Diarrhea
Diarrhea (in American English) or diarrhoea (in British English) is a condition in which the sufferer has frequent watery, loose bowel movements.
Many things can cause diarrhea, which can make diagnosis complex. Acute diarrhea is usually related to a bacterial, viral, or parasitic infection. Chronic diarrhea is usually related to functional disorders such as irritable bowel syndrome or inflammatory bowel disease.
- Bacterial infections. Several types of bacteria consumed through contaminated food or water can cause diarrhea. Common culprits include Campylobacter, Salmonella, Shigella, and Escherichia coli (E. coli).
- Viral infections. Many viruses cause diarrhea, including rotavirus, Norwalk virus, cytomegalovirus, herpes simplex virus, and viral hepatitis.
- Food intolerances. Some people are unable to digest food components such as artificial sweeteners and lactose—the sugar found in milk.
- Parasites. Parasites can enter the body through food or water and settle in the digestive system. Parasites that cause diarrhea include Giardia lamblia, Entamoeba histolytica, and Cryptosporidium.
- Reaction to medicines. Antibiotics, blood pressure medications, cancer drugs, and antacids containing magnesium can all cause diarrhea.
- Intestinal diseases. Inflammatory bowel disease, colitis, Crohn’s disease, and celiac disease often lead to diarrhea.
- Functional bowel disorders. Diarrhea can be a symptom of irritable bowel syndrome.
- Lactose intolerance
- Pancreatic disease
- Short-bowel syndrome
- Postgastrectomy syndrome
- Hyperthyroidism
- Cholestasis
- Celiac disease (gluten intolerance)
- Other malabsorption syndromes
- Inflammatory bowel disease
- Infectious diseases
- Viral Infection
- Bacterial Infection
- Salmonella
- Shigella
- Campylobacter
- Vibrio cholerae
- Entero-Aggregative Escherichia coli
- Entero-Toxic Escherichia coli
- Yersinia enterocolitica
- Vibrio parahemolyticus
- Protozoal Infection
- Multicellular Parasitic Diseases
- Ascaris
- Trichuris
- Strongyloides
- Filariasis
- Toxocara
- Echinococcosis
- Cysticercosis
- Tapeworms
- Trematoda - Intestinal, lung, liver flukes
- Schistosoma
- Hookworm, pinworm
- Fungal Diseases
- Ischemic colitis
- Radiation colitis
- Neoplasia
- Secretory diarrhea
- Irritable bowel syndrome
- Laxative abuse
- Congenital syndromes (chloridorrhea)
- Bacterial toxins
- Drugs and poisons
- Neuroendocrine tumors
- Neoplasia
- Addison's disease
- Epidemic secretory Brainerd diarrhea
References
Kruszka PS, Hall LW (2002). "Clinical inquiries. What is the differential diagnosis of chronic diarrhea in immunocompetent patients?". The Journal of family practice. 51 (3): 212. PMID 11978230.