Background: Diarrhea is the leading cause of childhood morbidity and mortality. Failure of 
exclusive breast feeding, improper weaning practices, poor sanitation, lack of personal hygiene and 
inadequate water supply are among major risk factors of diarrheal disease in children. Aim of the 
study is to determine risk factors associated with recurrence of diarrheal episodes among children 
under two years Settings: This study was conducted at the Out Patient Clinic at Damanhur Medical 
National Institute (DMNI). Subjects: A convenient sample of 200 mothers having children under two 
years who are suffering from diarrhea constituted the subjects Tool: One tool was used for data 
collection: Risk Factors Associated with recurrence of Diarrheal Episodes among Children under 
Two Years Structured Interview Schedule. Results: that there is statistically significant relation 
between recurrence of diarrheal episodes of mothers` children and their breast-feeding practices, 
weaning practices, personal hygiene, vaccination status and seasonal pattern where P=0.001, 
P<0.001, P=0.003, P=0.009 and P=0.029* respectively. Conclusion: The findings of the present 
study concluded that mothers who have children with recurrence of diarrheal episodes are 
confronting multiple risk factors like younger age of mothers, low family income, family size 
(overcrowding), feeding type, residence, failure of exclusively breast-feeding, inappropriate weaning 
practices, poor personal hygiene, inadequate water sanitation, poor environmental sanitation, and 
seasonal pattern. Recommendations: Mothers' education class about diarrhea risk factors should be 
extensively encouraged by educational authorities in all health centers to help them gaining 
information about how to prevent diarrhea