Tag Archives: chronic diarrhea

What are the symptoms and manifestations of Crohn’s disease?

Crohn’s disease is a chronic, relapsing inflammatory bowel disease that can involve any segment of the gastrointestinal tract from mouth to anus, but most commonly affects the terminal ileum and adjacent right colon. The clinical picture is highly variable, ranging from subtle, intermittent discomfort to severe, life-threatening complications. Recognizing the key symptoms early can shorten the delay to diagnosis and reduce long-term damage. Core intestinal symptoms Diarrhea: usually semiliquid, without visible blood in limited ileal disease; overt bloody diarrhea is more common when the colon is involved. Abdominal pain: typically crampy or colicky, localized to the right lower quadrant; pain... Learn more

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What Chronic Diarrhea Is Telling You

Chronic diarrhea means >3 loose or watery stools per day for more than four weeks. It is not a disease itself but a common end-point of many mechanisms. Here is a rapid overview from cause to clinic. 1. Osmotic diarrhea Unabsorbed solutes (lactose, fructose, sorbitol, Mg-antacids) hold water in the lumen; stool output falls markedly when the patient stops eating the offending sugar or salt. 2. Secretory diarrhea The mucosa actively pours water and electrolytes into the gut; fasting does not stop the flood. Think hyperthyroidism, adrenal insufficiency, gastrinoma, VIPoma, bile-acid malabsorption or chronic alcohol abuse. 3. Malabsorption / steatorrhoea... Learn more

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