Diarrhoea: Types, Symptoms, Causes, Diagnosis, Treatment, Prevention

PACE Hospitals

Diarrhea definition

Diarrhea is a medical condition characterized by the frequent passage of loose or watery stools, generally occurring more than three times a day. It leads to dehydration, abdominal cramps, urgency, and may be accompanied by nausea or fever due to the rapid loss of fluids and electrolytes. 


Diarrhea is classified as a gastrointestinal disorder and may be acute (short-term) or chronic (long-term), depending on its duration and underlying cause. It can result from infections (viral, bacterial, or parasitic), food intolerances, certain medications, or other health conditions. The condition is managed by general practitioners, gastroenterologists (who specialize in digestive system disorders), and infectious disease specialists in case of infection-related causes. When diarrhea occurs in children, it is generally handled by pediatricians, who are doctors specialized in the care of infants, children, and adolescents. 

Diarrhea meaning

The word "diarrhea" comes from Greek origins:


It is derived from the Greek word "diarrhoia"


This word is made up of two parts:


  • "dia" meaning "through",
  • and "rhein" meaning "to flow".


So, "diarrhoia" means "a flowing through", which describes the rapid passage of waste through the bowels—exactly what happens during diarrhea.


The term entered Latin as diarrhoea, and from there, it passed into Middle English during the 14th century, eventually becoming the modern English word diarrhea (or diarrhoea in British English). 

Epidemiology of Diarrhea

Incidence of diarrhea in the world

Each year, 200 to 500 crores (2 to 5 billion) new cases of diarrhea occur globally, affecting people of all ages. While 1.7 billion of these episodes are in children under 5 years of age, the remainder affects older children and adults, including over 380 million cases among older adults in 2021. 


Acute infectious diarrhea, mainly caused by viruses, bacteria, or parasites, is the leading cause of these episodes, highlighting the ongoing global challenge of gut infections. 


Prevalence of diarrhea in the world

The global prevalence of diarrhea varies widely based on age, geography, and socioeconomic conditions. Estimates suggest that at any given time, around 7–10% of the global population may be experiencing an active episode of diarrhea. In children under five, the point prevalence is even higher in low-income regions due to poor sanitation and limited access to clean water. Despite healthcare improvements, diarrhea remains a major cause of illness across both developed and developing countries. 


Incidence of diarrhea in India

Each year, India records an estimated over 100 crore (1 million) new cases of diarrhea, reflecting both acute outbreaks and chronic gastrointestinal conditions. Among children under five years, around 9% experience diarrhea in any given two-week period, highlighting the high frequency of new episodes in this age group.


While accurate national figures are hard to pinpoint, routine data from the Integrated Disease Surveillance Programme (IDSP) confirm that diarrhea remains one of India's most prevalent communicable diseases. 


Prevalence of diarrhea in India 

In India, approximately 7.3% of children under 5 years experience diarrhea at any given time, according to the most recent National Family Health Survey (2019–21).


This figure is higher in rural areas (7.7%) compared to urban ones (6.2%) and varies significantly between states. 

Among older adults, the prevalence in the past two years is around 15%, with rural adults more affected than their urban individuals. These numbers show that diarrhea remains a persistent health challenge across age groups and regions in India. 

Types of Diarrhea

Diarrhea can show up in different ways depending on the cause, how long it lasts, and how it affects the digestive system. Identifying the type of diarrhea helps to figure out the underlying problem and decide on the right treatment. Some types may go away on their own, while others may require long-term care or specific medications.


The most commonly recognized different types of diarrhea include:

  • Acute diarrhea
  • Persistent diarrhea
  • Chronic diarrhea
  • Osmotic diarrhea
  • Secretory diarrhea
  • Inflammatory diarrhea
  • Traveler’s diarrhea
  • Drug-induced diarrhea


Acute diarrhea

This is the most common type and usually lasts less than two weeks. It often comes on suddenly and is usually caused by infections (like viruses or bacteria), contaminated food or water, or temporary gut irritation. In most cases, it resolves without the need for specific medical treatment, as long as the person stays well-hydrated.


Persistent diarrhea

Persistent diarrhea occurs when symptoms last longer than two weeks but do not exceed four weeks. It may follow an acute episode that does not fully resolve or be linked to a lingering infection, gut sensitivity, or problems like malabsorption. If symptoms don’t improve within this period, medical evaluation is needed to rule out chronic causes.


Chronic diarrhea

When diarrhea continues beyond four weeks, it is considered chronic. This type usually indicates an underlying health condition such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), celiac disease, or pancreatic disorders. Chronic diarrhea may be constant or come and go in cycles. It often affects the person’s nutrition, energy, and daily routine.


Osmotic diarrhea

Osmotic diarrhea happens when certain substances in the intestines pull excess water into the bowel. This type is typically triggered by poor absorption of sugars or salts like in lactose intolerance or the use of sugar substitutes. It often improves when the person stops eating the triggering substance.


Secretory diarrhea

In secretory diarrhea, the intestines release water and electrolytes even when the person is not eating. This can be caused by bacterial toxins (e.g., cholera), certain medications, or hormonal imbalances. It leads to large-volume, watery stools and does not usually improve with fasting.


Inflammatory diarrhea

This type of diarrhea results from damage to the intestinal lining due to inflammation. It is commonly seen in infections (like Shigella or E. coli), Crohn’s disease, or ulcerative colitis. Signs include mucus or blood in the stool, fever, and belly pain. It often requires medical treatment and sometimes advanced testing to confirm the cause.


Traveler’s diarrhea

Traveler’s diarrhea occurs in people visiting places with poor sanitation or unfamiliar bacteria in the water and food. It usually starts suddenly and may include fever, cramps, and loose stools. Most cases are mild and resolve in a few days, but antibiotics may be needed in some situations.


Drug-induced diarrhea

Many medications can upset the balance of gut bacteria or irritate the digestive lining, causing diarrhea. Common drugs that can induce diarrhea include antibiotics, chemotherapy agents, magnesium-containing antacids, and certain heart or diabetes medications. Stopping or switching the medication (under medical guidance) often resolves the symptoms. 

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Diarrhea Symptoms

The symptoms of diarrhea can vary depending on what’s causing it and how severe it is. Some people may only have mild discomfort, while others experience frequent, watery stools that affect their day-to-day life. Identifying these symptoms early helps in diagnosing the underlying problem and guiding proper treatment, especially if diarrhea lasts for several days or is accompanied by other serious signs.


Common signs and symptoms of diarrhea include:

  • Frequent, loose, or watery stools
  • Urgency to pass stool
  • Abdominal pain or cramping
  • Bloating and gas
  • Nausea or vomiting
  • Fever
  • Signs of dehydration
  • Fatigue or weakness
  • Presence of mucus or blood in stool (in some cases)


Frequent, loose, or watery stools

This is the most obvious and defining symptom of diarrhea. A person may pass stools three or more times a day, and the consistency is often liquid or semi-formed. The stools may also be larger in volume than usual.


Urgency to pass stool

People with diarrhea often feel a sudden and uncontrollable urge to go to the bathroom. In some cases, this urgency may occur even after very little food intake or while resting.


Abdominal pain or cramping

Cramps or sharp pains in the belly are common and may occur before, during, or after a bowel movement. The pain usually comes and goes and may improve after passing stool.


Bloating and gas

Excessive gas or a feeling of fullness in the abdomen can occur as the digestive tract becomes irritated. This symptom is more common in infections and food intolerances.


Nausea or vomiting

These are more common in cases of viral or bacterial infections. The feeling of nausea may occur alongside abdominal discomfort, and vomiting might follow, especially if toxins or contaminated food are involved.


Fever

Fever often signals that an infection is the cause of diarrhea. Low-grade fever is common in viral diarrhea, while high fever may suggest bacterial or parasitic infections.


Signs of dehydration

As the body loses water and electrolytes through frequent stools, symptoms like dry mouth, extreme thirst, dark urine, dizziness, and light-headedness can appear. In children and the elderly, dehydration can escalate quickly and requires urgent medical attention.


Fatigue or weakness

Loss of fluids, essential minerals, and energy can cause the person to feel unusually tired or weak. If diarrhea persists for several days, it can significantly reduce stamina and physical strength.


Presence of mucus or blood in stool

In some types of diarrhea, especially inflammatory diarrhea or infections like dysentery mucus or blood may be seen in the stool. This is a red flag and usually requires further investigation. 

Symptoms of Diarrhea in Babies

Babies with diarrhea may also show:

  • Poor feeding or loss of appetite
  • Acting sick, fussy, irritable, or unusually sleepy
  • Fever
  • Vomiting (sometimes occurring alongside diarrhea)

Pathophysiology of Diarrhea

To understand why diarrhea happens, it’s important to know how the digestive system normally works. The small and large intestines are responsible for absorbing water and nutrients from the food we eat. When this system is disturbed, whether due to infection, inflammation, or problems with digestion, the balance of fluid in the intestines is disrupted. As a result, excess water remains in the gut and is passed out as loose or watery stools. The body may either secrete more fluid than usual, fail to absorb enough water, or both. Several underlying mechanisms can cause these changes, each leading to diarrhea in different ways.


Increased osmotic load

This type of diarrhea happens when certain substances stay inside the intestine instead of getting absorbed. These substances, like undigested sugars or artificial sweeteners, pull water into the intestine, making the stool watery. A common example is lactose intolerance, where people can’t digest milk sugar (lactose). When they consume dairy, lactose stays in the gut, draws in water, and causes bloating and diarrhea. This type of diarrhea usually gets better when the person stops eating the food causing it, such as dairy or sugar-free products with sorbitol.


Secretory diarrhea (increased intestinal secretion)

In secretory diarrhea, the cells lining the intestine start pushing out too much water and salt into the gut. This overwhelms the body's ability to reabsorb the fluid, resulting in watery stools. It can be caused by bacterial toxins (like in cholera), hormonal disorders, or certain medications. Unlike osmotic diarrhea, this type does not stop even if the person stops eating, because the body is actively secreting fluid on its own.


Exudative (inflammatory) diarrhea

This type occurs when the lining of the intestines gets damaged by inflammation or infection. As a result, blood, mucus, and proteins leak into the gut, making the stools loose and sometimes bloody or slimy. People with inflammatory bowel disease (like Crohn’s disease or ulcerative colitis) or infections from bacteria like Shigella or E. coli often experience this. This type of diarrhea may also be accompanied by fever, stomach pain, and weight loss due to ongoing inflammation in the gut.


Altered intestinal motility

Our intestines need to move at the right speed to absorb water from food properly. If food moves too fast, the body doesn’t have enough time to absorb fluids, and diarrhea occurs. This is common in people with irritable bowel syndrome (IBS), thyroid problems, or those who have had certain surgeries. On the other hand, if the intestines move irregularly or too slowly in some areas, it can also mess with how the body handles stool, leading to diarrhea that comes and goes.


Malabsorptive diarrhea

This happens when the body cannot properly absorb nutrients from food. When nutrients like fats or carbohydrates are not absorbed, they stay in the intestine and pull water in, leading to diarrhea. The stool may be bulky, greasy, and foul-smelling (a condition called steatorrhea). This kind of diarrhea is often seen in people with celiac disease, chronic pancreatitis, or short bowel syndrome. Because nutrients are lost in the stool, people with malabsorptive diarrhea may also experience weight loss and vitamin deficiencies over time.


Infectious and toxin-mediated damage

Many cases of diarrhea are caused by infections from bacteria, viruses, or parasites. These germs can either damage the intestine directly or release toxins that affect how the gut absorbs and secretes fluids. Some bacteria (like E. coli or Vibrio cholerae) produce toxins that lead to watery diarrhea, while others (like Shigella or Salmonella) invade the gut wall, causing inflammation and sometimes bloody stools. These infections often spread through contaminated food or water, especially in areas with poor sanitation. 

Diarrhea Causes

Diarrhea is not a disease by itself. Most of the time, it is a symptom of something else going wrong in the digestive system. The causes can be short-term, such as an infection or contaminated food, or long-term, like a chronic condition that affects how the gut functions. Identifying the root cause is crucial for proper treatment and for preventing the condition from recurring.


The common causes of diarrhea include:

  • Infections
  • Food poisoning
  • Food intolerances and allergies
  • Medications
  • Digestive disorders
  • Post-surgical changes
  • Stress and emotional factors


Infections

Infections are the most common reason for diarrhea. They can be caused by viruses (like rotavirus or norovirus), parasites (such as Giardia), or bacteria that cause diarrhea, including common types like E. coli, Salmonella, Shigella, and Campylobacter. These germs irritate the lining of the intestines and trigger the release of excess water and mucus, leading to frequent, loose stools.


Food poisoning

Food poisoning occurs when contaminated food or water introduces harmful bacteria or toxins into the digestive system. This can lead to food poisoning diarrhea, which generally begins within hours and is often accompanied by vomiting and abdominal cramps. The condition is usually short-lived but can be intense and disruptive, especially if large amounts of toxins are ingested.


Food intolerances and allergies

Some people have trouble digesting specific components of food. Common examples include lactose intolerance (difficulty digesting milk sugar) and gluten sensitivity. When these substances aren't broken down properly, they can draw water into the intestines, causing diarrhea and bloating.


Medications

Several medications can cause diarrhea either by irritating the intestines, disrupting gut bacteria, or drawing water into the bowel. Common examples include antibiotics, chemotherapy agents, magnesium-containing antacids, and certain blood pressure or diabetes medications.


Digestive disorders

Long-term gastrointestinal conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), Crohn’s disease, ulcerative colitis, and celiac disease can all cause chronic diarrhea. These diseases affect the structure or function of the intestines and usually require ongoing treatment.


Post-surgical changes

Surgical procedures involving the stomach, gallbladder, or intestines can change how food moves through the gut. Sometimes, this leads to faster-than-normal digestion and watery stools, especially in people who have had their gallbladder or part of the intestine removed.


Stress and emotional factors

Mental health can strongly influence gut health. Emotional stress, anxiety, and depression can disrupt normal bowel function. In conditions like IBS, stress can trigger or worsen diarrhea, even in the absence of physical disease. 

Chronic Diarrhea Causes

Chronic diarrhea, defined as diarrhea lasting more than four weeks, can be caused by irritable bowel syndrome (IBS), inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis, celiac disease, microscopic colitis, chronic infections, malabsorption syndromes like lactose or fructose intolerance, food allergies, bile acid malabsorption, endocrine disorders (including hyperthyroidism, Addison disease, carcinoid tumors, VIPoma, and gastrinoma), medications (such as antibiotics, magnesium-containing antacids, and certain heart or blood pressure medicines), and excessive intake of caffeine or artificial sweeteners.

Watery diarrhea causes

Watery diarrhea may result from viral infections (such as norovirus and rotavirus), bacterial infections (like enterotoxigenic E. coli and cholera), osmotic mechanisms (seen with lactose intolerance or ingestion of poorly absorbed sugars and laxatives), secretory mechanisms (due to bacterial toxins, certain medications, hormone-secreting tumors, or bile acid malabsorption), malabsorption syndromes, and endocrine disorders.

Causes of Diarrhea in Infants

In infants, diarrhea is most commonly caused by viral, bacterial, or parasitic infections, but can also result from dietary factors such as overfeeding or formula intolerance, food allergies or intolerances (including cow’s milk protein allergy and lactose intolerance), antibiotic use, congenital enzyme deficiencies, metabolic diseases, and exposure to contaminated food or water.

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Risk factors associated with Diarrhea

While anyone can get diarrhea, some people are more likely to develop it due to certain factors. These risk factors either increase exposure to the causes of diarrhea or make the body more vulnerable to its effects.


The main risk factors of diarrhea include:

  • Poor sanitation and hygiene
  • Contaminated food or water
  • Age (young children and elderly)
  • Weakened immune system
  • Frequent antibiotic use
  • Chronic diseases
  • Travel to high-risk areas
  • Lack of proper nutrition


Poor sanitation and hygiene

Inadequate sanitation, lack of clean toilets, and improper handwashing significantly increase the chances of spreading diarrheal infections. This is especially common in areas with limited access to clean water.


Contaminated food or water

Eating food from unhygienic sources or drinking unfiltered water introduces bacteria, viruses, and parasites into the gut. Street food, undercooked meat, or unwashed raw foods are common causes.


Age (young children and elderly)

Children under 5 and adults over 65 are more vulnerable to diarrhea. Their immune systems may not respond strongly enough to fight off infections, and dehydration can set in quickly.


Weakened immune system

People with compromised immunity—such as those undergoing chemotherapy, transplant recipients, or individuals with HIV/AIDS—are at higher risk of developing severe or prolonged diarrhea from infections or medications.


Frequent antibiotic use

Antibiotics can kill not only harmful bacteria but also the good bacteria in the gut. This imbalance (called dysbiosis) may lead to diarrhea, particularly with a type of bacteria called Clostridioides difficile.


Chronic diseases

Conditions like diabetes, liver disease, or cancer can affect how the digestive system works and make it harder to recover from infections, leading to longer or more frequent episodes of diarrhea.


Travel to high-risk areas

Visiting areas with poor sanitation or different food and water standards can increase the risk of traveler’s diarrhea. It’s common when people travel from developed countries to parts of Asia, Africa, or Latin America.


Lack of proper nutrition

Malnourished individuals, especially children, are more susceptible to infections and recover more slowly. Diarrhea and malnutrition can also create a vicious cycle, where one worsens the other. 

Complications of diarrhea | major complications associated with diarrhea

Complications of Diarrhea

Diarrhea is often seen as a short-term issue that resolves on its own. However, if it lasts too long or is left untreated, especially in vulnerable groups like children, older adults, or people with weak immune systems, it can lead to serious complications. These complications can affect different organs, interfere with nutrient absorption, and in some cases, become life-threatening.


The major complications associated with diarrhea include:

  • Dehydration
  • Electrolyte imbalance
  • Malnutrition
  • Kidney damage
  • Weight loss and weakness
  • Hospitalization
  • Secondary infections


Dehydration

This is the most common and most dangerous complication of diarrhea. When the body loses too much water through frequent, watery stools, it disrupts the balance of fluids needed to keep organs functioning. Symptoms include dry mouth, sunken eyes, excessive thirst, dark urine, dizziness, and in severe cases, unconsciousness. In children and elderly individuals, dehydration can escalate quickly and may become life-threatening without medical attention.


Electrolyte imbalance

With the loss of fluid also comes the loss of essential electrolytes like sodium, potassium, and chloride. These minerals are critical for maintaining heart rhythm, nerve function, and muscle activity. Severe imbalance may lead to irregular heartbeat, muscle cramps, confusion, or seizures.


Malnutrition

When diarrhea is prolonged, the body may not absorb nutrients properly from food. This is especially harmful in children, where malnutrition can affect growth, immunity, and cognitive development. In adults, it can lead to fatigue, poor healing, and overall health decline.


Kidney damage

As fluid levels in the body drop, the kidneys receive less blood flow and may become strained. In extreme cases, this can lead to acute kidney injury, especially if dehydration is not corrected in time.


Weight loss and weakness

Frequent bowel movements, reduced appetite, and poor nutrient absorption can cause noticeable weight loss. This is often accompanied by muscle weakness, low energy levels, and poor stamina, particularly in those already battling other health issues.


Hospitalization

Severe diarrhea, especially when combined with vomiting or high fever, may require hospitalization. This is more common in children under 5, elderly individuals, or those with underlying health conditions who can’t afford to lose much fluid or strength.


Secondary infections

In some cases, persistent diarrhea can weaken the immune system or damage the gut lining, making it easier for other bacteria or parasites to enter the body and cause further infections. This can complicate recovery and extend the duration of illness. 

Diarrhea Diagnosis

Diagnosing diarrhea involves a detailed assessment of symptoms, potential causes, and any underlying health conditions. In most cases, a general physician conducts the initial evaluation, and if needed, the patient is referred to a gastroenterologist for further investigation. The goal is to identify whether the diarrhea is acute, chronic, or related to another medical condition.


The diagnostic process usually includes:


Clinical history and physical examination

Doctors begin by asking about the duration and frequency of diarrhea, stool characteristics (such as blood or mucus), recent food intake, travel history, use of medications (especially antibiotics), and the presence of associated symptoms like fever, nausea, or weight loss. A physical exam may include checking for dehydration, abdominal tenderness, or abnormal bowel sounds.


Stool tests

Laboratory testing of stool samples helps detect infections, blood, fat, or inflammation. These tests can identify parasites, viruses, or bacteria, as well as markers like fecal calprotectin or lactoferrin in cases of suspected inflammation.


Blood tests

Blood tests may be done to check for signs of infection, anemia, dehydration, or underlying metabolic and immune disorders. Tests might include a complete blood count (CBC), kidney function tests, thyroid function, and electrolyte levels.


Endoscopic evaluation

If diarrhea is persistent or accompanied by red flag symptoms (like blood in stools or weight loss), procedures like colonoscopy or sigmoidoscopy may be recommended. These tests allow direct visualization of the colon and rectum to detect conditions such as inflammatory bowel disease, polyps, or tumors.


Imaging tests

In some cases, imaging studies such as abdominal ultrasound, CT scan, or MRI may be used to rule out structural abnormalities, obstructions, or inflammation within the digestive tract.


Specialized functional tests

For chronic or unexplained diarrhea, advanced tests like hydrogen breath tests (for carbohydrate malabsorption), bile acid malabsorption testing, colonic transit studies, or anorectal manometry may be used.


Diagnosis depends on the type and duration of diarrhea, the patient’s age and medical history, and the presence of other risk factors. Early and accurate identification of the cause is essential for proper treatment and prevention of complications.

Diarrhea Treatment

The treatment of diarrhea depends on its cause, duration, and severity. Most cases of acute diarrhea are mild and resolve on their own within a few days. However, in cases of severe, chronic, or infection-related diarrhea, medical treatment may be necessary to avoid complications like dehydration or nutrient loss.


Treatment options typically include:


Fluid and electrolyte replacement

The first and most important step in treating diarrhea is to prevent or correct dehydration. Patients are advised to drink plenty of fluids, such as water, clear broths, and oral rehydration salts (ORS). ORS solutions help restore lost electrolytes like sodium and potassium and are especially important in children, elderly individuals, or people with severe diarrhea.


Dietary management

During diarrhea, patients are encouraged to eat light, easily digestible foods. The BRAT diet (bananas, rice, applesauce, toast) is commonly recommended, along with other bland foods. Spicy, fatty, and high-fiber foods need to be avoided until symptoms improve. Probiotic-rich foods like curd or yogurt may help restore healthy gut bacteria.


Medications (if needed)

  • Antidiarrheal agents may be used in adults with non-infectious diarrhea to reduce stool frequency. However, antidiarrheal agents not be used if there's blood in the stool or a high fever.
  • Antibiotics may be prescribed for bacterial diarrhea confirmed by stool tests, such as Shigella or Campylobacter.
  • Antiparasitic medications are used if parasites like Giardia are identified.
  • Probiotics may help shorten the duration of diarrhea and restore gut flora, especially after antibiotic use.


Treating the underlying cause

In chronic diarrhea, treatment focuses on managing the root condition.

  • For irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), medications like antispasmodics, anti-inflammatory drugs, or immune modulators may be used.
  • For malabsorption, enzyme supplements, dietary changes, or specific therapies are prescribed.
  • For cases of drug-induced diarrhea, including antibiotic-induced diarrhea, the offending medication may be stopped, adjusted, or replaced with an alternative under medical supervision.


Hospital care (for severe cases)

Patients with severe dehydration, continuous vomiting, or signs of electrolyte imbalance may require hospitalization. Intravenous (IV) fluids and monitoring are essential in such cases, especially in infants, older adults, or those with weak immune systems.


Early treatment helps reduce symptom duration, prevent complications, and improve quality of life. In cases where diarrhea persists beyond 48–72 hours or presents with warning signs like blood in the stool, severe pain, or fever, medical consultation is strongly advised.

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Diarrhea Prevention

While diarrhea is often short-lived, it can be serious or even life-threatening, especially in children, older adults, or people with weakened immunity. Fortunately, many cases of diarrhea can be prevented by adopting basic hygiene practices, making safer food and water choices, and taking steps to protect gut health. Preventive strategies not only reduce the risk of infection but also limit complications and recurrence.


Key preventive measures for diarrhea include:

  • Drinking safe and clean water
  • Maintaining good hand hygiene
  • Practicing food safety
  • Ensuring proper sanitation
  • Getting vaccinated (where applicable)
  • Promoting exclusive breastfeeding (for infants)
  • Avoiding unnecessary use of antibiotics
  • Managing chronic conditions properly
  • Improving nutritional intake


Drinking safe and clean water

Contaminated water is one of the most common sources of diarrhea-causing organisms. Drinking only boiled, filtered, or bottled water—especially in areas with poor water quality can significantly reduce the risk. Avoid using untreated water for cooking or brushing teeth.


Maintaining good hand hygiene

Handwashing with soap and clean water after using the toilet, before eating, and before preparing food can prevent the spread of bacteria, viruses, and parasites. Hand hygiene is one of the most effective and inexpensive ways to stop infections.


Practicing food safety

Eating freshly cooked meals, avoiding raw or undercooked meats, and washing fruits and vegetables thoroughly can prevent foodborne diarrhea. Leftovers need to be stored properly and reheated fully before consumption.


Ensuring proper sanitation

Using clean, well-maintained toilets and avoiding open defecation helps stop the spread of infectious organisms. Safe disposal of human waste, especially in community settings, plays a critical role in reducing diarrheal diseases.


Getting vaccinated (where applicable)

Vaccines like the rotavirus vaccine have significantly reduced the incidence of diarrhea in infants and young children. In areas where cholera is common, cholera vaccination may also be recommended. Immunization helps prevent severe, preventable diarrheal diseases.


Promoting exclusive breastfeeding (for infants)

For the first six months of life, exclusive breastfeeding protects infants from infections by providing antibodies and reducing exposure to contaminated food or water. It also supports a healthy digestive system.


Avoiding unnecessary use of antibiotics

Overuse of antibiotics can disrupt the natural gut flora and lead to antibiotic-associated diarrhea, including infections like Clostridioides difficile. Antibiotics only be used when prescribed, and full courses need to be completed as directed.


Managing chronic conditions properly

People with digestive disorders or immune-related conditions are more vulnerable to diarrhea. Regular follow-ups, proper medication use, and early attention to symptoms can prevent flare-ups and complications.


Improving nutritional intake

A well-balanced diet supports gut health and strengthens the immune system. Nutrient-rich foods, adequate hydration, and micronutrients like zinc can help the body fight off infections and recover faster if diarrhea occurs. 

Difference between Diarrhea and Dysentery

Although both dysentery and diarrhoea are gastrointestinal disorders that result in irregular bowel movements, they differ greatly in their underlying causes, symptoms, and severity. Since different pathogens cause each condition and have unique clinical features, it is crucial to comprehend the differences between the two to guarantee accurate diagnosis and therapy. 

Feature Diarrhea Dysentery
Definition Frequent passage of loose or watery stools Diarrhea with blood and mucus in stools
Stool characteristics Stools are large in volume, watery, and stools without blood or mucus Stools are smaller in volume but contain blood, mucus, and pus
Cause Caused by bacteria, viruses, parasites, and non-infectious causes (medications) Caused by Shigella or Entamoeba histolytica, which invade and damage the intestinal mucosa
Symptoms Loose stools, dehydration, abdominal cramps Diarrhea with severe abdominal pain, fever, and tenesmus
Severity Mild to moderate Severe than diarrhea
Contagious Can be contagious Highly contagious

Frequently Asked Questions (FAQs) on Diarrhea


  • Can antibiotics cause diarrhea?

    Yes, antibiotic-associated diarrhoea is a common adverse effect of antibiotic treatment caused due to the disruption of normal microflora (gut bacteria) in the intestines. Additionally, antibiotics disturb the composition of this microflora, leading to decreased metabolism of carbohydrates and bile acids. 

  • Does diarrhea cause blood in the stool?

    Yes, blood in the stool can occasionally result from diarrhea, especially if it is severe or prolonged. Multiple factors, including infections, inflammation, and even medications, may cause blood in stool. To determine the cause and receive appropriate care, it's important to consult a health care expert ifnoticed blood in the stool.

  • Can diarrhea cause weight loss?

    Weight loss from diarrhoea is possible, but it usually results from fluid loss rather than a real decrease in muscle mass or body fat. Because the body loses water and electrolytes through frequent, loose stools, acute episodes of diarrhoea usually cause brief weight changes. However, because of continuous fluid loss and poor nutrient absorption, chronic or persistent diarrhoea may cause more substantial weight loss, which may ultimately affect body composition and overall nutritional status. 

  • Can diarrhea cause low blood pressure?

    Yes, diarrhea can lower blood pressure. One major reason for low blood pressure is dehydration, which often results from acute diarrhea. During episodes of acute diarrhea, the body loses a large amount of fluid, leading to a decrease in total blood volume. This drop in blood volume is a common cause of low blood pressure in people of all ages, including healthy individuals and the elderly.

  • Is diarrhea contagious?

    Yes, diarrhea can be contagious when caused by infectious agents such as viruses, bacteria, or parasites. These pathogens are transmitted through the faecal-oral route, often via contaminated food and water. Common causes include norovirus, rotavirus, Salmonella, E. coli, and Giardia, all of which can spread easily in environments with inadequate sanitation.

  • What is the difference between diarrhea and loose motion?

    Loose motion refers to passing stools that are softer or more liquid than normal, but may occur only once or occasionally. Diarrhea is defined as having three or more loose or watery stools in a day, often with increased urgency and sometimes additional symptoms like cramps or dehydration. In short, loose motion describes stool consistency, while diarrhea involves both increased frequency and watery consistency.

Does dehydration cause diarrhea?

Dehydration does not cause diarrhea; rather, diarrhea commonly leads to dehydration. During episodes of diarrhea, the body loses significant amounts of water and electrolytes through frequent, watery stools. Severe dehydration resulting from diarrhea can lead to complications like acute kidney injury, shock, and even death if not treated properly.

Can spicy food cause diarrhea?

Spicy food can cause diarrhea in some individuals, particularly those who are sensitive to certain compounds such as capsaicin found in chili peppers. Capsaicin can irritate the gastrointestinal tract, increase gut motility, and lead to the rapid passage of stool. This irritation may result in loose, watery stools shortly after consuming spicy foods, especially in people with underlying gastrointestinal conditions or sensitivities, as documented in clinical observations and dietary studies. 

What are the causes of recurrent diarrhea?

Recurrent diarrhea can be caused by a variety of factors, including chronic infections (such as those due to parasites or bacteria), inflammatory bowel diseases (like Crohn’s disease or ulcerative colitis), irritable bowel syndrome, malabsorption syndromes (such as lactose intolerance or celiac disease), and certain medications. Repeated exposure to contaminated food or water and ongoing use of antibiotics can also contribute to persistent or recurrent episodes of diarrhea.

Can one drink milk during diarrhea?

Generally, it is recommended to avoid milk and other dairy products while experiencing diarrhea because during diarrhea, the body's ability to digest lactose can be affected, and consuming dairy may worsen the symptoms.

What are the complications of diarrhea in paediatrics?

The primary and most severe complication of diarrhea in children is dehydration, which occurs when fluid and electrolyte loss is not adequately replaced. Other complications can include electrolyte imbalances, malnutrition, and in severe cases, shock or even death. Additionally, diarrhea can sometimes trigger other conditions like reactive complications (e.g., skin rashes, joint pain, or eye inflammation) or persistent diarrhea syndromes.

Does alcohol cause diarrhea? 

Yes, diarrhoea can result from drinking alcohol. Because of its numerous effects on the gastrointestinal system, alcohol use, both acute and chronic, is linked to diarrhoea. Chronic alcohol use causes atrophic gastritis, decreased villous height, and decreased mucosal surface area. It also causes structural abnormalities in the stomach and small intestine, including erosions, inflammation, and microvascular changes. These alterations inhibit the absorption of nutrients and fluids, and alcohol can increase the release of electrolytes and water, which contributes to diarrhoea. 

Is coconut water good for diarrhea?

Yes, coconut water can help with diarrhoea because it restores electrolytes and helps the body rehydrate. Dehydration may result from the substantial fluid and mineral losses that occur with diarrhoea, including potassium, sodium, and magnesium. Studies have demonstrated that coconut water, which is naturally high in these electrolytes, can effectively cure moderate dehydration caused by diarrhoea. 

Does stress cause diarrhea?

Yes, psychological stress can significantly impact gastrointestinal function, leading to symptoms like diarrhea. An increase in gut motility and secretion due to stress may lead to diarrhoea or loose stools. People with irritable bowel syndrome frequently exhibit this condition, which is linked to impaired intestinal barrier function and increased visceral sensitivity under stress.

Is papaya good for diarrhea?

Papaya contains enzymes such as papain and chymopapain, which can improve digestion and help to soothe the digestive tract. Papaya has anti-inflammatory and antimicrobial properties beneficial for managing mild gastrointestinal disturbances including diarrhea.

Does ORS stop diarrhea?

Oral rehydration solution (ORS) does not stop diarrhea directly, but is highly effective in preventing and treating dehydration caused by diarrhea. ORS contains a precise balance of glucose and electrolytes that facilitates water and electrolyte absorption in the intestines, thereby replacing losses from frequent stools. 

Is diarrhea a symptom of corona (COVID-19)?

Yes, diarrhea is a recognized symptom of COVID-19. Research studies have shown that diarrhea occurred in approximately 7–20% of patients infected with COVID-19, making it one of the most common gastrointestinal symptoms associated with the virus. In some individuals, diarrhea may be the only presenting symptom, even in the absence of respiratory complaints.

Is diarrhea a symptom of pregnancy?

Diarrhea is not considered a usual or classic symptom of pregnancy. While some gastrointestinal changes can occur due to hormonal changes in pregnancy, constipation is more commonly reported than diarrhea. Diarrhea may occur in some pregnant women, but it is not a standard or diagnostic sign of pregnancy.

Is diarrhea a symptom of dengue?

Diarrhea can occur in dengue infection, but it is not the most common symptom. Research studies indicate that while gastrointestinal symptoms like abdominal pain, nausea, and vomiting are more prominent, diarrhea may also be present, especially in severe or complicated cases. However, classic symptoms of dengue are high fever, headache, retro-orbital pain (pain behind or around the eye), muscle and joint pain, and rash.


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