Chronic diarrhea risk factors: Difference between revisions
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{{Chronic diarrhea}} | {{Chronic diarrhea}} | ||
{{CMG}}; {{AE}} {{DAMI}} | {{CMG}}; {{AE}} {{DAMI}} | ||
==Overview== | ==Overview== | ||
The risk factors of chronic diarrhea can be assessed based on the [[epidemiologic]] associations and the patient characteristics. Some of | The risk factors of chronic diarrhea can be assessed based on the [[epidemiologic]] associations and the patient's characteristics. Some of these factors can be classified based on travel history, epidemics and outbreaks, diabetic patients, patients with [[AIDS|acquired immune deficiency syndrome]]<nowiki/> and whether the patients are institutionalized or hospitalized. | ||
==Risk Factors== | ==Risk Factors== | ||
The risk factors for chronic diarrhea include | The risk factors for chronic diarrhea include<ref name="pmid24117999">{{cite journal| author=Schiller LR, Pardi DS, Spiller R, Semrad CE, Surawicz CM, Giannella RA et al.| title=Gastro 2013 APDW/WCOG Shanghai working party report: chronic diarrhea: definition, classification, diagnosis. | journal=J Gastroenterol Hepatol | year= 2014 | volume= 29 | issue= 1 | pages= 6-25 | pmid=24117999 | doi=10.1111/jgh.12392 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24117999 }} </ref> | ||
*Travel<ref name="DuplessisGutierrez2017">{{cite journal|last1=Duplessis|first1=Christopher A.|last2=Gutierrez|first2=Ramiro L.|last3=Porter|first3=Chad K.|title=Review: chronic and persistent diarrhea with a focus in the returning traveler|journal=Tropical Diseases, Travel Medicine and Vaccines|volume=3|issue=1|year=2017|issn=2055-0936|doi=10.1186/s40794-017-0052-2}}</ref> | *Travel<ref name="DuplessisGutierrez2017">{{cite journal|last1=Duplessis|first1=Christopher A.|last2=Gutierrez|first2=Ramiro L.|last3=Porter|first3=Chad K.|title=Review: chronic and persistent diarrhea with a focus in the returning traveler|journal=Tropical Diseases, Travel Medicine and Vaccines|volume=3|issue=1|year=2017|issn=2055-0936|doi=10.1186/s40794-017-0052-2}}</ref> | ||
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**[[Mutations]] in certain [[genes]] are associated with chronic diarrhea in [[Inflammatory bowel disease|inflammatory bowel diseases]]. | **[[Mutations]] in certain [[genes]] are associated with chronic diarrhea in [[Inflammatory bowel disease|inflammatory bowel diseases]]. | ||
*Epidemics and outbreaks | *[[Epidemics]] and [[outbreaks]] | ||
**Bacterial infection | **[[Bacterial infection]] | ||
**Epidemic idiopathic secretory diarrhea (eg, [[Brainerd diarrhea]]) | **Epidemic idiopathic secretory diarrhea (eg, [[Brainerd diarrhea]]) | ||
**[[Protozoal]] infection (eg, [[cryptosporidiosis]]) | **[[Protozoal]] infection (eg, [[cryptosporidiosis]]) | ||
**Viral infection (eg, [[rotavirus]]) | **Viral infection (eg, [[rotavirus]]) | ||
*Diabetic patients | *[[Diabetes|Diabetic patients]] | ||
**Altered motility (increased or decreased) | **Altered motility (increased or decreased) | ||
**[[Pancreatic insufficiency|Pancreatic exocrine insufficiency]] | |||
**[[Small Bowel Obstruction|Small Intestinal Bowel Obstruction]] | |||
**[[Drugs]] (especially [[acarbose]], [[metformin]]) | |||
**Small Intestinal Bowel Obstruction | |||
**Drugs (especially [[acarbose]], [[metformin]]) | |||
*Patients with [[acquired immunodeficiency syndrome]] | *Patients with [[acquired immunodeficiency syndrome]] | ||
**Drug side effects | **[[:Category:Drugs|Drug side effects]] | ||
**[[Lymphoma]] | **[[Lymphoma]] | ||
**Opportunistic infections (eg, [[cryptosporidiosis]], [[cytomegalovirus]], [[herpesvirus]], [[Mycobacterium avium complex]]) | **[[Opportunistic infection|Opportunistic infections]] (eg, [[cryptosporidiosis]], [[cytomegalovirus]], [[herpesvirus]], [[Mycobacterium avium complex]]) | ||
*Institutionalized and hospitalized patients | *Institutionalized and hospitalized patients | ||
**[[Clostridium difficile infection]] | **[[Clostridium difficile infection]] | ||
**[[Fecal impaction]] with overflow diarrhea | **[[Fecal impaction]] with overflow diarrhea | ||
**[[Ischemic colitis]] | **[[Ischemic colitis]] | ||
** | **[[Parenteral nutrition]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
{{WH}} | |||
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[[Category:Emergency medicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 14:15, 15 January 2021
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Chronic diarrhea Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
The risk factors of chronic diarrhea can be assessed based on the epidemiologic associations and the patient's characteristics. Some of these factors can be classified based on travel history, epidemics and outbreaks, diabetic patients, patients with acquired immune deficiency syndrome and whether the patients are institutionalized or hospitalized.
Risk Factors
The risk factors for chronic diarrhea include[1]
- Travel[2]
- Bacterial infection (mostly acute)
- Protozoal infections (eg, amebiasis, giardiasis)
- Tropical sprue
- Genetics
- Mutations in certain genes are associated with chronic diarrhea in inflammatory bowel diseases.
- Epidemics and outbreaks
- Bacterial infection
- Epidemic idiopathic secretory diarrhea (eg, Brainerd diarrhea)
- Protozoal infection (eg, cryptosporidiosis)
- Viral infection (eg, rotavirus)
- Diabetic patients
- Altered motility (increased or decreased)
- Pancreatic exocrine insufficiency
- Small Intestinal Bowel Obstruction
- Drugs (especially acarbose, metformin)
- Patients with acquired immunodeficiency syndrome
- Institutionalized and hospitalized patients
- Clostridium difficile infection
- Fecal impaction with overflow diarrhea
- Ischemic colitis
- Parenteral nutrition
References
- ↑ Schiller LR, Pardi DS, Spiller R, Semrad CE, Surawicz CM, Giannella RA; et al. (2014). "Gastro 2013 APDW/WCOG Shanghai working party report: chronic diarrhea: definition, classification, diagnosis". J Gastroenterol Hepatol. 29 (1): 6–25. doi:10.1111/jgh.12392. PMID 24117999.
- ↑ Duplessis, Christopher A.; Gutierrez, Ramiro L.; Porter, Chad K. (2017). "Review: chronic and persistent diarrhea with a focus in the returning traveler". Tropical Diseases, Travel Medicine and Vaccines. 3 (1). doi:10.1186/s40794-017-0052-2. ISSN 2055-0936.