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Diarrhea

Posted on  December 4, 2021  by  Adam


Diarrhea

This is the passing out of waterly stools of loose consistency >3x a day. It is commonly called running stomach. Diarrhea affects all age groups but is more pronounced and fatal amongst under five years children and those living with HIV/AIDS.

Diarrhea is classified into 3;

  1. Infectious diarrhea
  2. Non-infectious diarrhea
  3. Traveler's diarrhea Diarrhea has a multitude of causes.

Infectious and traveler's diarrhea have offending microbes and there communicable, they can spread from person to person. Also, infectious diarrhea can be associated with a medical illness. Non-infectious diarrhea may or may not have an offending microbe.

  1. Infectious diarrhea - shigellosis, food poisoning, helminthiasis, cryptosporidiosis, cholera
  2. Non-infectious - food allergies, malaria, HIV, drugs and substance abuse, anxiety and stress disorders, metabolic and endocrine disorders.

Signs and symptoms:

The cardinal sign of diarrhea is dehydration, other signs are those indicative of dehydration like; sunken eyes, dry lips, dry skin, Low skin turgor, low urine output, failure to sweat.

Laboratory investigations:

diarrhea is clinically diagnosed however, relevant laboratory investigations can be carried out to exclude other illnesses of which diarrhea is their symptom. Illnesses like malaria, shigellosis, helminthiasis, HIV,

Management - Rehydration is the major management of diarrhea. The rehydration model is determined on the clinical extent of the dehydration present, the model can be oral, intravenous, subcutaneous, intraosseous, or rectal enemas depending on whether the patient is not dehydrated, mildly dehydrated, or severely dehydrated and his/her age. An antimicrobial could be added in line with the laboratory investigations results. Prevention of diarrhea is observing good sanitation, good food hygiene. BusulwaAdamAkim@Adamclinicos Doctor consultation can be done at Eductorug

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