Diarrhoea Health Dictionary

The world’s biggest killer of children. Inflammation of the bowel by production of too much mucous secretion.

Causes: faulty absorption of fats, bacterial or viral infection, nervous bowel, anxiety or psychosomatic disturbance, malfunction of the thyroid gland, etc.

Looseness of the bowels may sometimes occur as an acute cleansing eliminative effort by Nature to expel wastes and impurities. Dehydration can be serious in children. For presence of mucous or blood in the stool refer to DIFFERENTIAL DIAGNOSIS.

Differential diagnosis. Crohn’s disease, Gastroenteritis, Diverticulosis, Ulcerative colitis, Dysentery, Salmonella.

Travel diarrhoea: ‘blight of holiday and business trips abroad’ due to E. Coli. Acute, usually non- persistent self-limiting condition. Ginger, crystallised or powder in capsules or tablets is known to reduce the incidence in high risk areas.

Imported bloody diarrhoeas – salmonella, shigella or amoebic infections should receive special investigation by a competent authority, a consultant in infectious diseases. First-aid until the practitioner comes: 2-5 drops oil of Peppermint in water.

Children’s diarrhoea. Re-hydration after severe loss of fluids – glass of water containing 1 teaspoon salt and 2 teaspoons sugar.

Over 13,000 children die from this preventable disease every day, many in the developing countries. This simple combination of sugar and salt prevents dehydration, the most common cause of death from acute diarrhoea, and has helped save tens of thousands of lives.

Alternatives. Rest. Avoid caffeine and alcohol drinks. Plenty of astringent herb teas to reduce the associated hyperperistalsis. Children – half-dose.

Teas. Any one of the following: Agrimony, Avens, Burmarigold, Black Walnut leaves, Burnet (greater or garden), Ground Ivy, Ladysmantle, Hops (nervous bowel), Plantain, Peppermint, Periwinkle (vinca major), Meadowsweet, Silverweed, Shepherd’s Purse, Tormentil. Sage. Formulae: (1) equal parts; Raspberry leaves, Agrimony, Avens. Or (2) equal parts; Raspberry leaves, Plantain, Silverweed. 2 teaspoons to each cup boiling water; infuse 5-15 minutes. Half-1 cup freely. For nerve exhaustion: add a sprinkle of Valerian.

Seeds. Coriander, Caraway or Fenugreek. Half a teaspoon to each cup water, brought to boil; vessel removed as soon as boiling point is reached. Half-1 cup freely.

Decoctions. Any one of the following: Bayberry, Cranesbill (American), Rhatany root, Sweet Chestnut leaves, Oak bark, Wild Yam, Iceland Moss.

Powders. Any one: Calamus, Bayberry, Oak bark, Cinnamon, Black Catechu, Wild Yam. Add pinch of Ginger.

Tinctures. (1) Combine Bayberry 2; Ginger 1. Or (2) Combine Bayberry 1; Raspberry leaves 2. One to two 5ml teaspoons thrice daily after meals.

Tincture, or spirits of Camphor: 5-10 drops in water every 3-4 hours for severe depletion of body fluids. Adults only.

Aloe Vera. Scientific papers confirm efficacy.

Dr Finlay Ellingwood. Castor oil: 5 drops every 2 hours.

Bilberry juice. Half-1 cup freely.

Goldenseal. Antibacterial. 5-10 drops, tincture, 3-4 times daily. Adults only.

Diet. Avoid cow’s milk. 3-day fast on fruit juices and herb teas alone, followed by gruel made from Slippery Elm, Oatmeal or Arrowroot. Yoghurt. Bilberry fruit. Carob bean products: chocolate or other preparations. Ensure adequate fluid intake.

Supplementation. Vitamins A, B12, C, D. Minerals: Calcium, Iron, Magnesium, Potassium, Zinc. Preventative. 2 drops oil of Peppermint morning and evening. 

Increased fluidity, frequency, or volume of bowel movements. It may be acute or chronic. Diarrhoea can be very serious in infants and elderly people because of the risk of severe, potentially fatal, dehydration.

Acute diarrhoea is usually a result of consuming food or water contaminated with certain bacteria or viruses (see food poisoning). Infective gastroenteritis also causes diarrhoea and may be acquired as a result of droplet infection. Other causes of acute diarrhoea include anxiety and, less commonly, amoebiasis, shigellosis, typhoid fever and paratyphoid fever, drug toxicity, food allergy, and food intolerance.

Chronic diarrhoea is generally repeated attacks of acute diarrhoea. It may be the result of an intestinal disorder such as Crohn’s disease, ulcerative colitis, cancer of the colon (see colon, cancer of), or irritable bowel syndrome. Diarrhoea that recurs, persists for more than a week, or is accompanied by blood requires medical investigation.

The water and electrolytes (salts) lost during a severe attack of diarrhoea need to be replaced to prevent dehydration. Ready-prepared powders of electrolyte

mixtures can be bought (see rehydration therapy). Antidiarrhoeal drugs, such as diphenoxylate and loperamide, should not be taken to treat attacks of diarrhoea due to infection; they may prolong it. Drugs may help if the diarrhoea is disabling or if there is abdominal pain.

Viral gastroenteritis in a child can damage the lining of the intestine, which may lead to lactose intolerance and further diarrhoea. Seek medical attention if diarrhoea in an infant persists for more than 48 hours. Call a doctor urgently if the infant is dehydrated. (See also rehydration therapy.)

Diarrhoea or looseness of the bowels is increased frequency, ?uidity or volume of bowel movements compared to usual. Most people have occasional attacks of acute diarrhoea, usually caused by contaminated food or water or excessive alcohol consumption. Such attacks normally clear up within a day or two, whether or not they are treated. Chronic diarrhoea, on the other hand, may be the result of a serious intestinal disorder or of more general disease.

The commonest cause of acute diarrhoea is food poisoning, the organisms involved usually being STAPHYLOCOCCUS, CLOSTRIDIUM bacteria, salmonella, E. coli O157 (see ESCHERICHIA), CAMPYLOBACTER, cryptosporidium, and Norwalk virus. A person may also acquire infective diarrhoea as a result of droplet infections from adenoviruses or echoviruses. Interference with the bacterial ?ora of the intestine may cause acute diarrhoea: this often happens to someone who travels to another country and acquires unfamiliar intestinal bacteria. Other infections include bacillary dysentery, typhoid fever and paratyphoid fevers (see ENTERIC FEVER). Drug toxicity, food allergy, food intolerance and anxiety may also cause acute diarrhoea, and habitual constipation may result in attacks of diarrhoea.

Treatment of diarrhoea in adults depends on the cause. The water and salts (see ELECTROLYTES) lost during a severe attack must be replaced to prevent dehydration. Ready-prepared mixtures of salts can be bought from a pharmacist. Antidiarrhoeal drugs such as codeine phosphate or loperamide should be used in infectious diarrhoea only if the symptoms are disabling. Antibacterial drugs may be used under medical direction. Persistent diarrhoea – longer than a week – or blood-stained diarrhoea must be investigated under medical supervision.

Diarrhoea in infants can be such a serious condition that it requires separate consideration. One of its features is that it is usually accompanied by vomiting; the result can be rapid dehydration as infants have relatively high ?uid requirements. Mostly it is causd by acute gastroenteritis caused by various viruses, most commonly ROTAVIRUSES, but also by many bacteria. In the developed world most children recover rapidly, but diarrhoea is the single greatest cause of infant mortality worldwide. The younger the infant, the higher the mortality rate.

Diarrhoea is much more rare in breast-fed babies, and when it does occur it is usually less severe. The environment of the infant is also important: the condition is highly infectious and, if a case occurs in a maternity home or a children’s hospital, it tends to spread quickly. This is why doctors prefer to treat such children at home but if hospital admission is essential, isolation and infection-control procedures are necessary.

Treatment An infant with diarrhoea should not be fed milk (unless breast-fed, when this should continue) but should be given an electrolyte mixture, available from pharmacists or on prescription, to replace lost water and salts. If the diarrhoea improves within 24 hours, milk can gradually be reintroduced. If diarrhoea continues beyond 36–48 hours, a doctor should be consulted. Any signs of dehydration require urgent medical attention; such signs include drowsiness, lack of response, loose skin, persistent crying, glazed eyes and a dry mouth and tongue.

Usually defined as the passage of three or more liquid motions within 24 hours. However, for exclusivelybreast-fed infants this may not be satisfactory and the definition is usually based upon what the mother considers to be diarrhoea.

n. frequent bowel evacuation or the passage of abnormally soft or liquid faeces. It may be caused by intestinal infections, inflammation (such as *ulcerative colitis or *Crohn’s disease), *malabsorption, anxiety, drugs, and *irritable bowel syndrome. Severe or prolonged diarrhoea may lead to excessive loss of water, salts, and nutrients.

frequent passage of unformed liquid stools.