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Definition |
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Diarrhea is
defined either as watery stool, or increased frequency, or both, when
compared to a normal amount. It is a common problem that may last a few days
and disappear on its own.
Diarrhea may
be acute (short-term), which is usually related to bacterial or viral
infections, or chronic (long-term), which is usually related to a functional
disorder or intestinal disease.
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Causes |
Diarrhea may
be caused by a number of conditions, including the following:
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a bacterial infection
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a viral infection
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food intolerances or
allergies
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parasites
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a reaction to medications
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an intestinal disease,
such as inflammatory bowel disease
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a functional bowel
disorder, such as irritable bowel syndrome
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a result of surgery on
the stomach or gall bladder
Many
people suffer "traveler's diarrhea" caused by a bacterial infection or a
parasite, or even food poisoning.
Severe
diarrhea may indicate a serious disease, and it is important to consult your
physician if the symptoms persist or affect daily activities. Identifying
the cause of the problem may be difficult.
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Symptoms |
The
following are the most common symptoms of diarrhea. However, each individual
may experience symptoms differently. Symptoms may include:
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cramping
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abdominal pain
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bloating
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nausea
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urgent need to use the
restroom
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fever
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bloody stools
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dehydration
Dehydration is one of the more serious side effects of diarrhea. Symptoms of
dehydration include:
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thirst
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less-frequent urination
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dry skin
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fatigue
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light-headedness
The
symptoms of diarrhea may resemble other medical conditions or problems.
Always consult your physician for a diagnosis.
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Diagnosis |
In addition
to a complete physical examination and laboratory tests for blood and urine,
diagnostic procedures for diarrhea may include the following:
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stool culture
- checks for the presence of abnormal bacteria in the digestive tract that
may cause diarrhea and other problems. A small sample of stool is collected
and sent to a laboratory by your physician's office. In two or three days,
the test will show whether abnormal bacteria are present.
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sigmoidoscopy
- a diagnostic procedure that allows the physician to examine the inside of
a portion of the large intestine, and is helpful in identifying the causes
of diarrhea, abdominal pain, constipation, abnormal growths, and bleeding.
A short, flexible, lighted tube, called a sigmoidoscope, is inserted into
the intestine through the rectum. The scope blows air into the intestine to
inflate it and make viewing the inside easier.
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colonoscopy
- a procedure that allows the physician to view the entire length of the
large intestine, and can often help identify abnormal growths, inflamed
tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long,
flexible, lighted tube, in through the rectum up into the colon. The
colonoscope allows the physician to see the lining of the colon, remove
tissue for further examination, and possibly treat some problems that are
discovered.
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Treatment |
Specific
treatment for diarrhea will be determined by your physician based on:
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your age, overall health,
and medical history
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extent of the condition
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your tolerance for
specific medications, procedures, or therapies
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expectations for the
course of the condition
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your opinion or
preference
Treatment
usually involves replacing lost fluids, and may include antibiotics when
bacterial infections are the cause.
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More Resources |
National Institutes of Health
http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea/ |
VCU Health System
http://www.vcuhealth.org/content.asp?pageid=P00390 |
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