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Chronic Diarrhoea

Diarrhoea is the occurrence of a loose or watery faeces. Chronic diarrhoea is characterised by lasting for more than a month or by coming and going over a long period of time. People experiencing chronic diarrhoea need to seek medical help. While anyone can have chronic diarrhoea, it’s more dangerous in young children and older adults. In these age groups, it can more easily lead to complications and further health issues.

Symptoms

Aside from having loose and watery faeces, the main symptoms of chronic diarrhoea include:

  • Bloating
  • Cramps
  • Nausea
  • An urgent need to go to the bathroom

People experiencing chronic diarrhoea are also more likely to develop severe symptoms like these:

  • Weight loss
  • Fever
  • Dehydration
  • Vomiting
  • Blood in the faeces

If you’re experiencing chronic diarrhoea, it’s important to be familiar with the symptoms of dehydration. Dehydration is one of the most common and most harmful complications of diarrhoea. Symptoms include:

  • Dizziness
  • Nausea and vomiting
  • Headaches
  • Fast heart rate
  • Flushed and dry skin
  • Irritability
  • Confusion
  • Dark urine
  • Urinating less than normal
  • Inability to keep food or fluids down

If you’re an adult that’s been experiencing diarrhoea for more than 2 days, seek medical help immediately. If you’re a young child or older adult that’s been experiencing diarrhoea for more than 24 hours, seek medical help.

Causes & Risk Factors

Chronic diarrhoea is most frequently caused by a viral infection in the bowels. It can also be caused by bacterial infections, parasitic infections, eating food that does not agree with you, food allergies and intolerances, radiation therapy, certain medications, and an inability of the digestive tract to fully absorb food.

Travelling is a risk factor for chronic diarrhoea.

Diagnosis & Complications

A doctor will take a medical history, discuss your current symptoms, and find out any travel history to help make a diagnosis. When someone has chronic diarrhoea, a medical provider will seek to identify the cause of the chronic diarrhoea so that it can be treated. A definitive cause can be diagnosed using several tests. These include:

  • A faeces sample – tests for the presence of bacteria, viruses, parasites, and any other abnormalities can be run on a faeces sample.
  • Breath test – a breath test can identify any lactose or fructose intolerance, common causes of stomach upset.
  • Blood work – tests on a blood sample can rule out or confirm underlying conditions causing diarrhoea, like celiac disease, irritable bowel syndrome (IBS), or pancreatic disorders.
  • Endoscopy – a medical professional can use a device called an endoscope, which is a thin, flexible tube with a camera and a light attached, to examine the upper and lower digestive tracts. A doctor will look for abnormalities like ulcers or cancerous growths during an endoscopy.

Complications of chronic diarrhoea include dehydration, organ damage, and kidney failure. These complications are not likely to happen unless chronic diarrhoea goes untreated.

Treatment & Management

Chronic diarrhoea requires ongoing management to prevent complications and ensure a healthy, high-quality life for the person experiencing it. A medical provider will treat chronic diarrhoea based on the cause of the condition. Possible treatment options include:

  • Antibiotics, antivirals, or antiparasitics – if the bowel is infected with bacteria, a virus, or a parasite, a doctor will prescribe a course of medication.
  • Treatment for an underlying condition – chronic diarrhoea is often caused by a medical condition like Crohn’s disease, IBS, or thyroid disorders. If you have an underlying medical condition that’s causing chronic diarrhoea, you and your doctor will come up with a long-term treatment plan for managing that medical condition while treating the symptoms of the diarrhoea.
  • Probiotics – For an ongoing disease like chronic diarrhoea, a doctor may add probiotics to a treatment regimen. Probiotics help maintain the presence of healthy gut bacteria. Healthy, or “good”, gut bacteria help offset the occurrence of diarrhoea.

Your doctor will also help treat the immediate effects of chronic diarrhoea by prescribing an anti-diarrheal medication and give you instructions on how to properly stay hydrated.

 
 
 

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