DIARRHEA.
The frequency of bowel movements alone is not the defining feature of
diarrhea. Some people normally move their bowels 3 to 5 times per day.
People who eat large amounts of vegetable fiber may produce more than a
pound of stool a day, but the stool in such cases is well formed and not
watery. Diarrhea occurs when not enough water is removed from the stool,
making the stool loose and poorly formed. Diarrhea is often associated
with gas, cramping, an urgency to move the bowels (defecate), nausea and
vomiting.
Causes of Diarrhea:
Normally, stool is 60 to 90% water, diarrhea mainly results when the
percentage exceeds 90%. Stool might contain too much water if:
- it travels too quickly through the digestive
track.
- if certain components of the stool prevent the
large intestine from absorbing water.
- if water is being secreted by the large
intestine into the stool.
More causes:
- drugs.
- Infection with viruses.
- bacteria or parasites.
- components of food.
- stress
- chemicals
- tumors.
- chronic disorders such as:
- irritable bowel syndrome (IBS)
- inflammatory bowel disease.
- malabsorption syndromes.
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Symptoms and Complications of Diarrhea:
Diarrhea is characterized by frequent loose stools. The consistency of
the stool can vary from soft and pasty to completely watery. The color
can range from brown to clear. Black stools may indicate bleeding in the
digestive track although some drugs such as bismuth subsalicylate used
in treating diarrhea can turn the stools black also. When a black color
is caused by blood, the stools are usually tarry and foul-smelling.
Cramping may occur before and with a bowel movement, and sometimes large
amounts of gas are passed with the stool. Some people experience nausea,
especially if the diarrhea is caused by an infectious organism or a
toxic substance.
Diarrhea can lead to dehydration and a loss of electrolytes
(electrically charged particles) such as sodium potassium, magnesium and
chloride from the blood. If large amounts of fluid and electrolytes are
lost, blood pressure can drop significantly to cause fainting, heart
rhythm abnormalities and other serious disorders. At particular risk are
young children, older people, the debilitated and people with very
severe diarrhea.
Foods and Drugs that can cause Diarrhea:
Food: sugar-free gum, mints.
Ingredient: hexitols, sorbitol, mannitol.
Food: milk, ice cream, yogurt, frozen yogurt, soft cheese, chocolate.
Ingredient: Lactose.
Food: Antacids containing magnesium.
Ingredient: magnesium.
Food: coffee, tea, cola drinks, certain over-the-counter headache
remedies.
Ingredient: caffeine.
Food: fat-free potato chips, fat-free ice cream.
Ingredient: Olestra
Food: table sugar.
Ingredient: sucrose.
Food: apple juice, pear juice, grapes, honey, dates, nuts, figs, soft
drinks.
Ingredient: Fructose.
Treatment for Diarrhea
Diarrhea is actually a symptom, and its treatment depends on the cause.
Most often people with diarrhea only have to remove the cause and
suppress the diarrhea until the body heals itself. For example,
sometimes chronic diarrhea is cured when a person stops drinking coffee
or cola drinks containing caffeine. Whereas a viral cause generally
resolves by itself in 24 to 48 hours.
Many prescription and over-the-counter drugs include adsorbents
(kaolin-pectin) which adhere to chemicals, toxins and infectious
organisms. Bismuth subsalicylate helps many people with diarrhea as well
(it will turn stools black in color).
Prescription drugs used to treat diarrhea include narcotics and other
drugs that relax the muscles of the intestines. Bulking agents used for
chronic constipation such as psyllium or methylcellulose can sometimes
help relieve chronic diarrhea also.
When severe diarrhea causes dehydration, hospitalization and treatment
with intravenous water and salts may be necessary. As long as the person
is not vomiting and does not feel nauseated, drinking liquids containing
a balance of water, sugars and salts can be effective.
