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DIARRHEA
Diarrhea constitutes loose bowel motions with an increased frequency and the causes of diarrhea range from viruses, through alcohol, anxiety and inflammatory bowel disease to cancer of the bowel. Cancer of the large bowel typically presents with alternating diarrhea and constipation. Given an innocent diagnosis, medical management of diarrhea involves the use of a synthetic narcotic drug with constipating properties. Drugs of this class include Lomotil, Immodium and Codeine.
Home Remedies
High fibre produces a soft motion in constipation and a formed motion in diarrhea. Fine china clay sold over the counter as Kaolin or Kaomagma also binds loose bowels. Fatty foods, fruit and fruit juice aggravate diarrhea. Avoid them until the attack is over.
Children with diarrheal disease pose special management problems. Doctors don’t use narcotic derivatives and Kaolin in childhood diarrhea. The task becomes one of replacing lost fluid and salt until the diarrhea stops. We are fortunate in Australia to have over the counter preparations like Glucolyte and Repalyte. Mixed with water they replace fluid and salt more than adequately.
If fluid and salt do fall behind in the domestic management of childhood diarrhea and a child’s tongue becomes dry or urine output falls off it is time for medical assessment. The doctor must then decide whether oral salt and fluid replacement is to continue, or whether salt and fluid should be administered intravenously in a hospital.
Diarrhea that lasts for more than a week or that does not respond to home remedies is also worth medical assessment. The collection of a faecal sample and laboratory tests might indicate the presence of a treatable variety of infectious disease. A colonoscopy could reveal the presence of Inflammatory Bowel Disease.
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