Diarrhea

[2] Acute diarrhea is defined as an abnormally frequent discharge of semisolid or fluid fecal matter from the bowel, lasting less than 14 days, by World Gastroenterology Organization.

The most common cause of this type of diarrhea is a cholera toxin that stimulates the secretion of anions, especially chloride ions (Cl–).

In healthy individuals, too much magnesium, vitamin C or undigested lactose can produce osmotic diarrhea and distention of the bowel.

Sugar alcohols such as sorbitol (often found in sugar-free foods) are difficult for the body to absorb and, in large amounts, may lead to osmotic diarrhea.

[22][24] Diarrhea can cause electrolyte imbalances, kidney impairment, dehydration, and defective immune system responses.

Clinicians try to treat the diarrheas by reducing the dosage of medication, changing the dosing schedule, discontinuation of the drug, and rehydration.

Diarrhea can have a profound effect on the quality of life because fecal incontinence is one of the leading factors for placing older adults in long term care facilities (nursing homes).

Prior to defecation, the large intestine reabsorbs the water and other digestive solvents in the waste product in order to maintain proper hydration and overall equilibrium.

[36] In the elderly, particularly those who have been treated with antibiotics for unrelated infections, a toxin produced by Clostridioides difficile often causes severe diarrhea.

[37] Parasites, particularly protozoa e.g., Cryptosporidium spp., Giardia spp., Entamoeba histolytica, Blastocystis spp., Cyclospora cayetanensis, are frequently the cause of diarrhea that involves chronic infection.

[27] In sanitary living conditions where there is ample food and a supply of clean water, an otherwise healthy person usually recovers from viral infections in a few days.

"Poverty is associated with poor housing, crowding, dirt floors, lack of access to clean water or to sanitary disposal of fecal waste (sanitation), cohabitation with domestic animals that may carry human pathogens, and a lack of refrigerated storage for food, all of which increase the frequency of diarrhea ...

[43][44] Indeed, this relationship between zinc deficiency and reduced immune functioning corresponds with an increased severity of infectious diarrhea.

[47] Given that estimates suggest 127 million preschool children worldwide are vitamin A deficient, this population has the potential for increased risk of disease contraction.

[48] Malabsorption is the inability to absorb food fully, mostly from disorders in the small bowel, but also due to maldigestion from diseases of the pancreas.

Causes include:[citation needed] The two overlapping types here are of unknown origin: Another possible cause of diarrhea is irritable bowel syndrome (IBS), which usually presents with abdominal discomfort relieved by defecation and unusual stool (diarrhea or constipation) for at least three days a week over the previous three months.

[49] Symptoms of diarrhea-predominant IBS can be managed through a combination of dietary changes, soluble fiber supplements and medications such as loperamide or codeine.

[70] Numerous studies have shown that improvements in drinking water and sanitation (WASH) lead to decreased risks of diarrhoea.

[71] In institutions, communities, and households, interventions that promote hand washing with soap lead to significant reductions in the incidence of diarrhea.

The implementation of hand washing using soap and water, for example, has been experimentally shown to reduce the incidence of disease by approximately 30–48%.

[1][85] New vaccines against rotavirus, Shigella, Enterotoxigenic Escherichia coli (ETEC), and cholera are under development, as well as other causes of infectious diarrhea.

[medical citation needed] Dietary deficiencies in developing countries can be combated by promoting better eating practices.

Zinc supplementation proved successful showing a significant decrease in the incidence of diarrheal disease compared to a control group.

Studies across a number of developing nations have shown that those who receive exclusive breastfeeding during their first 6 months of life are better protected against infection with diarrheal diseases.

[98] There is no evidence that early refeeding in children can cause an increase in inappropriate use of intravenous fluid, episodes of vomiting, and risk of having persistent diarrhea.

[20] There are commercial solutions such as Pedialyte, and relief agencies such as UNICEF widely distribute packets of salts and sugar.

Rehydration Project recommends adding the same amount of sugar but only one-half a teaspoon of salt, stating that this more dilute approach is less risky with very little loss of effectiveness.

[103] Additionally, a mix of both plain water and drinks perhaps too rich in sugar and salt can alternatively be given to the same person, with the goal of providing a medium amount of sodium overall.

Therapeutic trials of these drugs are indicated in chronic diarrhea if bile acid malabsorption cannot be diagnosed with a specific test, such as SeHCAT retention.

[120] For those with lactose intolerance, taking digestive enzymes containing lactase when consuming dairy products often improves symptoms.

What is diarrhea? How is it caused, treated and prevented? (see also script )
Poverty often leads to unhygienic living conditions, as in this community in the Indian Himalayas. Such conditions promote contraction of diarrheal diseases, as a result of poor sanitation and hygiene .
Deaths due to diarrhoeal diseases per million persons in 2012
0–2
3–10
11–18
19–30
31–46
47–80
81–221
222–450
451–606
607–1799
Disability-adjusted life year for diarrhea per 100,000 inhabitants in 2004 [ 61 ]
no data
< 500
500–1000
1000–1500
1500–2000
2000–2500
2500–3000
3000–3500
3500–4000
4000–4500
4500–5000
5000–6000
> 6000
A person consuming oral rehydration solution