Diarrhea in adults

What is diarrhea?
If you have diarrhea, you have loose, watery stools and you need to go to the bathroom far more often than normal.
Doctors say you have diarrhea if you have watery stools and you need to go to the bathroom more than three times in a day.
1
Source:
Bouree P, Chaput JC, Krainik F, et al.
Double-blind controlled study of the efficacy of nifuroxazide versus placebo in the treatment of acute diarrhea in adults.
Gastroenterologie Clinique et Biologique. 1989; 13: 469-472.
Bouree P, Chaput JC, Krainik F, et al.
Double-blind controlled study of the efficacy of nifuroxazide versus placebo in the treatment of acute diarrhea in adults.
Gastroenterologie Clinique et Biologique. 1989; 13: 469-472.
You may also have other symptoms like vomiting or stomach cramps.
2
Source:
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
This information looks at diarrhea that's caused by an infection with a
virus or
bacteria.
3
4 You pick up viruses or bacteria from contaminated food or water.
viruses
Viruses are microbes (tiny organisms) that need the cells of humans or other animals to exist. They use the machinery of cells to reproduce. Then they spread to other cells in the body.
Viruses are microbes (tiny organisms) that need the cells of humans or other animals to exist. They use the machinery of cells to reproduce. Then they spread to other cells in the body.
bacteria
Bacteria are tiny organisms. There are lots of different types. Some are harmful and can cause disease. But some bacteria live in your body without causing any harm.
Bacteria are tiny organisms. There are lots of different types. Some are harmful and can cause disease. But some bacteria live in your body without causing any harm.
Source:
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
Source:
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
You can also catch diarrhea from another person who has it. This happens when you touch something that is contaminated with
traces of their stool (for example, the person's hand) and then put your hand in your mouth (for example, when you eat).

You can catch diarrhea from contaminated food or drink.
If you have diarrhea that's caused by a virus, it usually gets better on its own in a few days. But diarrhea can also be caused
by another problem with your bowels, such as
irritable bowel syndrome.
2
5 If your diarrhea lasts longer than a few days, or if you're too ill to eat or drink, it's important to see a doctor.
2
5
irritable bowel syndrome
Irritable bowel syndrome is a common condition that causes symptoms such as stomach pain, bloating, diarrhea and constipation. It can be cause long-term discomfort but it doesn't usually lead to serious health problems.
Irritable bowel syndrome is a common condition that causes symptoms such as stomach pain, bloating, diarrhea and constipation. It can be cause long-term discomfort but it doesn't usually lead to serious health problems.
Source:
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Source:
National Institute of Diabetes and Digestive and Kidney Diseases.
Fact sheet: diarrhea.
March 2007. Available at http://digestive.niddk.nih.gov (accessed on 22 January 2008).
National Institute of Diabetes and Digestive and Kidney Diseases.
Fact sheet: diarrhea.
March 2007. Available at http://digestive.niddk.nih.gov (accessed on 22 January 2008).
Source:
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Source:
National Institute of Diabetes and Digestive and Kidney Diseases.
Fact sheet: diarrhea.
March 2007. Available at http://digestive.niddk.nih.gov (accessed on 22 January 2008).
National Institute of Diabetes and Digestive and Kidney Diseases.
Fact sheet: diarrhea.
March 2007. Available at http://digestive.niddk.nih.gov (accessed on 22 January 2008).
You have a higher risk of catching diarrhea if you:
6
Source:
Guerrant RL, Van Gilder T, Steiner TS, et al.
Practice guidelines for the management of infectious diarrhea.
Clinical Infectious Diseases. 2001; 32: 331-351.
Guerrant RL, Van Gilder T, Steiner TS, et al.
Practice guidelines for the management of infectious diarrhea.
Clinical Infectious Diseases. 2001; 32: 331-351.
- Have been traveling in a developing country (see Travelers' diarrhea)
- Look after young children
- Eat unsafe foods, such as raw meat, eggs or shellfish, and unpasteurized milk or fruit juices
- Eat food that has been cooked in a kitchen that isn't clean
- Drink untreated water from a lake or stream
- Swim in lakes or streams
- Have contact with infected animals (such as farm animals or pets)
- Have contact with an infected person
- Work as a caregiver
- Work in a job where you handle food.
Source:
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
Source:
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
Source:
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
antibiotics
These medications are used to help your immune system fight infection. There are a number of different types of antibiotics that work in different ways to get rid of bacteria, parasites and other infectious agents. Antibiotics do not work against viruses.
These medications are used to help your immune system fight infection. There are a number of different types of antibiotics that work in different ways to get rid of bacteria, parasites and other infectious agents. Antibiotics do not work against viruses.
Some bacteria also cause diarrhea. We've looked at the common types.
2
3
4
Source:
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Thielman NM, Guerrant R.
Acute infectious diarrhea.
New England Journal of Medicine. 2004; 350: 38-47.
Source:
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
De Wit MA, Koopmans MP, Kortbeek LM, et al.
Etiology of gastroenteritis in sentinel general practices in The Netherlands.
Clinical Infectious Diseases. 2001; 33: 280-288.
Source:
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
Jiang ZD, Lowe B, Vernekar MP, et al.
Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).
Journal of Infectious Diseases. 2002; 185: 497-502.
You catch Campylobacter by eating undercooked meat (especially poultry), by handling raw meat or poultry, or by drinking unpasteurized milk or untreated
water. You can also catch it from pets that have diarrhea. It can occasionally be passed from person to person.
7
Source:
Centers for Disease Control and Prevention.
Campylobacter infections.
October 2005. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
Centers for Disease Control and Prevention.
Campylobacter infections.
October 2005. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
You can catch Salmonella from contaminated food or from another person who has it.
8
Source:
Health Protection Agency (UK).
Salmonella.
Available at http://www.hpa.org.uk/infections (accessed on 22 January 2008).
Health Protection Agency (UK).
Salmonella.
Available at http://www.hpa.org.uk/infections (accessed on 22 January 2008).
Diarrhea caused by Shigella is also called bacillary dysentery. You can catch Shigella from drinking contaminated water or from eating food that has been washed in contaminated water (like salad or fruit). You
can also catch it from another person. Shigella is one cause of travelers' diarrhea.
9
Source:
Health Protection Agency (UK).
Topics A-Z: Shigella.
Available at http://www.hpa.org.uk/infections/topics_az/shigella/menu.htm (accessed on 25 January 2008).
Health Protection Agency (UK).
Topics A-Z: Shigella.
Available at http://www.hpa.org.uk/infections/topics_az/shigella/menu.htm (accessed on 25 January 2008).
These bacteria live naturally in the intestines of people and animals. They're usually harmless. However, some types of E. coli can make you ill. You can catch E. coli from contaminated food, from other people who have E. coli, or through contact with infected animals.
10
10
Source:
Health Protection Agency (UK).
Escherichia coli.
Available at http://www.hpa.org.uk/infections (accessed on 20 January 2006).
Health Protection Agency (UK).
Escherichia coli.
Available at http://www.hpa.org.uk/infections (accessed on 20 January 2006).
Source:
Health Protection Agency (UK).
Escherichia coli.
Available at http://www.hpa.org.uk/infections (accessed on 20 January 2006).
Health Protection Agency (UK).
Escherichia coli.
Available at http://www.hpa.org.uk/infections (accessed on 20 January 2006).
E. coli is the most common cause of travelers' diarrhea.
11
Source:
Centers for Disease Control and Prevention.
Travelers' diarrhea.
November 2006. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
Centers for Disease Control and Prevention.
Travelers' diarrhea.
November 2006. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
Sources for the information on this page:
- Bouree P, Chaput JC, Krainik F, et al.Double-blind controlled study of the efficacy of nifuroxazide versus placebo in the treatment of acute diarrhea in adults.Gastroenterologie Clinique et Biologique. 1989; 13: 469-472.
- Thielman NM, Guerrant R.Acute infectious diarrhea.New England Journal of Medicine. 2004; 350: 38-47.
- De Wit MA, Koopmans MP, Kortbeek LM, et al.Etiology of gastroenteritis in sentinel general practices in The Netherlands.Clinical Infectious Diseases. 2001; 33: 280-288.
- Jiang ZD, Lowe B, Vernekar MP, et al.Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay).Journal of Infectious Diseases. 2002; 185: 497-502.
- National Institute of Diabetes and Digestive and Kidney Diseases.Fact sheet: diarrhea.March 2007. Available at http://digestive.niddk.nih.gov (accessed on 22 January 2008).
- Guerrant RL, Van Gilder T, Steiner TS, et al.Practice guidelines for the management of infectious diarrhea.Clinical Infectious Diseases. 2001; 32: 331-351.
- Centers for Disease Control and Prevention.Campylobacter infections.October 2005. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
- Health Protection Agency (UK).Salmonella.Available at http://www.hpa.org.uk/infections (accessed on 22 January 2008).
- Health Protection Agency (UK).Topics A-Z: Shigella.Available at http://www.hpa.org.uk/infections/topics_az/shigella/menu.htm (accessed on 25 January 2008).
- Health Protection Agency (UK).Escherichia coli.Available at http://www.hpa.org.uk/infections (accessed on 20 January 2006).
- Centers for Disease Control and Prevention.Travelers' diarrhea.November 2006. Available at http://www.cdc.gov/ncidod/dbmd/diseaseinfo (accessed on 22 January 2008).
This information was last updated on Nov 18, 2008
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
The information on ConsumerReportsHealth.org should not be viewed as a substitute for a consultation with a medical or health professional.
The information is meant to enhance communication with your doctor, not replace it. Consumers Union can not be liable for any loss, injury, or other damages related to your use of this information.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Source: ConsumerReportsHealth.org Copyright © 2005-2008 Consumers Union of U.S., Inc.













