Diarrhoea is an intestinal disorder characterized by abnormal fluidity and frequency of fecal evacuations, generally the result of increased motility in the colon. The loss of fluids through diarrhea can cause severe dehydration which is one cause of death in diarrhea sufferers.
It is an extremely common presenting complaint. It is usually is due to faeco-oral transmission of micro-organisms.
a.Infective food poisoning- Rotavirus gastroenteritis.
b.Protozoal - Giardiasis
- Amoebic dysentery
c.Toxin mediated - Bacillius
d.Systemic - Sepsis
a.Gastro-intestinal Disorder - Inflammatory Bowel Diseases.
- Acute Diverticulitis
- Pelvic Inflammatory disease.
b.Metabolic upset - Ketosis
c.Drugs and Toxins
Chronic or Relapsing Diarrhoea
It can be present with increased frequency of defecation and loose, watery or pellety stools. Diarrhoea rarely occurs in night and usually aggravated before and after breakfast. The stool is often contains mucus but never blood, and 24-hours stool volume is less than 200g.
1. Blood and mucus
2. Cramping lower
2. Undigested food in
3.Weight loss and
1. Large amount
3. Cramping mid-
4. Irritable Bowel
Cancer of pancreas
2. Drug- induced
|Condition||Well alert||Restless, Irritable||Lethargic|
|Eyes||Normal||Sunken||Very sunken & dry|
|Mouth & tongue||Moist||Dry||Very dry|
|Skin pinch||Goes back quickly||Goes back slowly||Goes back very slowly|
|Thirst||Not thirsty||Thirsty||Drinks poorly/ unable to drink|
|Urine||Reduction in urine||Marked reduction in urine|