start with the source material

The live search is for discovery only. Search-result counts change and are not included in the audited totals above.

Recent PubMed discovery recordsDirect links to the first 12 records returned by the reproducible search. These are discovery candidates—not reviewed summaries or a count of supportive findings.
  1. Rehydration After Exercise-Induced Fluid Losses: Comparing Flavored Water, Coconut Water, and Carbohydrate-Electrolyte Sports Beverage.Bell SK, Spriet LL · 2026 · Journal of strength and conditioning research · PMID 41359932Open on PubMed
  2. Effects of a Water, Sanitation, and Hygiene Program on Diarrhea, Cholera, and Child Growth in the Democratic Republic of the Congo: A Cluster-Randomized Controlled Trial of the Preventative Intervention for Cholera for 7 Days (PICHA7 WASHmobile) Mobile Health Program.George CM, Sanvura P, Bisimwa JC et al. · 2025 · Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · PMID 41206550Open on PubMed
  3. Beverage-Specific Modulation of Urinary Inflammatory Biomarkers After Endurance Running in Trained Males.Suzuki K, Kanda K, Ma S · 2025 · Nutrients · PMID 40733004Open on PubMed
  4. An innovative Community Mobilisation and Community Incentivisation for child health in rural Pakistan (CoMIC): a cluster-randomised, controlled trial.Das JK, Salam RA, Padhani ZA et al. · 2025 · The Lancet. Global health · PMID 39706650Open on PubMed
  5. Effect of a Water, Sanitation, and Hygiene Program on Handwashing with a Cleansing Agent among Diarrhea Patients and Attendants in Healthcare Facilities in the Democratic Republic of the Congo: A Randomized Pilot of the PICHA7 Program.Mwishingo A, Endres K, Bisimwa L et al. · 2024 · International journal of environmental research and public health · PMID 38928906Open on PubMed
  6. Risk factors for moderate acute malnutrition among children with acute diarrhoea in India and Tanzania: a secondary analysis of data from a randomized trial.Kisenge R, Dhingra U, Rees CA et al. · 2024 · BMC pediatrics · PMID 38238656Open on PubMed
  7. Post-Exercise Rehydration in Athletes: Effects of Sodium and Carbohydrate in Commercial Hydration Beverages.Ly NQ, Hamstra-Wright KL, Horswill CA · 2023 · Nutrients · PMID 38004153Open on PubMed
  8. Effect of preoperative oral rehydration before cesarean section on ultrasound assessment of gastric volume and intraoperative hemodynamic changes: a randomized controlled trial.Ijiri E, Mori C, Sasakawa T · 2023 · BMC anesthesiology · PMID 37648966Open on PubMed
  9. A single dose of ciprofloxacin reduces the duration of diarrhea among service members deployed in Africa.Le Dault E, Sicard S, Desplans J et al. · 2023 · Infectious diseases now · PMID 36642099Open on PubMed
  10. Is Fibersol-2 efficacious in reducing duration of watery diarrhea and stool output in children 1-3 years old? A randomized, parallel, double-blinded, placebo-controlled, two arm clinical trial.Shahid ASMSB, Ahmed S, Dash S et al. · 2023 · PloS one · PMID 36706123Open on PubMed
  11. Randomized Controlled Trial of the Cholera-Hospital-Based-Intervention-for-7-Days (CHoBI7) Cholera Rapid Response Program to Reduce Diarrheal Diseases in Bangladesh.George CM, Parvin T, Bhuyian MSI et al. · 2022 · International journal of environmental research and public health · PMID 36232205Open on PubMed
  12. A new palatable oral rehydration solution: A randomised controlled cross-over study in patients with a high output stoma.Culkin A, Gabe SM, Nightingale JMD · 2022 · Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · PMID 34323341Open on PubMed

04 / EXPERT CONTEXT

Expert context—not evidence

Expert positions are dated context—not scientific evidence. They never raise the evidence status or become consensus by repetition.

No direct, source-verified endorsement is currently recorded. Research authorship or discussion alone is not treated as endorsement.

Educational information only—not medical advice. Product quality, dose, medicines, pregnancy, and kidney or liver disease can materially change safety.