Chronic Diarrhoea is a condition that results in watery or loose stools. While most diarrhoea subsides within a few days time, the chronic ones persist up to a couple of weeks. Some common symptoms that can help to identify chronic diarrhoea include bloating, nausea, fever, blood in the stool, abdominal cramps etc. Here is a brief look at the possible causes of chronic diarrhoea:

What are the possible causes of chronic diarrhoea?
Parasites and bacteria: Parasites and bacteria are often transmitted from contaminated food and water. Certain parasites such as the cryptosporidium and Giardia lamblia can lead to chronic diarrhoea. Some common bacteria include Escherichia coli, Campylobacter, Shigella, and Salmonella. In the more developed countries, diarrhoea is often referred to as the traveller s syndrome. Diarrhoea can also result from a course of antibiotics due to an infection from Clostridium difficile.

Viruses: Some of the common viruses that can lead to chronic diarrhoea include viral hepatitis, Norwalk virus, and cytomegalovirus. A certain virus known as the Rotavirus can lead to an acute childhood diarrhoea.
Medication: Certain medication is known to be the culprit when it comes to causing diarrhoea. Antibiotics, for instance, tend to equally destroy both the good and the bad bacteria thereby disturbing the bacterial balance of the intestine leading to chronic diarrhoea. Certain other drugs related to cancer, antacids containing magnesium etc can also lead to chronic diarrhoea.
Artificial Sweeteners: Certain artificial sweeteners are known to be causing chronic diarrhoea. Compounds such as Mannitol, Fructose etc found in certain sugar-free products or chewing gum can lead to chronic diarrhoea in otherwise healthy people. It is, therefore, advised not to consume too many artificial sweeteners in excess at one go.
Intolerance of lactose: Lactose is a type of sugar that is mostly found in dairy products. People who find it difficult digesting this compound often tend to suffer from diarrhoea when they consume dairy products. Our body produces an enzyme to digest lactose. However, this enzyme tends to rapidly feds away from the body with age. Lesser the amount of this enzyme, greater is the chance of lactose intolerance leading to an increased risk of chronic diarrhoea.
Surgery: There are surgeries that can begin the onset of chronic diarrhoea. Certain procedures such as the gallbladder removal surgery and abdominal surgery run a high risk of chronic diarrhoea.
Fructose: For people who find it hard to digest fructose can suffer from chronic diarrhoea. Fructose is a naturally occurring sweetener found in honey, fruits etc and is often added to beverages to enhance the taste.
Certain digestive disorders: Certain other situations such as celiac disease, microscopic colitis, Crohn s disease, ulcerative colitis irritable bowel syndrome etc can lead to chronic diarrhoea. 

Chronic Diarrhoea - What Causes It?

Common Signs of Diarrhea

Diarrhea is a very common condition, which is associated with the passage of the ingested fluids and foods through your colon more frequently than usual or in huge amounts. This condition is mostly caused by the action of viruses, parasites, bacteria, medications like antibiotics, certain digestive disorders, abdominal surgery, lactose intolerance, and consumption of an excessive amount of alcohol etc. Here are some of the common symptoms, which indicate that you are suffering from diarrhea:

Passing watery and loose stools
Frequent bowel movements
Pain or cramps in the abdomen
Feeling of nausea
Vomiting
Bloating in the stomach

If you are suffering from a more serious form of diarrhea, you might also experience symptoms like:

Presence of mucus, blood and traces of undigested food in your stool
Fever

Diarrhea mostly gets cured even without consuming any medicines within a couple of days. However, you need to consult a doctor and get proper treatment for diarrhea in the following cases:

If you are continuously experiencing the condition for more than two days
Your stools contain blood or are black
Severe pain in the rectum or abdomen is bothering you
You experience signs of dehydration like excessive thirst, weakness, dizziness, dry mouth, urine of dark color or reduced frequency and amount of urination
Your body temperature exceeds 102 F (39 C)



Common Signs of Diarrhea

Diarrhea occurs when the body is expelling germs out of it. An episode of diarrhea can last anywhere from a couple of days to a week. Dehydration, cramps, vomiting, nausea and fever often accompany diarrhea. Usually, children tend to get diarrhoea more than adults.

Diarrhea treatment according to causes behind it

Treating diarrhea due to infection: Some common causes of diarrhea include infection from rotavirus, salmonella (a type of bacteria) and rarely giardia (a type of parasite). In children, virus is a common cause of diarrhea. Besides watery or loose stools, viral gastroenteritis infection symptoms include fever, headache, stomach ache and vomiting. Gastroenteritis diarrhoea can last for 5-14 days. During this time, fluid loss must be prevented. In younger children, oral rehydration solution (ORS) or breast milk is enough. Just feeding them water won t replenish the potassium, sodium and other nutrients they lose. Older children, to prevent fluid loss, can be given ORS and popsicles to counter dehydration and vomiting.
Treating diarrhea due to medications: Antibiotics or laxatives can cause diarrhea in children. If the diarrhea is mild, make sure your child is hydrated. If the antibiotics are causing diarrhoea, you need to continue medication, but do consult your doctor immediately.
Treating diarrhea due to food poisoning: When it comes to food poisoning induced diarrhea, the same method as countering infection-induced diarrhea should be followed. Keep your child hydrated and call your doctor.
Diarrhea and children - recognising dehydration

The most serious complication of diarrhea is dehydration, especially if the diarrhea is severe. Severe dehydration is critical as it can cause brain damage, seizure, even death. Your child may need immediate medical attention, if you notice the following symptoms:

Light-headedness and dizziness
Sticky, dark mouth
Dark yellow urine
No or few tears when crying
Dry, cool skin
Loss of energy
When should you visit a doctor

Diarrhea resolves within a few days, but it can have serious complications. Call your doctor if you notice signs such as:
1. Looks very sick
2. Diarrhea has persisted for more than 3 days
3. Your child is less than 6 months old
4. Your child is vomiting bloody yellow or green fluid
5. Seems dehydrated
6. The fever reads above 105 degree Fahrenheit
7. Bloody stools
8. Rashes
9. Stomach pain persists for more than 2 hours
10. Infrequent urination

Diarrhea - How to Treat it in Children?

Diarrhea is a condition wherein you suffer from loose, watery bowel movements on a frequent basis, generally 3-4 times a day. This lasts for a few days and due to the frequency of fluid loss, it results in dehydration. Dehydrations signs begin to show up with the loss of ability to stretch the skin and frequent irritations in behaviour. Passing of less urine, loss of skin, heart rates getting faster and slow responses are some of the other signs. You can easily sense the occurrence of diarrhea by following certain symptoms. We take a look at some of the signs and symptoms typically associated with the problem of diarrhea.

Signs and symptoms of diarrhea

As mentioned earlier, one of the most common symptoms of diarrhea is watery bowel movements on a frequent basis, occurring minimum 3 to 4 times a day for a few days.

Some other symptoms are as follows:

Cramps in the abdomen followed by pain

Fever

Blood in the stool

Bloating, a situation, arising when stomach gets swollen due to gas.

Nausea

You feel an urgency to have a bowel movement.

When you come across these symptoms and feel as if they are slowly turning into severe ones, consult your doctor. Diarrhea persisting for more than two days seek for an immediate appointment with the doctor.

You need to be extra cautious if your children seems to have either of these symptoms, as diarrhea can very easily lead to dehydration for them.

Causes behind diarrhea

Diarrhea can be caused as result of a number of diseases and conditions. They include:

Viruses: Norwalk virus, cytomegalovirus and viral hepatitis are some of the viruses, that can cause diarrhea. Diarrhea among children are caused due to Rotavirus.

Bacteria and parasites: Another cause behind diarrhea is contaminated food or water, which has the potential to transmit bacteria and parasites to the body. Giardia lamblia and Cryptosporidium are the two parasites which cause diarrhea.

Medications: Some antibiotics can also cause diarrhea as they destroy both good and bad bacteria, thereby causing disturbance to the natural balance of bacteria in our intestines.

Dairy Products: Dairy products like milk, curd etc have lactose in them. Lactose is a sugar found in these products. Now people, who face difficulty in digesting lactose suffer from diarrhea after eating dairy products.

Artificial Sweeteners: Sorbitol and Mannitol are some of the artificial sweeteners, generally found in chewing gum and many other sugar-free products, cause diarrhea.

Treatment for Diarrhea

In majority of the cases involving diarrhea, they get resolved without treatment. Still, some of the treatment options which people go for to get relief from diarrhea are:

Rehydration: As diarrhea results in loss of fluid during to frequent bowel movements, so drinking enough water to stay hydrated is a must. ORS can help replenish the water and salt in the system.

Eat Bland Diet: Only drink water for one whole day. Then gradually limit your diet to only bananas, rice, toast and tea.

Antidiarrheal Medication: Medicines like Loperamide and Imodium, which restricts stool passage are both available over-the-counter.

Can Consuming Artificial Sweeteners Cause Diarhhea?

Infants often suffer from certain diseases which need proper care and timely treatment for quick recovery. At times, it can be difficult to communicate with an infant and understand his/her needs and problems but with a close observation you will surely be able to detect any alteration in the baby's behavior and sense it when he/she is ill. Here are some of the most common diseases infants are susceptible to and what you can do about them.

1. Abdominal distension
It is normal for a baby's belly to stick out after he/she has been fed, but if between feedings there is swelling in the abdomen or it feels hard, it can be an indication of a problem. If this symptom is accompanied by vomiting and absence of bowel movements for more than two days, your baby may be suffering from abdominal distention. This condition may have been caused by swallowing of extra air by the baby while crying or feeding. In such a situation, a pediatrician should be consulted for proper diagnosis and treatment.

2. Jaundice
It is common among newborns to develop mild forms of jaundice as the undeveloped liver is often not able to eliminate the chemical bilirubin from the blood. Mostly, this situation proves to be harmless till the level of bilirubin reaches a certain limit. After that, the disease must be properly treated to avoid damage to the baby's brain or nervous system.

3. Rsv infection
Rsv or respiratory syncytial virus is responsible for causing respiratory problems among infants. Rsv infection usually affects the bronchial passage and shows symptoms like cough, runny nose and mild fever which may even lead to bronchitis. Moreover, this infection may also develop into viral pneumonia, which makes it more important to consult a pediatrician if your baby shows any of the above symptoms.

4. Diarrhea
Infants are susceptible to watery bowel movements due to the action of virus, allergens, specific medications or bacteria. If you observe that your baby is passing stools more often than usual and it is watery, then it may be a case of diarrhea. Sometimes, these symptoms are accompanied by high fever, abdominal pain, lethargy, vomiting, dry eyes and mouth etc. In this situation you should consult your pediatrician and focus on replacing the fluids your baby has lost, to prevent dehydration.

4 Common Diseases that Babies are Susceptible To

Diarrhea is a disorder that affects people of all age groups. Medically speaking, Diarrhea is a mechanism that the body uses to eliminate germs from the body. Usually this disorder lasts for a few days to a week. It is usually accompanied by nausea, fever and dehydration.

Children can be affected by diarrhea in a number of ways, some of them are:
1. Infections: Various infections, such as the ones caused by rotavirus and salmonella bacteria can lead to diarrhea. Usually diarrhea in children is caused by viruses; if it is viral in nature, then it can also cause stomach cramps, headache and vomiting. It also leads to loss of fluid from the body. Hence, the child's fluid intake should be compensated accordingly. Usually oral rehydration solution that contains nutrient such as potassium and sodium are preferred.

2. Medications: Intake of certain medications, such as antibiotics and laxatives can cause diarrhea in children. If the cause is due to antibiotic intake, then you should consult a doctor. The doctor may alter the dosage or ask to increase the child's water intake. Yoghurt may also help ease the symptoms of diarrhea if it is caused by antibiotics.

3. Food poisoning: Diarrhea may also result from food poisoning; symptoms of this type usually disappear quickly. Along with loose and watery stools, the child may vomit frequently.
The major complication that results from diarrhea is dehydration. Severe dehydration may lead to severe brain damage and seizures. It may also cause symptoms of dry mouth, fatigue, dizziness and dark yellow urine.

Certain preventive measures are:
1. Use your good judgment while eating outside. Do not consume food from places which use unhygienic modes of preparation.

2. Make sure your child does not drink contaminated water and there is access to clean and filtered water all the time.

3. Your child should be eating a balanced diet that primarily consists of vegetable and fruits. They also help in adding fiber to the diet that keeps your bowels healthy.

All About Diarrhea in Children

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