Diarrhea (diarrhea) is a frequent (more than 2 times a day) discharge of liquid feces, which is associated with the accelerated passage of intestinal contents due to increased peristalsis or with impaired absorption of water in the large intestine and the release of a significant amount of inflammatory secretion by the intestinal wall.
In most cases, diarrhea is a sign of acute or chronic colitis (disease of the large intestine) or enteritis (disease of the small intestine).
There are infectious, nutritional, dyspeptic, toxic, drug-induced and neurogenic diarrhea.
Infectious diarrhea is observed with dysentery, salmonellosis, food toxic infections, viral diseases (viral diarrhea), amoebiosis, etc.
Viral diarrhea is quite common these days. In children, the leading cause of acute infectious diarrhea is rotavirus. Most often, rotavirus diarrhea is observed in children under 2 years of age in the form of sporadic cases; Epidemics of rotavirus infection are possible, usually in winter. In adults, rotavirus is rarely the causative agent of gastroenteritis, and the process caused by it is erased.
The incubation (latent) period for rotavirus infection lasts from one to several days. The onset of viral gastroenteritis is acute - with vomiting, severe in children; then diarrhea appears, as well as general symptoms of infection: headaches, muscle pain, fever, but these phenomena are usually moderate. Abdominal pain is not typical for viral gastroenteritis. Diarrhea is watery in nature; the fluid lost with diarrhea contains little protein, but a lot of salts. Viral diarrhea lasts 1-3 days in adults, twice as long in children. Severe dehydration (dehydration) can threaten the patient’s life, and therefore therapy is reduced mainly to replacing lost fluid - a drink containing glucose and salts is prescribed (glucose stimulates sodium absorption). Liquid is administered at the rate of 1.5 liters per 1 liter of stool, but the main control is the visible filling of the vessels of the skin and mucous membranes.
Antibiotic therapy for watery diarrhea does not affect the duration of the disease.
Alimentary diarrhea can occur as a result of a long-term violation of the diet, a monotonous diet poor in vitamins, or an allergy to certain foods (strawberries, eggs, crabs, etc.) or medications (iodine, bromine, some sulfonamides, antibiotics and etc.).
Dyspeptic diarrhea is observed when the digestion of food masses is impaired due to secretory insufficiency of the stomach, pancreas, liver or insufficient secretion of certain enzymes by the small intestine.
Toxic diarrhea can result from kidney failure (uremia), mercury or arsenic poisoning.
Drug-induced diarrhea occurs as a result of suppression of the physiological intestinal flora by drugs (most often antibiotics) and the development of dysbiosis.
Neurogenic diarrhea is observed when the nervous regulation of intestinal motor activity is disrupted (for example, diarrhea that occurs under the influence of excitement, fear).
SYMPTOMS
The frequency of stools with diarrhea varies, and stools are watery or mushy. The nature of bowel movements depends on the disease. So, with dysentery, the feces first have a dense consistency, then become liquid, scanty, mucus and blood appear in it; with amebiosis - contains glassy mucus and blood, sometimes the blood permeates the mucus and the stool takes on the appearance of raspberry jelly. With diarrhea, there may be abdominal pain, a feeling of rumbling, transfusion, and bloating. Finally, rectal colic, or so-called tenesmas, may occur. They are manifested by frequent and painful urge to go down with a feeling of convulsive contraction of the rectum and its sphincter; defecation does not occur, but sometimes lumps of mucus may be released.
Lungs and
Diarrhea is a process of defecation in which the body gets rid of waste products through accelerated passage of feces through the intestines and rapid release of them out. The causes of diarrhea can be either physiological or caused by various gastrointestinal diseases. The culprits of the disease can be poor nutrition, poisoning, allergic reactions, infections, disruptions in the gastrointestinal tract, and inflammatory bowel diseases.