DIARRHOEA
What is Diarrhoea?
What cause Diarrhoea?
What can I do to relieve Diarrhoea?
   
  Treatment
- Diarrhoea in very young children
- Oral rehydration therapy
- Diarrhoea in older children and adults
   
   
   
   

 

WHAT IS DIARRHOEA?
You have diarrhoea when you are moving your bowels a lot more times than you usually do and the stool is loose and watery.

WHAT CAUSES DIARRHOEA?
Diarrhoea may be caused by
- Viruses, bacteria or protozoa
- toxins
- allergy to certain foods or medicines
These may cause food to pass too quickly through the bowels such that there is insufficient time for water to be reabsorbed. Any of these factors may also affect the surface cells of the intestines so that they cannot carry out water and salts exchange effectively.
Both of these occurrences can lead to loose and watery stool.

WHAT CAN I DO TO RELIEVE DIARRHOEA?
To aid recovery:
- Drink plenty of water and clear fluids or soup
- Do not eat for a day. If you do, have light meals only
- Avoid dairy products such as milk, cheese, etc.
- Avoid alcohol
- Avoid fatty and highly seasoned food
- Avoid dried foods, fruits or acidic vegetables

Consult a doctor when:
- Baby is below one year old
- There is severe pain in the abdomen
- There is an association of severe vomiting and fever
- The suspected cause is a drug

- Your are not able to eat or drink due to nausea
- There is presence of blood and mucus in the stool

Treatment
How will the doctor treat diarrhoea?

DIARRHOEA IN VERY YOUNG CHILDREN
Most diarrhoea usually stops in three or four days even if no treatment is administered. Therefore for children below 5 years of age, when drugs should be used minimally and carefully, the first measure to consider is ORT or Oral Rehydration Therapy.

ORAL REHYDRATION THERAPY
Oral Rehydration Salts are easily available in pharmacies and simple directions can be followed to prepare a drink which will replace the water and salts lost in diarrhoea. This replacement will prevent dehydration or excessive loss of water and salts from the body. ORT can be used together with medication.

DIARRHOEA IN OLDER CHILDREN AND ADULTS
Even though diarrhoea is self-limiting, it can be inconvenient, especially when one is at school or at work. Various medications are available to relieve symptoms of diarrhoea, such as
- toxin absorbents
So-called because they are thought to adsorb the diarrhoea- causing toxins onto their surface. Toxin adsorbents can be useful for very mild diarrhoea.
Examples of toxin adsorbents are charcoal and kaolin mixtures.
- motility inhibitors
These are effective in reducing bowel contractions and urgency.
Examples of motility inhibitors are loperamide and diphenoxylate + atropine sulphate.