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| Meta Title | Diarrhea: Causes, treatment, and symptoms |
| Meta Description | Diarrhea, which refers to unusually loose or watery stools, is a common problem with many potential causes. Several treatments can help. Learn more here. |
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| Boilerpipe Text | Diarrhea can range from a mild, temporary condition to a potentially life threatening one. Common causes include viruses, bacteria, and parasites.
Diarrhea is characterized by loose or watery stools. Most cases of diarrhea are due to bacteria, viruses, or parasites. Digestive disorders can also cause chronic diarrhea.
This article looks at the causes and treatments of diarrhea. It also looks at symptoms, diagnosis, prevention, and when to see a doctor.
Many cases of diarrhea are due to an infection or disruption of the gastrointestinal tract.
Common causes
of acute diarrhea include:
food poisoning
viral gastroenteritis
medicine side effects
Chronic diarrhea
Conditions such as
irritable bowel syndrome (IBS)
are a common causes of “functional” chronic diarrhea.
This means that although all the digestive organs appear normal, they are not functioning as they ideally should.
Some other major causes of chronic diarrhea include:
Microscopic colitis:
This is a persistent type of diarrhea that usually affects older adults. It develops due to inflammation and occurs often during the night.
Malabsorptive and maldigestive diarrhea:
The first is due to impaired nutrient absorption, and the second is due to impaired digestive function.
Celiac disease
is one example.
Chronic infections:
A history of travel or
antibiotic
use can be clues in chronic diarrhea. Various bacteria and parasites can also be the cause.
Drug-induced diarrhea:
Laxatives and other drugs, including antibiotics, can trigger diarrhea.
Endocrine-related causes:
Sometimes, hormonal factors cause diarrhea. This is the case in
Addison’s disease
and carcinoid tumors.
Cancer-related causes:
Neoplastic diarrhea is associated with a number of gut cancers.
Mild cases of acute diarrhea may resolve without treatment. For persistent or chronic diarrhea, a doctor will treat any underlying causes in addition to the symptoms of diarrhea.
The sections below will discuss some possible treatment options for getting rid of diarrhea in more detail.
Rehydration
Replacing the fluids, salts, and sugars lost during diarrhea is vital for all cases. However, children and older people are at
greater
risk
of
dehydration
.
Oral rehydration solution or salts (ORS) can be particularly effective in dehydration recovery. ORS refers to water that contains salt and glucose. The small intestine absorbs the solution to replace the water and electrolytes lost in the stool. In developing countries, ORS costs just a few cents.
Antidiarrheal medication
Over-the-counter antidiarrheal medications are also available. These include
loperamide (Imodium)
and bismuth subsalicylate (Pepto-Bismol).
Imodium is an antimotility drug that reduces stool passage. Pepto-Bismol reduces diarrheal stool output in adults and children. It can also prevent traveler’s diarrhea.
Antibiotics
Antibiotics can only treat diarrhea due to bacterial infections. If the cause is a certain medication, switching to another drug might help.
Always talk with a doctor before switching medications.
Diet
The following diet tips may help with diarrhea:
sipping on clear liquids, such as electrolyte drinks, water, or fruit juice without added sugar
after each loose stool, replacing lost fluids with at least 1 cup of liquid
doing most of the drinking between, not during, meals
consuming high potassium foods and liquids, such as diluted fruit juices, potatoes without the skin, and
bananas
consuming high sodium foods and liquids, such as broths, soups, sports drinks, and salted crackers
eating foods high in soluble fiber, such as banana, oatmeal, and rice, as these help thicken the stool
limiting foods that may make diarrhea worse, such as creamy, fried, high dairy, and sugary foods
Foods and beverages that might make diarrhea worse include:
sugar-free gum, mints, sweet cherries, and prunes
caffeinated drinks and medications
fructose in high amounts, from fruit juices, grapes, honey, dates, nuts, figs, soft drinks, and prunes
lactose in dairy products
magnesium
olestra (Olean), which is a fat substitute
anything that contains artificial sweeteners
Diarrhea refers to watery stools, which may be accompanied by other symptoms. These include:
stomach pain
abdominal cramps
bloating
weight loss
fever
body aches
chills
Diarrhea is also a symptom of other conditions, some of which can be serious. Other possible symptoms are:
blood or
pus
in the stool
persistent vomiting
dehydration
If any of these accompany diarrhea, or if the diarrhea is chronic, it may indicate a more serious illness.
Two potentially serious
complications
of diarrhea are dehydration (in cases of severe and frequent diarrhea) and
malabsorption
(in cases of chronic diarrhea).
Diarrhea can also indicate a wide range of underlying chronic conditions. Diagnosis and treatment can help prevent further problems.
When diagnosing the cause of diarrhea, a doctor will ask about the person’s symptoms and:
any current medications they take
their past medical history
their family history
their travel history
any other medical conditions they have
They will also ask:
when the diarrhea started
how frequent the stools are
if blood is present in the stool
if the person has been vomiting
whether the stools are watery or contain mucus or pus
how much stool there is
They will also look for signs of dehydration. Severe dehydration can be fatal if the person does not receive rehydration therapy immediately.
Tests for diarrhea
Most cases of diarrhea resolve without treatment, and a doctor will often be able to diagnose the problem without the use of tests.
However, in more severe cases, a stool test may be necessary — especially if the symptoms persist for longer than a week.
The doctor may also recommend further tests if the person has:
signs of fever or dehydration
stools with blood or pus
severe pain
low blood pressure
a weakened immune system
recently traveled
recently received antibiotics or been in the hospital
diarrhea persisting for longer than 1 week
Further tests
If a person has chronic or persistent diarrhea, the doctor will order tests according to the suspected cause.
These may include:
A full blood count:
Anemia may suggest malnutrition, bleeding ulcerations, or IBD.
Liver function tests:
These will include testing albumin levels.
Tests for malabsorption:
These will check the absorption of
calcium
,
vitamin B-12
, and
folate
. They will also assess iron status and thyroid function.
Erythrocyte sedimentation rate and C-reactive protein:
Raised levels may indicate IBD.
Tests for antibodies:
These may detect celiac disease.
Stool tests:
Doctors can identify parasites, bacteria, and a few viruses in stool cultures. Stool tests can also reveal microscopic blood, white blood cells, and other clues for diagnosis.
In most cases, diarrhea isn’t something to be concerned about and will resolve itself without medical treatment. However, it is important to seek medical help when there is:
persistent vomiting
persistent diarrhea
dehydration
significant weight loss
pus in the stool
blood in the stool, which may turn the stool black if it is coming from higher up in the gastrointestinal tract
Anyone who experiences diarrhea after surgery, after spending time in the hospital, or after using antibiotics should seek medical attention.
Adults who lose sleep due to diarrhea should also seek medical care as soon as possible, as this is usually a sign of more serious causes.
If a person has diarrhea and it lasts for more than
7 days
, they should consult a doctor urgently.
Additionally, caregivers should take infants to see a doctor as soon as possible if they have had
more than five bouts
of diarrhea or vomited more than twice within 24 hours.
The following can help prevent diarrhea:
drinking clean and safe water only
having good sanitation systems, such as wastewater and sewage
having good hygiene practices, such as regularly washing the hands with soap, especially before preparing food and eating and after using the bathroom
educating oneself on the spread of infection
There is evidence to suggest that interventions from public health bodies to promote hand-washing can reduce diarrhea rates by about
one-third
.
In developing countries, however, the prevention of diarrhea may be more challenging due to dirty water and poor sanitation.
Diarrhea is a common problem with many potential causes.
In most cases, a range of home remedies and medical treatments can help. However, a person should see their doctor if they are concerned about diarrhea or other symptoms. |
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# What you should know about diarrhea

[Medically reviewed]() by [Kelsey Trull, PA-C]() — Written by [Markus MacGill]() — [Updated on March 12, 2025]()
- [Causes](https://www.medicalnewstoday.com/articles/158634#causes)
- [Quiz](https://www.medicalnewstoday.com/articles/158634#quiz)
- [Treatments](https://www.medicalnewstoday.com/articles/158634#treatments)
- [Symptoms](https://www.medicalnewstoday.com/articles/158634#symptoms)
- [Complications](https://www.medicalnewstoday.com/articles/158634#complications)
- [Tests and diagnosis](https://www.medicalnewstoday.com/articles/158634#tests-and-diagnosis)
- [Seeing a doctor](https://www.medicalnewstoday.com/articles/158634#seeing-a-doctor)
- [How long is too long for diarrhea?](https://www.medicalnewstoday.com/articles/158634#How-long-is-too-long-for-diarrhea?)
- [Prevention](https://www.medicalnewstoday.com/articles/158634#prevention)
- [Summary](https://www.medicalnewstoday.com/articles/158634#summary)
Diarrhea can range from a mild, temporary condition to a potentially life threatening one. Common causes include viruses, bacteria, and parasites.
Diarrhea is characterized by loose or watery stools. Most cases of diarrhea are due to bacteria, viruses, or parasites. Digestive disorders can also cause chronic diarrhea.
This article looks at the causes and treatments of diarrhea. It also looks at symptoms, diagnosis, prevention, and when to see a doctor.
## [What are the main causes of diarrhea?]()

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Many cases of diarrhea are due to an infection or disruption of the gastrointestinal tract. [Common causes](https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/symptoms-causes) of acute diarrhea include:
- food poisoning
- viral gastroenteritis
- medicine side effects
### Chronic diarrhea
Conditions such as [irritable bowel syndrome (IBS)](https://www.medicalnewstoday.com/articles/37063.php) are a common causes of “functional” chronic diarrhea. This means that although all the digestive organs appear normal, they are not functioning as they ideally should.
Some other major causes of chronic diarrhea include:
- **Microscopic colitis:** This is a persistent type of diarrhea that usually affects older adults. It develops due to inflammation and occurs often during the night.
- **Malabsorptive and maldigestive diarrhea:** The first is due to impaired nutrient absorption, and the second is due to impaired digestive function. [Celiac disease](https://www.medicalnewstoday.com/articles/38085.php "All about celiac disease") is one example.
- **Chronic infections:** A history of travel or [antibiotic](https://www.medicalnewstoday.com/articles/10278.php "What to know about antibiotics") use can be clues in chronic diarrhea. Various bacteria and parasites can also be the cause.
- **Drug-induced diarrhea:** Laxatives and other drugs, including antibiotics, can trigger diarrhea.
- **Endocrine-related causes:** Sometimes, hormonal factors cause diarrhea. This is the case in [Addison’s disease](https://www.medicalnewstoday.com/articles/186236) and carcinoid tumors.
- **Cancer-related causes:** Neoplastic diarrhea is associated with a number of gut cancers.
## [Quiz]()
## [How can a person treat diarrhea?]()
Mild cases of acute diarrhea may resolve without treatment. For persistent or chronic diarrhea, a doctor will treat any underlying causes in addition to the symptoms of diarrhea.
The sections below will discuss some possible treatment options for getting rid of diarrhea in more detail.
### Rehydration
Replacing the fluids, salts, and sugars lost during diarrhea is vital for all cases. However, children and older people are at [greater](https://www.nhs.uk/conditions/dehydration/) [risk](https://www.nhs.uk/conditions/dehydration/) of [dehydration](https://www.medicalnewstoday.com/articles/153363.php).
Oral rehydration solution or salts (ORS) can be particularly effective in dehydration recovery. ORS refers to water that contains salt and glucose. The small intestine absorbs the solution to replace the water and electrolytes lost in the stool. In developing countries, ORS costs just a few cents.
### Antidiarrheal medication
Over-the-counter antidiarrheal medications are also available. These include [loperamide (Imodium)](https://www.medicalnewstoday.com/articles/imodium) and bismuth subsalicylate (Pepto-Bismol).
Imodium is an antimotility drug that reduces stool passage. Pepto-Bismol reduces diarrheal stool output in adults and children. It can also prevent traveler’s diarrhea.
### Antibiotics
Antibiotics can only treat diarrhea due to bacterial infections. If the cause is a certain medication, switching to another drug might help.
Always talk with a doctor before switching medications.
### Diet
The following diet tips may help with diarrhea:
- sipping on clear liquids, such as electrolyte drinks, water, or fruit juice without added sugar
- after each loose stool, replacing lost fluids with at least 1 cup of liquid
- doing most of the drinking between, not during, meals
- consuming high potassium foods and liquids, such as diluted fruit juices, potatoes without the skin, and [bananas](https://www.medicalnewstoday.com/articles/271157.php "Benefits and health risks of bananas")
- consuming high sodium foods and liquids, such as broths, soups, sports drinks, and salted crackers
- eating foods high in soluble fiber, such as banana, oatmeal, and rice, as these help thicken the stool
- limiting foods that may make diarrhea worse, such as creamy, fried, high dairy, and sugary foods
Foods and beverages that might make diarrhea worse include:
- sugar-free gum, mints, sweet cherries, and prunes
- caffeinated drinks and medications
- fructose in high amounts, from fruit juices, grapes, honey, dates, nuts, figs, soft drinks, and prunes
- lactose in dairy products
- [magnesium](https://www.medicalnewstoday.com/articles/286839.php "Why do we need magnesium?")
- olestra (Olean), which is a fat substitute
- anything that contains artificial sweeteners
[Learn more about foods to eat with diarrhea here](https://www.medicalnewstoday.com/articles/320124).
## [Symptoms]()
Diarrhea refers to watery stools, which may be accompanied by other symptoms. These include:
- stomach pain
- abdominal cramps
- bloating
- weight loss
- [fever](https://www.medicalnewstoday.com/articles/168266.php "Fever: What you need to know")
- body aches
- chills
Diarrhea is also a symptom of other conditions, some of which can be serious. Other possible symptoms are:
- blood or [pus](https://www.medicalnewstoday.com/articles/249182.php "What is pus?") in the stool
- persistent vomiting
- dehydration
If any of these accompany diarrhea, or if the diarrhea is chronic, it may indicate a more serious illness.
## [Complications]()
Two potentially serious [complications](https://www.msdmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/diarrhea#Etiology_v889020) of diarrhea are dehydration (in cases of severe and frequent diarrhea) and [malabsorption](https://www.medicalnewstoday.com/articles/322467) (in cases of chronic diarrhea).
Diarrhea can also indicate a wide range of underlying chronic conditions. Diagnosis and treatment can help prevent further problems.
## [Tests and diagnosis]()
When diagnosing the cause of diarrhea, a doctor will ask about the person’s symptoms and:
- any current medications they take
- their past medical history
- their family history
- their travel history
- any other medical conditions they have
They will also ask:
- when the diarrhea started
- how frequent the stools are
- if blood is present in the stool
- if the person has been vomiting
- whether the stools are watery or contain mucus or pus
- how much stool there is
They will also look for signs of dehydration. Severe dehydration can be fatal if the person does not receive rehydration therapy immediately.
### Tests for diarrhea
Most cases of diarrhea resolve without treatment, and a doctor will often be able to diagnose the problem without the use of tests.
However, in more severe cases, a stool test may be necessary — especially if the symptoms persist for longer than a week.
The doctor may also recommend further tests if the person has:
- signs of fever or dehydration
- stools with blood or pus
- severe pain
- [low blood pressure](https://www.medicalnewstoday.com/articles/159609)
- a weakened immune system
- recently traveled
- recently received antibiotics or been in the hospital
- diarrhea persisting for longer than 1 week
### Further tests
If a person has chronic or persistent diarrhea, the doctor will order tests according to the suspected cause.
These may include:
- **A full blood count:** Anemia may suggest malnutrition, bleeding ulcerations, or IBD.
- **Liver function tests:** These will include testing albumin levels.
- **Tests for malabsorption:** These will check the absorption of [calcium](https://www.medicalnewstoday.com/articles/248958.php "Calcium: Health benefits, foods, and deficiency"), [vitamin B-12](https://www.medicalnewstoday.com/articles/219822), and [folate](https://www.medicalnewstoday.com/articles/287677.php "Why is folate good for you?"). They will also assess iron status and thyroid function.
- **Erythrocyte sedimentation rate and C-reactive protein:** Raised levels may indicate IBD.
- **Tests for antibodies:** These may detect celiac disease.
- **Stool tests:** Doctors can identify parasites, bacteria, and a few viruses in stool cultures. Stool tests can also reveal microscopic blood, white blood cells, and other clues for diagnosis.
## [When should a person be concerned about diarrhea?]()
In most cases, diarrhea isn’t something to be concerned about and will resolve itself without medical treatment. However, it is important to seek medical help when there is:
- persistent vomiting
- persistent diarrhea
- dehydration
- significant weight loss
- pus in the stool
- blood in the stool, which may turn the stool black if it is coming from higher up in the gastrointestinal tract
Anyone who experiences diarrhea after surgery, after spending time in the hospital, or after using antibiotics should seek medical attention.
Adults who lose sleep due to diarrhea should also seek medical care as soon as possible, as this is usually a sign of more serious causes.
## [How long is too long for diarrhea?]()
If a person has diarrhea and it lasts for more than [7 days](https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diarrhoea/), they should consult a doctor urgently.
Additionally, caregivers should take infants to see a doctor as soon as possible if they have had [more than five bouts](https://www.nct.org.uk/baby-toddler/your-babys-health/what-watch-out-for/diarrhoea-and-vomiting-babies) of diarrhea or vomited more than twice within 24 hours.
## [Prevention]()
The following can help prevent diarrhea:
- drinking clean and safe water only
- having good sanitation systems, such as wastewater and sewage
- having good hygiene practices, such as regularly washing the hands with soap, especially before preparing food and eating and after using the bathroom
- educating oneself on the spread of infection
There is evidence to suggest that interventions from public health bodies to promote hand-washing can reduce diarrhea rates by about [one-third](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563982/).
In developing countries, however, the prevention of diarrhea may be more challenging due to dirty water and poor sanitation.
## [Summary]()
Diarrhea is a common problem with many potential causes.
In most cases, a range of home remedies and medical treatments can help. However, a person should see their doctor if they are concerned about diarrhea or other symptoms.
- [Irritable Bowel Syndrome](https://www.medicalnewstoday.com/categories/irritable-bowel-syndrome)
- [GastroIntestinal / Gastroenterology](https://www.medicalnewstoday.com/categories/gastrointestinal)
- [Infectious Diseases / Bacteria / Viruses](https://www.medicalnewstoday.com/categories/infectious_diseases)
### How we reviewed this article:
Sources
Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process).
- Dehydration. (2022).
<https://www.nhs.uk/conditions/dehydration/>
- Diarrhea. (n.d.).
<https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea>
- GotfriedJ. (2024). Diarrhea.
<https://www.msdmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/diarrhea#Etiology_v889020>
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[Medically reviewed]() by [Kelsey Trull, PA-C]() — Written by [Markus MacGill]() — [Updated on March 12, 2025]()
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| Readable Markdown | Diarrhea can range from a mild, temporary condition to a potentially life threatening one. Common causes include viruses, bacteria, and parasites.
Diarrhea is characterized by loose or watery stools. Most cases of diarrhea are due to bacteria, viruses, or parasites. Digestive disorders can also cause chronic diarrhea.
This article looks at the causes and treatments of diarrhea. It also looks at symptoms, diagnosis, prevention, and when to see a doctor.
Many cases of diarrhea are due to an infection or disruption of the gastrointestinal tract. [Common causes](https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/symptoms-causes) of acute diarrhea include:
- food poisoning
- viral gastroenteritis
- medicine side effects
Chronic diarrhea
Conditions such as [irritable bowel syndrome (IBS)](https://www.medicalnewstoday.com/articles/37063.php) are a common causes of “functional” chronic diarrhea. This means that although all the digestive organs appear normal, they are not functioning as they ideally should.
Some other major causes of chronic diarrhea include:
- **Microscopic colitis:** This is a persistent type of diarrhea that usually affects older adults. It develops due to inflammation and occurs often during the night.
- **Malabsorptive and maldigestive diarrhea:** The first is due to impaired nutrient absorption, and the second is due to impaired digestive function. [Celiac disease](https://www.medicalnewstoday.com/articles/38085.php "All about celiac disease") is one example.
- **Chronic infections:** A history of travel or [antibiotic](https://www.medicalnewstoday.com/articles/10278.php "What to know about antibiotics") use can be clues in chronic diarrhea. Various bacteria and parasites can also be the cause.
- **Drug-induced diarrhea:** Laxatives and other drugs, including antibiotics, can trigger diarrhea.
- **Endocrine-related causes:** Sometimes, hormonal factors cause diarrhea. This is the case in [Addison’s disease](https://www.medicalnewstoday.com/articles/186236) and carcinoid tumors.
- **Cancer-related causes:** Neoplastic diarrhea is associated with a number of gut cancers.
Mild cases of acute diarrhea may resolve without treatment. For persistent or chronic diarrhea, a doctor will treat any underlying causes in addition to the symptoms of diarrhea.
The sections below will discuss some possible treatment options for getting rid of diarrhea in more detail.
Rehydration
Replacing the fluids, salts, and sugars lost during diarrhea is vital for all cases. However, children and older people are at [greater](https://www.nhs.uk/conditions/dehydration/) [risk](https://www.nhs.uk/conditions/dehydration/) of [dehydration](https://www.medicalnewstoday.com/articles/153363.php).
Oral rehydration solution or salts (ORS) can be particularly effective in dehydration recovery. ORS refers to water that contains salt and glucose. The small intestine absorbs the solution to replace the water and electrolytes lost in the stool. In developing countries, ORS costs just a few cents.
Antidiarrheal medication
Over-the-counter antidiarrheal medications are also available. These include [loperamide (Imodium)](https://www.medicalnewstoday.com/articles/imodium) and bismuth subsalicylate (Pepto-Bismol).
Imodium is an antimotility drug that reduces stool passage. Pepto-Bismol reduces diarrheal stool output in adults and children. It can also prevent traveler’s diarrhea.
Antibiotics
Antibiotics can only treat diarrhea due to bacterial infections. If the cause is a certain medication, switching to another drug might help.
Always talk with a doctor before switching medications.
Diet
The following diet tips may help with diarrhea:
- sipping on clear liquids, such as electrolyte drinks, water, or fruit juice without added sugar
- after each loose stool, replacing lost fluids with at least 1 cup of liquid
- doing most of the drinking between, not during, meals
- consuming high potassium foods and liquids, such as diluted fruit juices, potatoes without the skin, and [bananas](https://www.medicalnewstoday.com/articles/271157.php "Benefits and health risks of bananas")
- consuming high sodium foods and liquids, such as broths, soups, sports drinks, and salted crackers
- eating foods high in soluble fiber, such as banana, oatmeal, and rice, as these help thicken the stool
- limiting foods that may make diarrhea worse, such as creamy, fried, high dairy, and sugary foods
Foods and beverages that might make diarrhea worse include:
- sugar-free gum, mints, sweet cherries, and prunes
- caffeinated drinks and medications
- fructose in high amounts, from fruit juices, grapes, honey, dates, nuts, figs, soft drinks, and prunes
- lactose in dairy products
- [magnesium](https://www.medicalnewstoday.com/articles/286839.php "Why do we need magnesium?")
- olestra (Olean), which is a fat substitute
- anything that contains artificial sweeteners
Diarrhea refers to watery stools, which may be accompanied by other symptoms. These include:
- stomach pain
- abdominal cramps
- bloating
- weight loss
- [fever](https://www.medicalnewstoday.com/articles/168266.php "Fever: What you need to know")
- body aches
- chills
Diarrhea is also a symptom of other conditions, some of which can be serious. Other possible symptoms are:
- blood or [pus](https://www.medicalnewstoday.com/articles/249182.php "What is pus?") in the stool
- persistent vomiting
- dehydration
If any of these accompany diarrhea, or if the diarrhea is chronic, it may indicate a more serious illness.
Two potentially serious [complications](https://www.msdmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gastrointestinal-disorders/diarrhea#Etiology_v889020) of diarrhea are dehydration (in cases of severe and frequent diarrhea) and [malabsorption](https://www.medicalnewstoday.com/articles/322467) (in cases of chronic diarrhea).
Diarrhea can also indicate a wide range of underlying chronic conditions. Diagnosis and treatment can help prevent further problems.
When diagnosing the cause of diarrhea, a doctor will ask about the person’s symptoms and:
- any current medications they take
- their past medical history
- their family history
- their travel history
- any other medical conditions they have
They will also ask:
- when the diarrhea started
- how frequent the stools are
- if blood is present in the stool
- if the person has been vomiting
- whether the stools are watery or contain mucus or pus
- how much stool there is
They will also look for signs of dehydration. Severe dehydration can be fatal if the person does not receive rehydration therapy immediately.
Tests for diarrhea
Most cases of diarrhea resolve without treatment, and a doctor will often be able to diagnose the problem without the use of tests.
However, in more severe cases, a stool test may be necessary — especially if the symptoms persist for longer than a week.
The doctor may also recommend further tests if the person has:
- signs of fever or dehydration
- stools with blood or pus
- severe pain
- [low blood pressure](https://www.medicalnewstoday.com/articles/159609)
- a weakened immune system
- recently traveled
- recently received antibiotics or been in the hospital
- diarrhea persisting for longer than 1 week
Further tests
If a person has chronic or persistent diarrhea, the doctor will order tests according to the suspected cause.
These may include:
- **A full blood count:** Anemia may suggest malnutrition, bleeding ulcerations, or IBD.
- **Liver function tests:** These will include testing albumin levels.
- **Tests for malabsorption:** These will check the absorption of [calcium](https://www.medicalnewstoday.com/articles/248958.php "Calcium: Health benefits, foods, and deficiency"), [vitamin B-12](https://www.medicalnewstoday.com/articles/219822), and [folate](https://www.medicalnewstoday.com/articles/287677.php "Why is folate good for you?"). They will also assess iron status and thyroid function.
- **Erythrocyte sedimentation rate and C-reactive protein:** Raised levels may indicate IBD.
- **Tests for antibodies:** These may detect celiac disease.
- **Stool tests:** Doctors can identify parasites, bacteria, and a few viruses in stool cultures. Stool tests can also reveal microscopic blood, white blood cells, and other clues for diagnosis.
In most cases, diarrhea isn’t something to be concerned about and will resolve itself without medical treatment. However, it is important to seek medical help when there is:
- persistent vomiting
- persistent diarrhea
- dehydration
- significant weight loss
- pus in the stool
- blood in the stool, which may turn the stool black if it is coming from higher up in the gastrointestinal tract
Anyone who experiences diarrhea after surgery, after spending time in the hospital, or after using antibiotics should seek medical attention.
Adults who lose sleep due to diarrhea should also seek medical care as soon as possible, as this is usually a sign of more serious causes.
If a person has diarrhea and it lasts for more than [7 days](https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/diarrhoea/), they should consult a doctor urgently.
Additionally, caregivers should take infants to see a doctor as soon as possible if they have had [more than five bouts](https://www.nct.org.uk/baby-toddler/your-babys-health/what-watch-out-for/diarrhoea-and-vomiting-babies) of diarrhea or vomited more than twice within 24 hours.
The following can help prevent diarrhea:
- drinking clean and safe water only
- having good sanitation systems, such as wastewater and sewage
- having good hygiene practices, such as regularly washing the hands with soap, especially before preparing food and eating and after using the bathroom
- educating oneself on the spread of infection
There is evidence to suggest that interventions from public health bodies to promote hand-washing can reduce diarrhea rates by about [one-third](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563982/).
In developing countries, however, the prevention of diarrhea may be more challenging due to dirty water and poor sanitation.
Diarrhea is a common problem with many potential causes.
In most cases, a range of home remedies and medical treatments can help. However, a person should see their doctor if they are concerned about diarrhea or other symptoms. |
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