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Diarrhea - overview

Stools - watery; Frequent bowel movements; Loose bowel movements

 

Diarrhea is when you pass loose or watery stool.

Considerations

 

In some people, diarrhea is mild and goes away in a few days. In other people, it may last longer.

Diarrhea can make you feel weak and dehydrated.

Diarrhea in babies and children can be serious. It needs to be treated differently than you would treat diarrhea in adults.

Talk with your health care provider if your child has diarrhea. There can be a lot to know. Your provider can help you learn how to recognize and treat diarrhea in babies and in children .

 

Causes

 

The most common cause of diarrhea is the stomach flu ( viral gastroenteritis ). This mild viral infection goes away on its own within a few days.

Eating or drinking food or water that contains certain types of bacteria or parasites can also lead to diarrhea. This problem may be called food poisoning .

Certain medicines may also cause diarrhea , including:

  • Some antibiotics
  • Chemotherapy drugs for cancer
  • Laxatives containing magnesium

Diarrhea may also be caused by medical disorders, such as:

  • Celiac disease
  • Inflammatory bowel diseases ( Crohn disease and ulcerative colitis )
  • Irritable bowel syndrome (IBS)
  • Lactose intolerance (which causes problems after drinking milk and eating other dairy products)
  • Malabsorption syndromes

Less common causes of diarrhea include:

  • Carcinoid syndrome
  • Disorders of the nerves that supply the intestines
  • Removal of part of the stomach ( gastrectomy ) or small intestine
  • Radiation therapy

People who travel to third-world or developing countries can get diarrhea from unclean water or food that isn't handled safely. Plan ahead by learning the risks and treatment for traveler's diarrhea before your trip.

 

Home Care

 

Most times, you can treat diarrhea at home. You will need to learn:

  • To drink plenty of fluids to prevent dehydration (when your body does not have the proper amount of water and fluids)
  • Which foods you should or should not eat
  • What to do if you are breastfeeding
  • What danger signs to watch out for

Avoid medicines for diarrhea that you can buy without a prescription, unless your doctor tells you to use them. These drugs can make some infections worse.

If you have a long-term form of diarrhea, such as diarrhea caused by irritable bowel syndrome, changes to your diet and lifestyle may help.

 

When to Contact a Medical Professional

 

Call your health care provider right away if you or your child shows signs of dehydration:

  • Decreased urine (fewer wet diapers in infants)
  • Dizziness or light-headedness
  • Dry mouth
  • Sunken eyes
  • Few tears when crying

Call for an appointment with your health care provider if you have:

  • Blood or pus in your stools
  • Black stools
  • Stomach pain that does not go away after a bowel movement
  • Diarrhea with a fever above 101°F (100.4°F in children)
  • Recently traveled to a foreign country and developed diarrhea

Also call your doctor if:

  • The diarrhea gets worse or does not get better in 2 days for an infant or child, or 5 days for adults
  • A child over 3 months old has been vomiting for more than 12 hours; in younger babies, call as soon as vomiting or diarrhea begins

 

What to Expect at Your Office Visit

 

Your doctor will perform a physical exam and ask you questions about your medical history and symptoms.

Lab tests may be done on your stools to determine the cause of your diarrhea.

This is also a good time to ask your doctor any questions you have about diarrhea .

Over-the-counter supplements that contain healthy bacteria may help prevent diarrhea caused by taking antibiotics. These are called probiotics. Yogurt with active or live cultures is also a good source of these healthy bacteria.

The following healthy steps can help you prevent illnesses that cause diarrhea:

  • Wash your hands often, especially after going to the bathroom and before eating.
  • Use alcohol-based hand gel frequently.
  • Teach children to not put objects in their mouth.
  • Take steps to avoid food poisoning .

When traveling to underdeveloped areas, follow the steps below to avoid diarrhea:

  • Drink only bottled water and do not use ice, unless it is made from bottled or purified water.
  • Do NOT eat uncooked vegetables or fruits that do not have peels.
  • Do NOT eat raw shellfish or undercooked meat.
  • Do NOT consume dairy products.

 

 

References

Schiller RL, Sellin JH. Diarrhea. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease . 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 15.

Semrad CE. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 142.

 
  • Campylobacter jejuni organism - illustration

    Campylobacter jejuni Campylobacter jejuni Campylobacter jejuni

    Campylobacter jejuni organism

    illustration

  • Digestive system - illustration

    The esophagus, stomach, large and small intestine, aided by the liver, gallbladder and pancreas convert the nutritive components of food into energy and break down the non-nutritive components into waste to be excreted.

    Digestive system

    illustration

  • Cryptosporidium, organism - illustration

    Cryptosporidium is a protozoan parasite found in contaminated water. It has been increasingly recognized as the cause of outbreaks of diarrhea when water supplies become contaminated. In normal individuals, it is a self-limited disease. Among immunocompromised individuals with AIDS, cryptosporidium can cause severe diarrheal disease, gallbladder disease (cholecystitis), and inflammation of the pancreas (pancreatitis).

    Cryptosporidium, organism

    illustration

  • Diarrhea - illustration

    The most common cause of diarrhea is a mild viral infection that resolves on its own within a few days, usually known as the "stomach flu". Two other common causes of diarrhea is from food poisoning and traveler's diarrhea. They occur from eating food or drinking water contaminated with organisms like bacteria and parasites. Medications can also cause diarrhea, especially antibiotics, laxatives containing magnesium, and chemotherapy for cancer treatment.

    Diarrhea

    illustration

    • Campylobacter jejuni organism - illustration

      Campylobacter jejuni Campylobacter jejuni Campylobacter jejuni

      Campylobacter jejuni organism

      illustration

    • Digestive system - illustration

      The esophagus, stomach, large and small intestine, aided by the liver, gallbladder and pancreas convert the nutritive components of food into energy and break down the non-nutritive components into waste to be excreted.

      Digestive system

      illustration

    • Cryptosporidium, organism - illustration

      Cryptosporidium is a protozoan parasite found in contaminated water. It has been increasingly recognized as the cause of outbreaks of diarrhea when water supplies become contaminated. In normal individuals, it is a self-limited disease. Among immunocompromised individuals with AIDS, cryptosporidium can cause severe diarrheal disease, gallbladder disease (cholecystitis), and inflammation of the pancreas (pancreatitis).

      Cryptosporidium, organism

      illustration

    • Diarrhea - illustration

      The most common cause of diarrhea is a mild viral infection that resolves on its own within a few days, usually known as the "stomach flu". Two other common causes of diarrhea is from food poisoning and traveler's diarrhea. They occur from eating food or drinking water contaminated with organisms like bacteria and parasites. Medications can also cause diarrhea, especially antibiotics, laxatives containing magnesium, and chemotherapy for cancer treatment.

      Diarrhea

      illustration

    A Closer Look

     

      Talking to your MD

       

        Self Care

         

          Tests for Diarrhea - overview

           

             

            Review Date: 12/19/2014

            Reviewed By: Jennifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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