conditions diarrhea

RECND4768

Diarrhea

Condition:Diarrhea
Other:Infectious Gastroenteritis
ICD-10 Codes:A09

Naturopathic Treatments

Prevention
• probiotics prophylactically
• drink filtered water
• avoid foods washed with contaminated water (e.g. salads)
• frequent hand washing

Diet
• oral rehydration solution (ORS) - to prevent dehydration
• BRAT and hypoallergenic diet)
• avoid lactose, sorbitol, fructose, etc.

Specific foods
• green bananas - folk remedy; high in tannins
• oatmeal - high in mucilage, soluble fiber
chamomile tea (Matricaria recutita)
ginger tea (Zingiber officinale)

Bulk laxatives
• psyllium (Plantago ovata)
slippery elm (Ulmus rubra)

Asian formula (Kampo; TCM)
Pinellia Formula to Drain the Epigastrium (Hange-shashin-to; Ban Xia Xie Xin Tang) - drains fire and dampness in lower burner

Antimicrobials (for infectious diarrhea)
goldenseal (Hydrastis canadensis)
pau d'arco (Tabebuia spp.)
wormwood (Artemisia absinthium)

Supplements
• probiotics - to resolve dysbiosis
peppermint oil capsules

Conventional Treatments

• antibiotics
• electrolyte solution
• loperamide

Signs & Symptoms

• loose watery stools
• frequent BM
• abdominal pain
• potential fever

Other
fever
• leukocytes in stool analysis (unless toxigenic bacteria)

DDx

• gastroenteritis
irritable bowel syndrome (IBS)
• lactose intolerance
• Crohn's disease
• ulcerative colitis
• pseudomembrane colitis
• intestinal parasites
• malabsorption
• laxative abuse
hyperthyroidism
colon cancer
HIV/AIDs

Pathogenesis

Osmotic
• non-absorbable solutes in the intestine cause water to flow down osmotic gradient into lumen

Secretory:
• too much intestinal secretion of fluid (can be d/t: bacterial toxins, pancreatic islet tumor secreting intestinal peptide, bile acids after ileal resection)

Malabsorption
• celiac sprue
• Crohn's disease (d/t decreased brush border enzymes)
• post-gastroenteritis (d/t decrease in brush border enzymes)
• infectious: invasive bacteria or bacterial toxin, or viral
• exudative: intestinal mucosal inflammation leading to fluid leakage

Diagnostics

• based on presenting symptoms and patient history
• watch for dehydration and electrolyte imbalance
• stool analysis

References

"Show references"

"Hide references"

Dains J, Baumann, L, Scheibel P. Advanced Health Assessment and Clinical Diagnosis in Primary Care 2nd Ed. Mosby Elsevier Inc. USA. 2003.

Ferri Fred. 2008 Ferri's Clinical Advisor. Elsevier Inc.. USA. 2006.

El-Hashemy, Shehab. Naturopathic Standards of Primary Care. CCNM Press. Canada. 2007.

First Consult. Elsevier Inc. Taken from www.mdconsult.com

Natural Medicines Comprehensive Database. Taken from www.naturaldatabase.com

Rakel, David. Integrative Medicine 2nd Edition. Saunders-Elsevier. USA. 2007

Sullivan A, Nord CE. Probiotics and gastrointestinal diseases. J Intern Med. 2005 Jan;257(1):78-92. Review. PMID: 15606379

Disclaimer: This content is subject to change. The information is intended to inform and educate; it does not replace the medical evaluation, advice, diagnosis or treatment by a healthcare professional. www.healthydigestionclinic.com © 2015 NDAssist Inc. and/or its affiliates. All rights reserved.