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Diarrhea Introduction

 

Diarrhea is an increase in the frequency, fluidity, and volume of bowel movements. Although diarrhea is not a disease, it may be a symptom of a serious underlying disorder or infection.  A temporary episode of diarrhea usually indicates a mild, self-limiting event, usually from an intestinal infection and may be due to factors such as; a stomach virus or food poisoning, traveler's diarrhea (common in areas where there is poor water quality or sanitation), administration of antibiotics, a particular food allergy, or impaired digestive function. 

 

Diarrhea that lasts more than 3-4 days, increases in severity, is bloody, or is present in a child under six years of age, usually indicates that there is an intestinal problem that requires immediate medical attention.

 

There are four types or classes of diarrhea:

  • Osmotic diarrhea (due to laxatives, lactose intolerance, magnesium salt antacids, excess consumption of low-calorie sweeteners such as sorbitol, excessive vitamin C intake)
     

  • Secretory diarrhea (due to toxin-producing bacteria, fat malabsorption, laxative abuse, hormone-producing tumors)
     

  • Exudative diarrhea (due to parasite and microbial infections, inflammatory bowel disease, Crohn's disease, or ulcerative colitis)
     

  • Inadequate-contact diarrhea (due to intestinal surgery and short bowel syndrome).

It is essential that the type of diarrhea be identified through a complete diagnostic workup by a qualified health care professional, in order to render appropriate treatment.

 

 

Diarrhea Symptoms

 

The main symptom of diarrhea is an increase in the frequency, fluidity, and volume of bowel movements.  Other symptoms that may accompany diarrhea include;

  • abdominal pain

  • bloating

  • loss of appetite

  • vomiting

  • headache

  • weakness

  • lethargy

  • severe, bloody diarrhea

Brief episodes of diarrhea with vomiting and loss of appetite are often due to gastroenteritis or food poisoning.  Diarrhea accompanied with abdominal pain and bloating may be due to irritable bowel syndrome or diverticulosis.  Diarrhea with headache, weakness, and lethargy is most often caused by dehydration.

 

 

Diarrhea Symptoms

 

According to the Centers for Disease Control (CDC) [1, 2]:

  • Travelers' diarrhea is the most common illness affecting travelers.
     

  • Between 20%-50% of international travelers, approximately 10 million people, develop diarrhea.
     

  • Diarrhea caused by parasites is still the single greatest worldwide cause of illness and death.

 

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