Diarrhea

Diarrhea means watery stools (like water) more than 3 times a day. Most adults experience diarrhea about 4 times each year. Virtually every person will experience diarrhea at some point in their life.

Symptoms

The most serious threat posed by diarrhea is dehydration. During an episode of diarrhea, water and electrolytes (sodium, chloride, potassium and bicarbonate) are lost through liquid stools, vomit, sweat, urine and breath. Dehydration occurs when these losses are not replaced. The degree of dehydration is graded on a scale of three.

  • Severe dehydration (at least two of the following signs):
    • lethargy / fainting
    • sunken eyes
    • unable to drink or drink badly
    • The skin sting returns very slowly (≥2 seconds)
  • Some dehydration (two or more of the following signs):
    • anxiety, irritability
    • sunken eyes
    • he drinks impatiently, thirsty
  • No dehydration (there are not enough signs to qualify as some or severe dehydration).

Causes

Causes of diarrhea include:

  • Viruses (see the article on viral gastroenteritis at peptiko.gr)
  • Food Poisoning
  • Parasites (worms in the stool)
  • Drugs (common drugs that cause diarrhea are proton pump inhibitors known as prazoles, antibiotics that destroy the normal intestinal flora, etc.)
  • Problems with digestion of certain foods (celiac disease or gluten intolerance, lactose intolerance, etc.)
  • Diseases of the digestive system (Crohn’s disease, ulcerative colitis, microscopic colitis, pancreatic insufficiency, etc.)

Treatment

Diarrhea is treated with medication, antibiotics and drugs that improve diarrhea as a symptom. Do not take loperamide (Imodium) medicines on your own which may aggravate abdominal pain, cause arrhythmia, dizziness, fainting, especially in the presence of pre-existing dehydration or other conditions. Loperamide interacts with other medications that the patient may be taking, so the treating physician should definitely be informed to avoid side effects. Good hydration is essential. If the diarrhea is due to medication, stopping or changing the dose of the medication that causes the diarrhea may be necessary. There are foods that should be avoided as long as the diarrhea lasts. Your gastroenterologist will give you relevant detailed information. Emphasize the rules of hygiene that include cleaning utensils when preparing food, and washing hands after using the toilet.

 

 

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