Diarrhea is defined as unusually frequent or excessive evacuation of loose watery faeces.
- commonest form
- self- limiting, short lived, lasting within days.
- Usually due to infection of food and drinks by bacteria, virus, parasite.
- Implicated food include chicken, sea food, milk and milk products
- other causes are food intolerance (especially after eating large amount of fruits or beans)
- antibiotic reactions
- recurrent in nature
- longer duration, more than 4 weeks.
- watery, bloody or fatty in nature
- underlying causes could be sinister.
- maybe due to colorectal cancers, chronic inflammatory bowel diseases, chronic infections like HIV, chronic laxative and antacid use, diabetic neuropathy and constipation with overflow diarrhea especially for the bedridden elderly.
- watery stools of variable nature
- with or without blood and mucus
- abdominal cramps
- alternating diarrhea and constipation
- loosing weight and appetite
- pain in joins, backache, eye trouble or mouth ulceration
- Prolonged discomfort
Acute diarrhea – mostly dietary modification and non drug therapy
- Rest the bowel
- Take small frequent clear fluids such as water or light tea.
- Take low fat food such as boiled rice porridge, soups, boiled potatoes, mashed vegetables, dry toast or bread, biscuits, most canned fruits, jam, honey and jelly.
- Avoid alcohol, coffee, strong tea, fried food, spicy food, raw vegetables especially with hard skins and cigarette smoking
- Reduce normal activities until diarrhea stops
- On the third day introduce small amount of dairy products such as milk in tea or coffee. Also lean meat and fish either steamed or grilled.
- Avoid use of antibiotics unless organism is identified.
- Consult your doctor if diarrhea occurs more than 8 hours, passage of stool larger in volume (? 6 stools/24hr) and bloody diarrhea.
- See your doctor to find and treat underlying cause
- Take freshly cooked food
- Practice good hygine especially after toilet use
- Washing hands with soap and water
- Avoid pronged use of laxatives
- Avoid indiscretion use of antibiotics, laxatives and antacids ;
|Last Review||:||26 April 2012|
|Writer||:||Dr. Ruziatun binti Hasim|
|Reviewed||:||Dr. Sanidah binti Md. Ali|