Treatment FAQ

what is considered to be severe diarrhea and need medical treatment

by Elyssa Hane Published 2 years ago Updated 2 years ago
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Most cases of acute diarrhea resolve without treatment. However, severe diarrhea (greater than 10 bowel movements a day or diarrhea where fluid losses are significantly greater than oral intake) can cause dehydration, which can be life-threatening if untreated.Sep 26, 2005

What is the treatment for diarrhea?

Treatment for any form of diarrhea often involves staying hydrated and maintaining levels of electrolytes. In many cases, the person will just need to wait for their diarrhea to pass. An individual can consume fluids and electrolytes in:

Do you need medical attention for diarrhea?

For the majority of mild diarrhea cases, you won’t need medical attention. These cases are self-limited (only lasts for a fixed amount of time) and get better without medical intervention. The key to mild diarrhea is supportive therapy – staying hydrated and eating a bland diet. More serious cases of diarrhea may require medical attention.

When is diarrhea considered severe?

Diarrhea is considered severe when some of the following symptoms are present: Depending on the cause of explosive diarrhea, you may also experience abdominal distention, cramps, pain, loss of appetite, nausea, vomiting, or excessive sweating.

What happens if diarrhea is not treated?

However, severe diarrhea (greater than 10 bowel movements a day or diarrhea where fluid losses are significantly greater than oral intake) can cause dehydration, which can be life-threatening if untreated. Dehydration is particularly dangerous in children, older adults and those with weakened immune systems.

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What counts as severe diarrhea?

Severe diarrhea means having more than 10 loose, watery stools in a single day (24 hours). Moderate diarrhea means having more than a few but not more than 10 diarrhea stools in a day. Mild diarrhea means having a few diarrhea stools in a day.

What do doctors do for severe diarrhea?

Doctors may prescribe antibiotics and medicines that target parasites to treat bacterial or parasitic infections. Doctors may also prescribe medicines to treat some of the conditions that cause chronic diarrhea, such as Crohn's disease, irritable bowel syndrome, or ulcerative colitis.

What do doctors consider diarrhea?

Diarrhea is a menace in the form of hard-to-control bowel movements and loose, watery stools three or more times per day—quite the hassle when you're at work, traveling, or doing everyday activities. Other unpleasant diarrhea symptoms include: An urgent need to use the bathroom. Inability to control bowel movements.

When should I go to the ER for diarrhea?

You should seek medical attention as soon as possible for diarrhea with these symptoms: Diarrhea lasting more than two days. Blood or pus in the stool. Severe abdominal pain.

How long can you have diarrhea before going to the doctor?

Schedule a doctor's visit for an adult with these symptoms: Diarrhea lasts more than two days without improvement. Excessive thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine, which could indicate dehydration. Severe abdominal or rectal pain.

What type of diarrhea is Covid?

Diarrhea commonly occurs in people with COVID-19. One study published in the American Journal of Gastroenterology examined 206 patients with a mild case of COVID-19. They found 48 people had only digestive symptoms and another 69 had both digestive and respiratory symptoms.

What is explosive diarrhea a symptom of?

Rotavirus, norovirus, and other kinds of viral gastroenteritis, commonly referred to as “stomach flu,” are among the viruses that can cause explosive diarrhea. Anyone can get these viruses. But they're especially common among school-age children.

What does it mean to have bright yellow diarrhea?

Yellow stool may indicate a malabsorption disorder caused by a parasite, illness, or disease. Malabsorption of fat can lead to an increased fat content in stools, which can be pale, large, foul-smelling, and loose. This is known as steatorrhea, and complications may include: malnutrition.

How long does it take for diarrhea to clear up?

If a person has a fever higher than 102°F and diarrhea, they should seek immediate medical attention. Many cases of diarrhea will clear up within a few days. Usually, people require no medication. However, if diarrhea does not go away within 2 days or the person feels dehydrated, they should see a healthcare provider.

Why does diarrhea happen?

Diarrhea can result from infection, but there are also many noninfectious causes. Under normal circumstances, the large intestine absorbs excess liquid. When a person has diarrhea, the digestion process moves too fast for the large intestine to absorb the extra liquid present. In this article, we look at the causes of explosive diarrhea ...

What causes a person to pass liquid or loose stool more frequently and forcefully than regular diarrhea?

Treatment. When to see a doctor. Complications. Outlook. Explosive, or severe, diarrhea causes a person to pass liquid or loose stool more frequently and forcefully than regular diarrhea. Explosive diar rhea occurs when the rectum fills with more liquid and gas than it can hold.

What causes diarrhea in children?

Viral infections. Share on Pinterest. Causes of explosive diarrhea can include viral infections, bacterial infections, and food allergies. The viruses most often responsible for diarrhea include norovirus, rotavirus, or any number of the viruses that cause viral gastroenteritis.

How many people have diarrhea in the US?

Diarrhea is a common condition that affects around 179 million people in the United States every year. Certain portions of the population are at greater risk of developing diarrhea than others. These groups include: people with bowel disease, such as irritable bowel syndrome, ulcerative colitis, or Crohn’s disease.

Why do I have diarrhea when I eat dairy?

A common cause is lactose intolerance. If a person cannot tolerate lactose, and they eat or drink a dairy-based product, they may experience explosive diarrhea.

Can medications cause diarrhea?

Medications. Many medications can cause mild diarrhea, or loose stool. Occasionally, they can cause severe diarrhea. Some of these types of medications include: antibiotics. some heartburn medications. chemotherapy medications. Antibiotics and other medications that contain magnesium are a particular risk.

How to recover from diarrhea?

Eat some yogurt to help repopulate your intestine with good bacteria. With proper care and patience, you can safely recover from explosive diarrhea within a day or two. Related: Bland diet for gastritis, ulcers, diarrhea, and reflux disease.

What are the symptoms of diarrhea?

Diarrhea is considered severe when some of the following symptoms are present: 1 Very watery stool 2 Excessive and loud passing of gas 3 Forceful defecation that propels stool 4 Hyperactive bowel sounds 5 Anal discomfort during and after defecation 6 Uncontrollable diarrhea

Why is my stool not watery?

Your large intestine absorbs the excess fluid so your stool isn’t usually watery. In regular diarrhea, bowel movements have a more liquid consistency and are usually more frequent. In cases of explosive (severe) diarrhea, the bowel contractions are stronger and more forceful, meaning your rectum is filled beyond its capacity.

What are the symptoms of explosive diarrhea?

Diarrhea is considered severe when some of the following symptoms are present: Very watery stool. Excessive and loud passing of gas. Forceful defecation that propels stool. Hyperactive bowel sounds. Anal discomfort during and after defecation. Uncontrollable diarrhea.

What causes diarrhea in the body?

Severe diarrhea can also be brought about by bacterial infections, which are usually triggered by salmonella and E. coli found in contaminated food and drinks. Food poisoning: When you consume food that contains bacterial toxins, the lining of your bowels gets irritated.

How long does diarrhea last in a child?

You are suffering from diarrhea for over two days (over 24 hours in a child) You are dehydrated (you experience excessive thirst, dry mouth, reduced urination, or dizziness) You have blood or pus in your stool. Your stool is black. You have a fever of 38.6 °C or higher.

How to get rid of explosive diarrhea?

If you end up with explosive diarrhea, keep drinking fluids to stay hydrated. Avoid sugar-loaded juices, caffeinated and carbonated drinks, dairy, as well greasy, sweet, and fiber-rich foods. Stick to a bland diet based on starchy foods and soups.

How to reduce the chances of diarrhea?

There are a few ways you can decrease your chances of having diarrhea, including: Avoiding infections with good hygiene habits: Washing your hands with soap and water after using the bathroom, as well as cooking, handling, and eating, is an important way to prevent diarrhea.

What happens when you have diarrhea?

When you have diarrhea, you lose water and electrolytes along with stool. You need to drink plenty of fluids to replace what’s lost. Dehydration can become serious if it fails to resolve (get better), worsens and is not addressed adequately.

How to avoid diarrhea in developing countries?

Watch what you drink. Don’t drink tap water, use ice cubes, brush your teeth with tap water, or consume unpasteurized milk, milk products or unpasteurized juices.

How long does diarrhea last?

Acute diarrhea: The most common, acute diarrhea is loose watery diarrhea that lasts one to two days. This type doesn’t need treatment and it usually goes away after a few days. Persistent diarrhea: This type of diarrhea generally persists for several weeks – two to four weeks.

How long does it take for diarrhea to go away?

Diarrhea can happen for a wide variety of reasons and it usually goes away on its own in one to three days.

What is it called when you have a loose stool?

What is diarrhea? Going to the bathroom, having a bowel movement, pooping – no matter what you call it, stool is a regular part of your life. However, sometimes this process of getting waste out of your body changes. When you have loose or watery stool, it’s called diarrhea.

Can diarrhea cause nausea?

You may also feel bloated, have lower abdominal cramping and sometimes experience nausea. Although most cases of diarrhea are self-limited (happening for a fixed amount of time and steady level of severity), sometimes diarrhea can lead to serious complications.

What to do if you have diarrhea?

Treating underlying conditions. If your diarrhea is caused by a more serious condition, such as inflammatory bowel disease, your doctor will work to control that condition. You might be referred to a specialist, such as a gastroenterologist, who can help devise a treatment plan for you.

How to get rid of diarrhea without treatment?

To help you cope with your signs and symptoms until the diarrhea goes away, try to: Drink plenty of clear liquids, including water, broths and juices. Avoid caffeine and alcohol. Add semisolid and low-fiber foods gradually as your bowel movements return to normal.

How long does it take for diarrhea to clear?

Most cases of diarrhea clear on their own within a couple of days without treatment. If you've tried lifestyle changes and home remedies for diarrhea without success, your doctor might recommend medications or other treatments.

What test can help with diarrhea?

Blood test. A complete blood count test can help indicate what's causing your diarrhea. Stool test. Your doctor might recommend a stool test to see if a bacterium or parasite is causing your diarrhea. Flexible sigmoidoscopy or colonoscopy.

What tests can be done to diagnose diarrhea?

Diagnosis. Your doctor will ask about your medical history, review the medications you take, conduct a physical exam and may order tests to determine what's causing your diarrhea. Possible tests include: Blood test. A complete blood count test can help indicate what's causing your diarrhea. Stool test.

What to do if you are vomiting and drinking liquids?

If drinking liquids upsets your stomach or causes vomiting, your doctor might recommend getting IV fluids. Water is a good way to replace fluids, but it doesn't contain the salts and electrolytes — minerals such as sodium and potassium — that are essential for your body to function.

How to get rid of a bowel movement?

Avoid caffeine and alcohol. Add semisolid and low-fiber foods gradually as your bowel movements return to normal. Try soda crackers, toast, eggs, rice or chicken. Avoid certain foods such as dairy products, fatty foods, high-fiber foods or highly seasoned foods for a few days. Ask about anti-diarrheal medications.

What are the symptoms of diarrhea?

Symptoms of chronic diarrhea. The main symptom of chronic diarrhea is loose or watery stools that persist for weeks. These stools may or may not be accompanied by a sense of urgency. You may have other symptoms as well, such as: abdominal cramps. bloating. nausea.

What to do if you have diarrhea and a blood test can't identify it?

alcohol abuse. If a blood test or a stool sample can’t identify the cause of diarrhea, your doctor may suggest an ultrasound or CT scan of your abdomen, but only if you have other symptoms like pain or bloody stools. These imaging tests will check your organs for problems.

How long does diarrhea last?

Many people experience diarrhea at some point. These bouts are often acute and resolve in a couple of days with no complications. Other people, however, live with diarrhea that persists for more than two to four weeks.

What to do if you don't have a medical condition?

If you don’t have a medical condition, keeping a food journal, watching your diet, and making lifestyle changes may also provide relief. The important thing is that you don’t ignore the problem. The sooner you speak with your doctor, the sooner you can get relief. Last medically reviewed on September 25, 2017.

Can chronic diarrhea be prevented?

Chronic diarrhea caused by an underlying medical condition isn’t always preventable. But you can prevent chronic diarrhea due to infection by taking steps to keep your food and water supply clean. For example:

Can IBS cause diarrhea?

If diagnostic tests don’t reveal an abnormality, your doctor may attribute chronic diarrhea to irritable bowel syndrome (IBS). This condition affects the large intestines and causes a variety of symptoms like diarrhea, constipation, bloating, nausea, and abdominal pain. IBS can be chronic, but it doesn’t damage the large intestines.

Can diarrhea be caused by a medical condition?

Chronic diarrhea is sometimes caused by an underlying medical condition. See your doctor if diarrhea doesn’t respond to at-home care. If you’re concerned about your diarrhea and don’t already have a primary care provider, you can view doctors in your area through the Healthline FindCare tool.

What is the best treatment for diarrhea?

Chronic diarrhea treatments may include: Anti-diarrheal medicine: Medicines to slow movement in your intestines or make your bowel movements less watery. Antibiotics: If your chronic diarrhea is due to a bacterial infection, you will need antibiotics to get rid of it. Fiber supplements: You may need a fiber supplement to add bulk to your stool ...

What to do if you are not comfortable taking a lot of medications?

If you are not comfortable taking a lot of medications, we may recommend alternative therapies, such as herbal supplements. If your treatment includes medical nutrition therapy, we take time to understand your food preferences before recommending changes to your diet.

How long does diarrhea last?

Schedule a doctor's visit for an adult with these symptoms: Diarrhea lasts more than two days without improvement. Excessive thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine, which could indicate dehydration. Diarrhea.

What does it mean when you have a wet diaper?

No wet diaper in three or more hours. A fever of more than 102 F (39 C) Bloody or black stools. A dry mouth or tongue or cries without tears. Unusually sleepy, drowsy, unresponsive or irritable. A sunken appearance to the abdomen, eyes or cheeks.

Run-of-the-Mill Symptoms

Diarrhea makes its presence known with several urgent trips to the bathroom in a short time. You know it’s diarrhea when you pass loose, watery stool two or more times a day.

Avoid Dehydration

It can follow close on the heels of diarrhea, especially when symptoms linger, or if you vomit.

When Symptoms Get Serious

Most cases of diarrhea are nothing more than a brief inconvenience. But sometimes, they warn of a serious condition.

When Diarrhea Won't Go Away

If you still have diarrhea after 4 weeks, then you have chronic diarrhea.

Diarrheal Illnesses

A diarrheal illness is defined as having more than three loose liquid and watery stools per day. However it may also be defined by changes in consistency or frequency or pattern from a previous baseline. It is a common problem worldwide and often an underestimated cause of morbidity.

Diarrheal Illnesses Diagnosis

Your doctor will take your medical history, review medications and do a physical exam. Tests that may be ordered include:

Diarrheal Illnesses Treatments

Most acute diarrhea from infections may resolve with time and rehydration and over counter anti-diarrheal medication and remedies. Treatment and management of chronic diarrhea however will depend on the underlying cause which can be determined with consultation with your provider.

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Diagnosis

Treatment

Self-treatment: Self- care steps that may be helpful in some less- serious cases:
  • Drink plenty of fluids including oral rehydration solution / salts (ORS)
  • Over- the- counter (OTC) Loperamide; Bismuth subsalicylate, used to prevent traveler's diarrhea
  • Have bland, low fiber foods
  • Avoid greasy foods, high fiber foods and dairy products
See a doctor if you notice:
  • Infants under 1 year had 6 bouts of diarrhea or 3 bouts of vomiting within 24 hours
  • Children over 1 year had 6 episodes or more of diarrhea in 24 hours, or if there is diarrhea and vomiting at the same time

See a doctor immediately if you notice:
  • Persistent vomiting
  • Persistent diarrhea
  • Signs of dehydration such as sunken eyes and dry lips
  • Significant weight loss
  • Pus in the stool
  • Blood in the stool, which may turn the stool black

Clinical Trials

Lifestyle and Home Remedies

  • Your doctor will ask about your medical history, review the medications you take, conduct a physical exam and may order tests to determine what's causing your diarrhea. Possible tests include: 1. Blood test.A complete blood count test, measurement of electrolytes and kidney function tests can help indicate the severity of your diarrhea. 2. Stool te...
See more on mayoclinic.org

Preparing For Your Appointment

  • Most cases of acute diarrhea clear on their own within a couple of days without treatment. If you've tried lifestyle changes and home remedies for diarrhea without success, your doctor might recommend medications or other treatments.
See more on mayoclinic.org

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