Dr Vikas Singla
Director and Head, Gastroenterology
Center for Gastroenterology Hepatology and Endoscopy
Max Superspeciality Hospital Saket New Delhi India
For Appointment 9968407407 9999507480
Diarrhoea or loose stool is a common clinical symptom. Acute and chronic diarrhoea are different and needs specialised care.
Acute diarrhoea: Less than 2 weeks. Mostly infections
Chronic diarrhea: More than 2 weeks
Causes
Poor digestion of food. Related to small bowel, liver and pancreas
Excessive bowel movements.
Any issue in digestion, will lead to chronic diarrhea.
1. Celiac disease : Allergy to gluten found in wheat. Villi are destroyed.
2. Parasitic infections
a. HIV
b. Post transplant
c. Low level antibodies
3. Lactose intolerance : Milk sugar. Not digested
4. Small bowel intestinal bacterial overgrowth: Glucose breath test
Excessive motility
1. IBS
2. Diabetes
Low enzyme : Chronic pancreatitis,
Low bile : Bile duct obstruction
Large bowel causes
Inflammatory bowel disease : Ulcerative colitis and Crohn’s disease
UC: Ulcers in large bowel
Blood in stool
Sigmoidoscopy
Medicine
Crohn’s
Usually no blood
Both large and small bowel
Pain abdomen
CT scan and colonoscopy, capsule enodoscopy
Colon cancer: More secretion above the cancer
Villous adenoma : More secretions from the tumor
Diverticulitis
Microscopic colitis : Colonoscopy and biopsy
Radiation colitis
CMV colitis
Irritable bowel syndrome diarrhea
Food intolerance
Post infectious IBS
SIBO
Bile acid malabsorption
Microscopic colitis
Celiac disease
Pancreatic exocrine insufficiency
Rapid transit
Hormonal imbalance
1. Hyperthyroidism
2. Addison disease
3. Carcinoid syndrome
4. Medullary thyroid carcinoma
Medications can also cause diarrhoea
Antihypertensive
Anidiabetic
PPI
Magnesium
Antibiotics
Anti cancer
#chronicdiarrhoea #chronicdiarrhea #loosestoolsinhindi #diarrhoeainhindi # Diarrheainhindi, #celiacdisease #ulcerativecolitis #crohn'sdisease #wheatallergy #glutenfreediet #loosemotioninhindi
Picture credit: pixabay.com/Villi picture
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Diarrhea picture
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Giardia
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Lactose
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UC image
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Diverticulum
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Vikas Singla
Негізгі бет Loose motion, stool in Hindi. Chronic Diarrhea (Diarrhoea). Causes & treatment, By Dr Vikas Singla.
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