Coconut Water as One of the Optional Oral Electrolyte Solutions

  • Muzief Munir Departement of Pediatrics and Department of Radiology, Universitas Sam Ratulangi Medical School /Gn. Wenang Hospital, Manado, North Sulawesi
  • I. Mustadjab Departement of Pediatrics and Department of Radiology, Universitas Sam Ratulangi Medical School /Gn. Wenang Hospital, Manado, North Sulawesi
Keywords: coconut water, oral electrolyte solutions, diarrheal diseases, diarrhea, vomiting, dehydration


In an attempt to overcome mild and moderate dehydration, caused by diarrheal diseases with the outlook of reducing its mortality rate, it seems to be very important to find out many varieties of oral electrolyte solutions which are available in the communities.

Our study was performed to evaluate the effectiveness of salt in half strength of coconut water solution as one of the optional oral electrolyte solutions.

Children under five years of age with diarrhea were used as subjects in this study, and were divided into two groups, i.e. the ooconut water group and the oratrolyte group (Kimia Parma).

The willingness to drink (acceptability)·, the frequency of diarrhea and vomiting, the severity of dehydration before and after rehydration, and the symptoms and signs of side-effects such as abdominal cramps and hyperkalemia were recorded.

From this study it is clear that finely ground salt in half strength of coconut water can be used as an optional oral electrolyte solution with satisfactory results and without any harmful effects.


1. BAHRAWI, W. : The role of environmental factors in epidemiology of diseases in Indonesia. Presented at the Second Asian Congress of Pediatrics, 3 – 6 August 1976, Jakarta, Indonesia.
2. DESJEUX, J.F., TANNENBAUM, Effects of sugar and amino acids on sodium movement across small intestine. Am· J Dis. Child. 131 : 331 (1977).
3. EISEMAN, B. : Intravenous infusion of coconut water. Arch. Surg. 68 : 167 (1954).
4. HARUN NURASID : Gagasan Rehydration Centers Khusus untuk Anak. Rehydration Course WHO SEARO 144, Surabaya, 1971.
5. HARUN NURASID, TEDDY ONTOSENO and SUBIDANTO PURWODIBROTO : Pemakaian air kelapa muda pada kholera anak. Buku Naskah Lengkap Pertemuan Ilmiah BKGAI, ke V, Desember 1977. Parapat, Sumatera Utara.
6. KAPOJOS dkk.: Air kelapa dilihat dari sudut medis. Dokumen Universitas Sam Ratulangi, Manado, Indonesia (1970).
7. KING, M. : MCH - Package, Chapter Gastroenteritis of Infants. Presented at the Seminar of Rehydration, Jakarta, 26-29 Augulit 1974.
8. MAHALANABIS, D. : Water and electrolyte losses due to cholera in infants and small children. A recovery 45 374 (1970) .
9. MOENGINAH, P.A. , UNTORO and HARUN ALRASJID: Larutan garam gula untuk rehidrasi. Buku Naskah Lengkap Pertemuan Ilmiah BKGAI ke-V, Parapat, Sumatera Utara, Desember 1917·
10. NALIN D.R. : Sucrose in oral therapy for cholera and related diarrhea. Lancet ii : 1400 (1975).
11. PlTOINO SUPARTO, ISMUDIJANTO: Modified Oral Electrolyte Solution for Infantile Diarrhea. Presented at the fifth Asian Pacific Congress of Gastroenterology, Singapore, 23-29 May 1976.
12. RANTI, I.S.F., BOH, K.T., LIANG, T.l., HOEY, T.E. : Coconut water for intravenous, fluid therapy. Paediatr. Indones. 5 : 782 (1965).
13. SUNOTO, PIOH, H., WIHART A, A.S. and SUHARJONO : An oral electrolyte solution in the treatment of acute infantile gastroenteritis In the Proceeding's Book of the 5th Meeting of the Coordinating Board of Indonesian Pediatric Gastroenterology, Parapat, North Sumatera, 5- 12 December 1977.
14. TULECKE, W., WEINSTEIN, L.H. : The biochemical composition of coconut water (coconut milk) as related to its use in plant Teosine. Contribution from Boyce Thompson Institute. Jan.- March 1961.
15. MARTINDALE, W.A. : The extra Fharmacopoeria , 27th ed. pp. 1265 (Pharmaceutical Press, London 1978).
How to Cite
Munir M, Mustadjab I. Coconut Water as One of the Optional Oral Electrolyte Solutions. PI [Internet]. 15Dec.2021 [cited 20Jun.2024];20(1-2):38-6. Available from:
Pediatric Gastrohepatology
Received 2021-12-15
Published 2021-12-15