Diarrhea
Medical Author: Jay W. Marks, MD
Medical Editors: Dennis Lee, MD and William C. Shiel, Jr., MD, FACP, FACR
Patient Discussions: Diarrhea Treatments
Viewer discussions on diarrhea treatments
"I've suffered from chronic diarrhea for years and thought it was hormonal. Eating coconut macaroons was an effective treatment. But then I stopped chewing sugarless gum, and the diarrhea went away...permanently. Sugarless gums contain laxatives such as sorbitol!" - cystoqueen
"This has always helped me when I have diarrhea: the BRATTY diet. It stands for bananas, rice, applesauce, tea, toast, and yogurt. The first day eat only bananas. When your stomach can tolerate the bananas, try rice -- plain white boiled or steamed. After rice, eat applesauce and so on. If symptoms reoccur, start back at the beginning. The enzymes in your body need to be rebuilt after all that trauma. I don't have a chronic condition, and I'm not in the medical field. I just know this has worked for me." - Bratty
"I've had diarrhea for 6 months. Imodium AD works well to allow daytime control, but Imodium multi symptom is less effective. To maintain control, I had to increase my dosage of Imodium AD when I used it 7 days in a row. My family doctor could not diagnose my condition, but a specialist now says I have Giardia and has me on two prescriptions. Those who have been in a rural area or around animals and have watery diarrhea with a very sour or rotten egg smell should see a specialist. Fat is not digested and results in frothy foam. Milk is not tolerated. "
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Viewer Comments are not a substitute for professional medical advice, or treatment. See the disclaimer at the bottom of the comments page.
What is diarrhea?
Diarrhea
is an increase in the frequency of bowel movements or a decrease in the form
of stool (greater looseness of stool). Although changes in frequency of
bowel movements and looseness of stools can vary independently of each other,
changes often occur in both.
Diarrhea needs to be distinguished from four other conditions. Although these conditions may accompany
diarrhea, they often have different causes and different treatments than
diarrhea. These other conditions are:
- incontinence of stool, which is the inability to
control (delay) bowel movements until an appropriate time, for example, until one can
get to the toilet
- rectal urgency, which is a sudden urge to have a
bowel movement that is so strong that if a toilet is not immediately available
there will be incontinence
- incomplete evacuation, which is a sensation that
another bowel movement is necessary soon after a bowel movement, yet there is
difficulty passing further stool the second time
- bowel movements immediately after eating a meal
How is diarrhea defined?Diarrhea can be defined in absolute or relative terms based on either the
frequency of bowel movements or the consistency (looseness) of stools.
Frequency of bowel movements.
Absolute diarrhea is having more
bowel movements than normal. Thus, since among healthy individuals the maximum
number of daily bowel movements is approximately three, diarrhea can be defined as
any number of stools greater than three. Relative diarrhea is having more
bowel movements than usual. Thus, if an individual who usually has one bowel
movement each day begins to have two bowel movements each day, then diarrhea is
present-even though there are not more than three bowel movements a day, that is,
there is not absolute diarrhea.
Consistency of stools. Absolute diarrhea is more difficult to
define on the basis of the consistency of stool because the consistency of stool
can vary considerably in healthy individuals depending on their diets. Thus,
individuals who eat large amounts of vegetables will have looser stools than
individuals who eat few vegetables. Stools that are liquid or watery are always
abnormal and considered diarrheal. Relative diarrhea is easier to define based
on the consistency of stool. Thus, an individual who develops looser stools than
usual has diarrhea--even though the stools may be within the range of normal with
respect to consistency.
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Clostridium Difficile Colitis (Antibiotic-Associated Colitis, C. difficile colitis) »
What is Clostridium difficile (C. difficile)?
Clostridium difficile (C. difficile) is a bacterium that is related to the
bacterium that cause tetanus and botulism. The
C. difficile bacterium has two
forms, an active, infectious form that cannot survive in the environment for
prolonged periods, and a nonactive, "noninfectious" form, called a spore, that
can survive in the environment for prolonged periods. Although spores cannot
cause infection directly, when they are ingested they transform into the active,
infectious form.
C. difficile spores are found frequently in:
- hospitals,
- nursing homes,
- extended
care facilities, and
- nurseries for newborn infants.
They can be found on:
- bedpans,
- furniture,
- toilet seats,
- linens,
- telephones,
- stethoscopes,
- fingernails,...
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