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Diarrhoea is a very common symptom with many
possible causes. The term is used to describe an increase in
frequency of bowel motions, or increased faeces liquidity, or
sometimes a sense of faecal urgency. A textbook definition of
diarrhoea is: "the passage of greater than 300 ml of liquid faeces
in 24 hours". However, this is not a very useful definition, as
faeces quantity is hardly ever measured.
Common Causes
As mentioned above, the causes of diarrhoea
are too numerous to mention. To determine which causes are more likely, a doctor will
need to know, amongst other things, a patient's normal bowel habit,
and how long the diarrhoea has been present.
Treatment
1) Rehydration
Most adults with diarrhoea will not become
dehydrated provided they take in adequate fluids. Fluids containing
carbohydrates and electrolytes (e.g. fruit juice) are
preferable.
In more severe diarrhoea, especially in children, dehydration can
occur quickly and admission to hospital for intravenous fluids may
be necessary.
2) Diet
It is generally accepted that people with diarrhoea find it more
comfortable to rest the bowel by avoiding high-fibre foods, fats,
milk products, caffeine and alcohol, instead taking in frequent
small helpings of light meals and fluids.
3)
Medicinal Treatment
The overwhelming majority of patients with diarrhoea will not need
medicinal treatment. However, if there are symptoms or signs of a systemic
illness and/or the symptoms are persisting, and particularly if
bacteria are identified, then medicinal treatment may be required
and will be prescribed by your doctor.
Summary
There are many possible
causes of diarrhoea. Most commonly, it is a mild and self-limiting
illness, but if symptoms are severe or persistent, one should seek
help from a doctor as specific tests and/or treatment may be
necessary.
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