Monsoon can trigger gut health crisis in kids: What parents must know

This monsoon, Pune has witnessed an alarming rise in gastrointestinal illnesses. Pune Municipal Corporation (PMC) recorded 6,574 cases of acute diarrhoeal disease, 115 bacillary dysentery, 91 viral hepatitis, and 140 enteric fever (typhoid).

At the state level, the surge is equally stark: compared to early 2025, when eight outbreaks affected 264 people, Maharashtra has already seen 27 outbreaks impacting 1,368 individuals by early August.For parents, this is more than just a seasonal inconvenience. While waterborne diseases remain the obvious culprits, monsoon brings a broader spectrum of threats to a child’s gut.Beyond the Usual SuspectsThe damp, humid conditions of the monsoon weaken immunity and foster microbial growth.

Children are not only falling ill with diarrhoea or dysentery but are also presenting with viral hepatitis A and E, recurrent typhoid, and in some cases, unusual dual infections such as diarrhoea with swine flu. This time, Pune even saw sporadic cholera cases, rare but deeply concerning in an urban setting.Why Children Are Especially VulnerableChildren’s digestive systems are susceptible to changes in food and water quality. During heavy rains, water contamination spikes due to overflowing drains, leaking pipelines, and storage in unsafe containers.

Beyond infections, damp weather and poor dietary hygiene also trigger gut irritations like nausea, constipation, bloating, and food intolerances. Monsoon often becomes a time when families enjoy street food together.

These may not seem severe at first, but they weaken the gut further, making children more susceptible to prolonged illness.Parents should be on the lookout for symptoms like Persistent diarrhoea, vomiting, or jaundice.

Signs of dehydration, like dry mouth, sunken eyes, and reduced urine output, are also alarming. Visiting the doctor is advised in such cases. High fever with abdominal pain could indicate typhoid or hepatitis—dual infections, where Respiratory symptoms coupled with gut distress are also emerging.Building Resilience This MonsoonThree pillars are essential in this case.1. Safe water and food – Use boiled or filtered water, avoid street food, and store meals hygienically.2. Vaccination – Typhoid and Hepatitis A vaccines significantly reduce risk.3. Early intervention – At the first sign of illness, initiate ORS, maintain hydration, and consult a physician.This monsoon is a reminder that gut health is central to a child’s overall resilience. Vigilance, timely medical care, and preventive practices can ensure that children weather the season safely. As always, in case of worsening symptoms, visit a doctor for medical advice. (Dr. Ganesh Shiwarkar, Senior Consultant - Pediatrics & Neonatology, Surya Mother and Child super speciality Hospital Pune)