Monday, November 5, 2012

Diarrhoea (Diarrhea)

Frequent (more than 2 times a day) the selection of liquid stools, due to the acceleration due to the passage of the intestinal contents to enhance its motility, malabsorption of water in the large intestine and the release of the intestinal wall of the large number of inflammatory secretions or transudate.


In most cases, diarrhea is a symptom of acute or chronic colitis, enteritis.

Infectious diarrhea observed in dysentery, salmonellosis, nutritional diseases, viral diseases (viral diarrhea), amoebiasis, etc.

Nutritional diarrhea may be in the wrong diet, or if you are allergic to certain foods.

Dyspeptic diarrhea are observed in violation of the digestion of food masses due to insufficient secretion of the stomach, pancreas, liver and small intestine inadequate allocation of certain enzymes.

Toxic diarrhea accompany uremia, poisoning by mercury, arsenic.

Medication diarrhea may be due to the suppression of physiological intestinal flora, development of dysbiosis.

Neurogenic diarrhea observed in disorders of the nervous regulation of motor activity of the intestine (eg, diarrhea, occurring under the influence of excitement, fear). Stool frequency varies, excrement - watery or mushy.

The nature of the disease depends on the stool. So, dysentery stool has first dense texture, then it becomes a liquid, scanty, it appears mucus and blood, with amoebiasis - contains glassy mucus and blood, and sometimes blood soaks mucus and feces take the form of raspberry jelly.

With diarrhea can be a pain in the stomach, feeling rumbling, transfusions, bloating, tenesmus. Lightweight and non-durable diarrhea little effect on the general condition of patients with severe and chronic lead to malnutrition, vitamin deficiencies, marked changes in the organs.

To determine the cause of diarrhea and scatological conduct bacteriological tests.

On the severity of diarrhea can be judged by the speed passage (promotion) of the intestines carbol (appearance of black color stool after taking ill carbol 2-5 hours instead of the normal 20 - 26 h) or barium sulphate X-ray examination.

In cases of suspected cholera, sapmonellez, nutritional diseases ball due immediately hospitalized in the infectious ward.

Treatment is aimed at removing the cause of the diarrhea. For example, when administered parenterally hypovitaminosis appropriate vitamins for ahilii stomach gastric juice or appoint substitutes for pancreatic insufficiency - pancreatin or panzinorm, Festal, etc.

When diarrhea is not associated with infection, is shown sparing diet (carbohydrates, refractory animal fats), frequent split meals, thorough chewing of food. As symptomatic of using calcium carbonate, bismuth preparations, Tanalbin, decoctions of oak bark, grass hypericum, rhizomes coil cinquefoil or burnet, wild cherry fruit, extract of blueberry stems of alder, chamomile flowers, tincture of belladonna, etc.

With diarrhea caused by dysbiosis, appoint colibacterin lactobacterin, bifikol, bifidumbacterin.

Viral diarrhea acquired in modern medical practice, particularly relevant.

In children, the leading etiologic factor causing acute infectious diarrhea is rotavirus. Most often, rotavirus diarrhea in infants up to 2 years in the form of sporadic cases, a possible epidemic of rotavirus infection, most often in the winter. In adults, rotavirus gastroenteritis is rarely the causative agent and the process, they caused, runs erased. Acute diarrhea in adults often causing virus Norwolk.

The latent period from rotavirus infection - from one to several days. Home-acute viral gastroenteritis with vomiting, severe in children, and then having diarrhea, and general infection symptoms: headache, myalgia, fever, but these phenomena are usually moderately expressed. Abdominal pain are not typical of viral gastroenteritis. Swelling and inflammation in the wall of the small intestine caused by a virus, leading to a breach of the secretion and absorption of fluid rich in sodium and potassium.

Diarrhea is the nature of the water lost by diarrhea with fluid contains little protein, but a lot of salt. This picture is reminiscent of secretory diarrhea caused by Vibrio cholerae and E. coli enterotoxins, it could lead to a massive loss of fluid in excess of an adult 1 liter per hour.

In viral diarrhea suffers colon and leukocytes in the stool is not, viral diarrhea in adults lasts 1 W day, children - twice. Severe dehydration can be life-threatening patient.

Therapy limited mostly to the replacement of lost fluids. This replacement can be done infusion, by assigning drink containing glucose and salts (glucose stimulates the absorption of sodium). Fluid is injected at the rate of 1.5 liters per 1 liter of the chair, but the main control is visible when filled skin, mucous membranes. Antibiotic therapy in the water does not change the duration of diarrhea disease.

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