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Chronic Diarrhea: Causes, Symptoms, Diagnosis, Treatment and Risk
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What is Chronic Diarrhoea?

Chronic diarrhoea is a condition where a person experiences excess loss of body fluid and bowel movement. If a gastrointestinal condition persists for over four weeks, it's time to..

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Chronic diarrhoea is a condition where a person experiences excess loss of body fluid and bowel movement. If a gastrointestinal condition persists for over four weeks, it's time to check a doctor. It is found among people of all ages. The severity may vary depending on underlying health problems, infections, or prolonged gastric disease such as inflammatory bowel disease, food intolerance, etc. The symptoms of chronic diarrhoea may vary from person to person, but common symptoms include abdominal pain, cramping, bloating, nausea, and fatigue. In severe cases, blood or mucus may be present in the stool, and weight loss may occur.

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Causes of Chronic Diarrhoea

Chronic diarrhoea can occur due to various causes. Some of the most typical causes of chronic diarrhoea are listed below:

·      Inflammatory bowel disease (IBD): Crohn's disease and ulcerative colitis are inflammatory digestive tract diseases characterised by recurrent inflammation. They cause diarrhoea and stomach ache, and other symptoms of chronic diarrhoea.

·      Malabsorption syndromes – These illnesses prevent the body from properly absorbing nutrients from meals, resulting in diarrhoea, weight loss, and nutritional deficiencies. Examples include pancreatic insufficiency, celiac illness, and lactose intolerance.

·      Irritable bowel syndrome (IBS) is a long-term condition that affects the large intestine and can lead to constipation, chronic bloating diarrhoea, and abdominal pain.

·      Microscopic colitis: This disorder causes inflammation in the colon and results in prolonged diarrhoea and discomfort in the abdomen.

·      Diarrhoea brought on by medication - Certain medicines, including antibiotics, laxatives, and some chemotherapy therapies, can bring on chronic diarrhoea.

•      Food intolerances: Food intolerances or sensitivities, such as lactose intolerance or celiac disease, can give rise to chronic diarrhea.

A critical understanding of the underlying reason is essential to choose the best treatment course for chronic diarrhoea. 

Symptoms of Chronic Diarrhoea

The medical ailment of chronic diarrhoea can present with following symptoms of chronic diarrhoea:

•      Frequent bowel movements can occur multiple times a day.

•      Loose or watery stools can last for more than four weeks.

•      Cramps or abdominal pain can be extremely severe in rare cases.

•      Discomfort or bloating in the abdominal area.

•      Nausea followed by vomiting.

•      Dehydration, which can manifest as symptoms including weakness, weariness, and light-headedness

•      Weight loss can happen due to the body losing nutrients and liquids.

•      Malnutrition can occur when the body is unable to absorb nutrients effectively.

•      Skin discomfort near the anus, which is sometimes brought on by recurrent bowel movement

Additional symptoms may be present if an underlying medical condition causes chronic diarrhea

Effective chronic diarrhea treatment depends on identifying the underlying cause. The therapy strategy could consist of the following:

•      Depending on the underlying cause, medications such as antibiotics, anti-inflammatory drugs, or antidiarrheal agents can be used as a treatment. 

•      Alterations to one's diet, such as cutting back on fiber or avoiding particular foods that cause diarrhea

•      Surgery, in rare circumstances, if a structural problem with the digestive system brings on chronic diarrhea

Risk factors for the Chronic diarrhea

The likelihood of getting chronic diarrhea can be influenced by several risk factors, including:

·      Weak immune system: Individuals undergoing chemotherapy or weakened immune systems due to diseases like HIV/AIDS are at a higher risk of developing persistent diarrhea from infections. 

·      Age: Chronic diarrhea, which can cause dehydration and malnutrition, is more prevalent in infants and young children. 

·      Travel: Visiting underdeveloped countries increases the likelihood of exposure to contaminated food and water, which can result in chronic diarrhea. 

·      Medications: During pregnancy or while nursing, taking medications like antibiotics or proton pump inhibitors can increase the risk of developing chronic diarrhea. 

·      Previous gastrointestinal surgery: Due to changes in bowel function, those who have had gastrointestinal surgery are more likely to develop chronic diarrhea. 

·      Underlying medical conditions: People with underlying medical conditions like inflammatory bowel disease, celiac disease, or irritable bowel syndrome are at a higher risk of chronic diarrhea.

How to prevent the Chronic diarrhea

You can take several steps to avoid persistent diarrhea, such as:

·      Maintain hygiene: Washing your hands can reduce the risk of contracting an illness that causes chronic diarrhea.

·      Safe food and water: Avoid consuming undercooked or contaminated food and drinking untreated water when traveling to underdeveloped countries.

·      Medication: Follow your doctor's instructions carefully and inform them if you experience any adverse effects, such as diarrhea.

·      Dietary adjustments: Avoid foods that trigger diarrhea, such as those high in fiber, dairy products, and spicy or fatty foods.

·      Manage stress: Chronic stress can impair digestion and lead to chronic diarrhea. Manage chronic diarrhea by engaging in stress-relieving activities like exercise, meditation, or yoga.

·      Maintain a healthy lifestyle: Eating a balanced diet, exercising regularly, and staying hydrated can help prevent chronic diarrhea.

·      Seek medical attention: If you have persistent chronic diarrhea or similar symptoms, see a doctor immediately so they can diagnose the underlying cause and create a treatment plan.

These measures help effectively in reducing the risk of chronic diarrhea. The best approach to avoiding chronic diarrhea is maintaining healthy eating habits and digestive systems. 

Diagnosis of Chronic Diarrhea

Diagnosing Chronic Diarrhea involves the following processes: 

•      Blood tests: To look for indicators of inflammation or other underlying health issues.

•      Imaging tests: X-rays, CT scans, or ultrasounds may be prescribed to look for digestive tract anomalies.

•      Physical examination: Your doctor will look for any pain or swelling in your belly and may run a rectal exam to look for any anomalies.

•      Medical history: To determine potential causes of chronic diarrhea, your doctor will inquire about your symptoms, medications, past travel experiences, and dietary habits.

•      Stool tests: To analyze for infectious agents or other abnormalities.

•      Endoscopy: A small camera may be inserted through the mouth or rectum to visualize the digestive tract and collect tissue samples for analysis.

•      Breath tests: Breath tests may check for lactose intolerance or bacterial overgrowth in the digestive tract and eventually help identify diarrhea.

Checking a Patient's specific symptoms and medical history are some diagnostic approaches that can give one a prospective approach for treating chronic diarrhea.

If left untreated, chronic diarrhea can lead to dehydration, malnutrition, and other complications. Depending on identifying the underlying cause, doctors can develop an effective treatment and can develop the management of chronic diarrhea as per a personalised treatment plan. 

Treatment and management for Chronic diarrhea

The treatment and management of chronic diarrhea depend on the condition's underlying cause. Treatment options may include:

•      Medications: Medications such as antibiotics, antidiarrheals, or medications to reduce inflammation may be prescribed for chronic diarrhea,

•      Dietary changes: Avoiding trigger foods and making dietary changes may help manage chronic diarrhea. Your doctor may recommend a low-fiber diet, eliminating certain foods, or adding more fiber.

•      Probiotics: Probiotics, or "good" bacteria, can help restore the balance of gut bacteria and alleviate symptoms of chronic diarrhea.

•      Hydration: Drinking plenty of fluids, especially water, is essential to prevent dehydration caused by chronic diarrhea.

•      Surgery: In severe cases, surgery may require to manage chronic diarrhea caused by structural abnormalities or conditions such as inflammatory bowel disease.

•      Lifestyle changes: Stress management techniques such as yoga, meditation, or exercise may help reduce chronic diarrhea symptoms caused by stress

Treating and managing chronic diarrhea requires a personalized approach based on the underlying cause and individual patient's symptoms.

Road to recovery and aftercare for Chronic diarrhea

The road to recovery and aftercare for chronic diarrhea can vary depending on the condition's underlying cause. Here are some general tips for recovery and aftercare:

·      Follow the treatment plan: Adhere to the treatment plan recommended by your healthcare provider to manage your chronic diarrhea effectively.

·      Maintain a healthy diet: Consume a balanced diet that comprises foods that are easy to digest and avoid foods that can trigger symptoms.

·      Stay hydrated: Drink plenty of fluids, especially water, to prevent dehydration caused by chronic diarrhea.

·      Monitor your symptoms: Record and report any changes or worsening symptoms to your healthcare provider.

·      Manage stress: Stress can trigger or worsen chronic diarrhea symptoms. Use stress-reducing techniques such as exercise, meditation, or other stress management methods.

·      Attend follow-up appointments: Regular appointments with your healthcare provider can help monitor your condition and adjust your treatment plan.

·      Seek medical attention for complications: If you experience severe symptoms like fever, dehydration, or blood in your stool, seek immediate medical attention.

Following these tips and working closely with your healthcare provider can help manage chronic diarrhea and prevent complications. Remembering that recovery and aftercare will vary based on the individual's specific condition and needs is essential. 

Frequently asked questions about Chronic Diarrhea

1.    What is chronic diarrhea?

Chronic diarrhea is characterized by frequent bowel movements of loose, watery stools lasting several weeks or longer. 

2.    What are the common causes of chronic diarrhea?

Common causes of chronic diarrhea include inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), infections, malabsorption syndromes, food intolerances or allergies, medications, and certain medical conditions. 

3.    What are the symptoms of chronic diarrhea?

The symptoms of chronic diarrhea include frequent bowel movements, loose or watery stools, abdominal pain, cramping, bloating, nausea, and dehydration. 

4.    How is chronic diarrhea diagnosed?

Chronic diarrhea is diagnosed through a physical exam, medical history, stool tests, blood tests, and imaging tests such as colonoscopy. 

5.    What are the treatment options for chronic diarrhea?

Treatment options for chronic diarrhea depend on the underlying cause and may include medications, dietary changes, probiotics, hydration, and surgery in severe cases. 

6.    Can chronic diarrhea be prevented?

Chronic diarrhea may be preventable, depending on the root cause. For instance, good hygiene practices like frequent hand-washing, proper food preparation, and avoiding tainted food and water sources can help deter diarrhea caused by bacterial or viral infections. Alternatively, when chronic diarrhea results from an underlying medical condition, like inflammatory bowel disease or celiac disease, managing the condition through appropriate medical treatment and adhering to a nutritious diet may mitigate or prevent the symptoms of chronic diarrhea. 

7.    How long can chronic diarrhea last?

In most common cases of chronic diarrhea, the patients suffer for several weeks or longer, depending on the underlying cause and type of treatment they are undergoing. 

8.    When should I seek medical attention for chronic diarrhea?

It is essential to seek medical help during the symptoms' first few days. Symptoms include fever, dehydration, blood in the stool, or persistent diarrhea lasting more than two weeks. 

9.    Can chronic diarrhea lead to complications?

If left untreated, chronic diarrhea can lead to dehydration, malnutrition, weight loss, and electrolyte imbalances. 

10. How can I manage chronic diarrhea while traveling?

Managing chronic diarrhea while traveling involves avoiding trigger foods, staying hydrated, practicing good hygiene, and carrying medications prescribed by a healthcare provider. 

Dr. Azhar Perwaiz
Gastrosciences
Meet The Doctor
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