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116 COMMON CONDITIONS: CHEST AND ABDOMINAL PROBLEMS

         Diarrhea





              During an attack of diarrhea, you pass loose or watery feces frequently. You may also lose your appetite and
              have vomiting, abdominal cramps, bloating, and a headache. If the problem continues, you can become
              dehydrated due to the loss of large amounts of fluids and salts from your body. Diarrhea is normally caused
              by bacteria or viruses found in infected food or transmitted from one person to another. In addition, some
              drugs, such as antibiotics, can cause short-term diarrhea. An episode of diarrhea normally clears up within a
              few days, but ongoing or recurrent diarrhea can indicate an underlying bowel condition.
              See also Food intolerance, p.113; Food poisoning, p.114.



              See your doctor first
                                                                    DRUG REMEDIES
              Make an appointment to see your doctor if:
              ● You have severe pain in your abdomen        Oral rehydration solutions (see
                                                            p.188) replace water, sugars, and salts lost from
              and/or you are vomiting                       the body during an attack of diarrhea. They are
              ● You notice blood or mucus in your feces
                                                            available as ready-to-use bottled solutions. Drink
                                                            them instead of, or in addition to, regular drinks.
                                                            Antidiarrheal drugs
         What you can do yourself                           (see p.178) contain loperamide
                                                            and work by slowing down bowel
              A mild episode of diarrhea will clear up on its own  activity. Usually, 2 capsules are
              in a few days. The following steps will ease  taken immediately, followed by
              symptoms and help prevent dehydration.        1 capsule after each loose stool.
                                                            Don’t take more than 8 capsules
              ● Drink at least 8 glasses a day of clear liquids
                                                            in 24 hours.
              such as water, weak tea, thin soups, and fruit
              juice. If you are vomiting, have a drink beside you  Analgesics
              all the time and take frequent small sips. Passing  Acetaminophen (see p.177)
              small volumes of dark urine indicates that you are  will help reduce fever and
                                                            discomfort and is less likely
              becoming dehydrated and need to drink more.
                                                            to irritate your bowels than
              ● Try taking an oral rehydration solution     other analgesics.
              (see DRUG REMEDIES, right).
              ● Gradually start eating again as soon as you feel  Oral rehydration
              able. Start with bland foods such as boiled rice,  Bottled rehydration solutions
                                                            come in a range of flavors.
              pasta, mashed potatoes, and dry toast. Avoid tea,
              coffee, and cola, dairy products, alcohol, and fatty
              and spicy foods while you have diarrhea and for
              a few days after it has cleared up.
                                                            Seek further medical advice
              ● It is best to let diarrhea run its course because it
              is the body’s way of eliminating infection. You can,  Arrange to see your doctor if:
              however, use antidiarrheal drugs as a short-term  ● The diarrhea gets worse
              solution when you are out, at work, or going on a  ● There is no improvement in 24–48 hours
              long trip (see DRUG REMEDIES, right).
              ● Take an analgesic if you have fever or headaches
              with the diarrhea (see DRUG REMEDIES, right).
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