Diarrhoea

Definition of Diarrhoea

  • Diarrhoea is the passage of loose or watery stools three or more times a day.
  • It may be acute or chronic, depending on its duration and cause.

Types of Diarrhoea

  • Acute

    • Lasts a few days
    • Usually caused by infections (viral, bacterial, or parasitic)
  • Chronic

    • Lasts more than two weeks
    • Often related to medical conditions (e.g., IBS, IBD, celiac disease)

Causes of Diarrhoea

  1. Infections:

    • Viral: Norovirus, Rotavirus
    • Bacterial: E. coli, Salmonella
    • Parasitic: Giardia, Entamoeba histolytica
  2. Medications:

    • Antibiotics (disrupt gut flora)
  3. Food Intolerances:

    • Lactose, gluten, artificial sweeteners
  4. Medical Conditions:

    • Inflammatory Bowel Disease (IBD)
    • Irritable Bowel Syndrome (IBS)
    • Celiac disease
  5. Stress & Anxiety

  6. Other Factors:

    • Radiation therapy, surgeries, excessive alcohol
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Symptoms

  • Frequent loose/watery stools
  • Abdominal cramps
  • Nausea & vomiting
  • Fever
  • Dehydration (dry mouth, dizziness, low urine output)
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Treatment

  1. Rehydration (Most Important)

    • Oral rehydration solution (ORS), clear fluids
    • IV fluids in severe dehydration
  2. Medications

  3. Dietary Adjustments

    • Avoid spicy, greasy, or high-fiber foods
    • Eat bland foods (BRAT diet: bananas, rice, applesauce, toast)
    • Avoid caffeine and alcohol
  4. Treat Underlying Conditions

    • For chronic diarrhoea, manage IBS, IBD, or celiac disease appropriately
  5. Probiotics

    • Help restore gut flora balance
    • Found in supplements and fermented foods like yogurt, kefir

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