Chronic Diarrhea

Chronic Diarrhea

What Is Chronic Diarrhea?

Loose or frequent stools lasting >4 weeks.

Why Do I Need Evaluation?

Persistent diarrhea can lead to dehydration, malnutrition, and indicate underlying disease.

How Should I Prepare?

  • Keep a symptom diary.
  • Bring recent blood tests and stool studies.

What Happens During Evaluation/Treatment?

  • History and exam to classify watery vs. inflammatory vs. fatty diarrhea.
  • Tests: stool cultures, blood work, endoscopy with biopsies.
  • Treatment tailored to diagnosis:
    • IBS-diarrhea: diet, antispasmodics
    • Microscopic colitis: budesonide
    • IBD: 5-ASA, steroids, biologics
    • Malabsorption: pancreatic enzymes, dietary changes

What Can I Expect Afterwards?

  • Symptom control in most causes within weeks.
  • Dietary adjustments essential.

Risks & Possible Complications

  • Dehydration, electrolyte imbalance
  • Weight loss, nutritional deficiencies

Follow-Up

  • Regular clinic visits to monitor hydration, weight, and response to therapy.
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