chronic diarrhea
Introduction
Introduction to chronic diarrhea Chronic diarrhea refers to diarrhea with a course of more than two months or recurrent diarrhea within 2-4 weeks. There are many reasons for diarrhea. The contents of gastro-intestinal resection into the intestine can cause diarrhea. Others such as chronic pancreatitis, intestinal lactase deficiency, intestinal mucosal lesions, can also cause diarrhea due to decreased absorption capacity. basic knowledge The proportion of illness: 0.02% Susceptible people: no special people Mode of infection: non-infectious Complications: malnutrition peritonitis
Cause
Causes of chronic diarrhea
Infection (20%):
There are two types of infections. Medical infection refers to local tissue and systemic inflammatory reactions caused by pathogens such as bacteria, viruses, fungi, and parasites invading the human body. A psychological infection is a way to cause the same emotions and actions of others. It is essentially the transmission and communication of emotions and plays a big role in interaction.
Indigestion (25%):
Dyspepsia is a clinical syndrome that is caused by gastric motility disorders, as well as gastroparesis and esophageal reflux disease with poor gastric motility. Indigestion is mainly divided into functional dyspepsia and organic dyspepsia.
Too little or no stomach acid (30%):
Lack of stomach acid, bacteria can easily multiply in the stomach, can cause chronic gastritis. Chronic gastritis refers to various chronic gastric mucosal inflammatory lesions caused by different causes. It is a common disease and one of the most common diseases of the army. Its incidence rate ranks first among various stomach diseases.
There are many reasons for diarrhea. The contents of gastro-intestinal resection into the intestine can cause diarrhea. Others such as chronic pancreatitis, intestinal lactase deficiency, intestinal mucosal lesions, can also cause diarrhea due to decreased absorption capacity.
Prevention
Chronic diarrhea prevention
1, for acute diarrhea, should be thoroughly treated, in order to prevent chronic changes, diet to avoid too cold, to prevent spleen and kidney yang, so that the disease does not heal.
2, diet should be moderate, avoid eating fat and thick taste, too greasy diet often makes the diarrhea worse, avoid cold and melon.
3, pay attention to keep warm, be careful living, protect the waist and abdomen, avoid cold.
4, develop good hygiene habits, do not eat unclean food.
5, pay attention to observe the condition, look for the relevant factors that cause diarrhea or aggravate the condition, pay attention to the adjustment.
Complication
Chronic diarrhea complications Complications, malnutrition, peritonitis
Common complications are:
Malnutrition and vitamin deficiency: The duration of diarrhea is long. If the fasting time is too long or the long-term calorie is insufficient, it can often cause malnutrition and various vitamin deficiencies. Indigestion and malnutrition can cause each other and cause a vicious circle. Lead to adverse consequences, vitamin A deficiency can cause dry eye and corneal softening; vitamin D deficiency can cause hand and foot convulsions.
Infection: common otitis media, angular cheilitis, upper respiratory tract infection, bronchitis, pneumonia, carbuncles, sepsis, urinary tract infections and phlebitis, etc., various infections may become the cause of diarrhea, but also after diarrhea, due to systemic resistance Reduced and secondary infections, prolonged diarrhea or premature malnutrition children, easily complicated by fungal infections, such as thrush, fungal enteritis, and even systemic fungal diseases.
Toxic hepatitis: jaundice may occur in severe diarrhea, common in malnourished and severe sepsis children, and the prognosis is poor, so toxic hepatitis is one of the serious complications of diarrhea.
Others: such as acute renal failure, diffuse intravascular coagulation, septic shock, toxic encephalopathy, etc., such as acute heart failure, hyperkalemia, toxic intestinal paralysis, intestinal bleeding, intussusception, etc. Occasionally, intestinal perforation and peritonitis are seen.
Symptom
Symptoms of chronic diarrhea Common symptoms Fecal volume Multi-lip lip black diarrhea Abdominal pain ileocecal valve Insufficient stools Frequent abdominal masses in anxious after heavy fingerprints wrinkles and weight loss
1. Diarrhea: Patients with lesions located in the rectum or sigmoid colon have frequent and frequent urgency.
2. Symptoms of diarrhea: abdominal pain, fever, weight loss, abdominal mass or peptic ulcer due to different causes.
Examine
Chronic diarrhea check
1. Fecal examination: bleeding, pus cells, protozoa, eggs, fat drops, etc.
2. Determination of intestinal absorption function: showing intestinal malabsorption.
3. X-ray and endoscopic detection of lesion location, motor function status, gallstones, etc.
4. Ultrasound.
5. Small intestinal mucosal biopsy.
Diagnosis
Diagnosis and diagnosis of chronic diarrhea
The disease needs to be differentiated from diseases such as malnutrition and bacterial dysentery.
1. Malnutrition: due to insufficient intake of energy and/or protein, resulting in poor nutritional status or failure to maintain normal growth and development, mainly in infants under 3 years of age. There are three types of clinical common: lack of energy supply, manifested as significant weight loss, subcutaneous fat reduction is called weight loss; lack of protein supply, characterized by edema called edema, between the two Weight loss - edema type.
2. Bacterial dysentery: Common acute intestinal infectious diseases caused by dysentery bacilli, with colonic suppurative inflammation as the main lesion, with symptoms of systemic poisoning, abdominal pain, diarrhea, urgency and weight, and pus and bloody stools.
