Update on Chronic Diarrhea: A Run-Through for the Clinician
Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician’s diagnostic evaluation an...
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Published in | Current gastroenterology reports Vol. 14; no. 5; pp. 421 - 427 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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01.10.2012
Springer Nature B.V |
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Abstract | Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician’s diagnostic evaluation and management of chronic diarrhea, rather than providing a textbook comprehensive review of the subject, focusing on the patient in developed countries and excluding the immune suppressed patient. While the investigation and treatment of chronic diarrhea can be challenging due to its myriad causes, when the clinician employs a practical approach, dividing chronic diarrhea into bloody, fatty, and watery causes, it simplifies and streamlines the work-up and management plan and leads to improved patient outcomes. |
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AbstractList | Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician's diagnostic evaluation and management of chronic diarrhea, rather than providing a textbook comprehensive review of the subject, focusing on the patient in developed countries and excluding the immune suppressed patient. While the investigation and treatment of chronic diarrhea can be challenging due to its myriad causes, when the clinician employs a practical approach, dividing chronic diarrhea into bloody, fatty, and watery causes, it simplifies and streamlines the work-up and management plan and leads to improved patient outcomes.Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician's diagnostic evaluation and management of chronic diarrhea, rather than providing a textbook comprehensive review of the subject, focusing on the patient in developed countries and excluding the immune suppressed patient. While the investigation and treatment of chronic diarrhea can be challenging due to its myriad causes, when the clinician employs a practical approach, dividing chronic diarrhea into bloody, fatty, and watery causes, it simplifies and streamlines the work-up and management plan and leads to improved patient outcomes. Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician's diagnostic evaluation and management of chronic diarrhea, rather than providing a textbook comprehensive review of the subject, focusing on the patient in developed countries and excluding the immune suppressed patient. While the investigation and treatment of chronic diarrhea can be challenging due to its myriad causes, when the clinician employs a practical approach, dividing chronic diarrhea into bloody, fatty, and watery causes, it simplifies and streamlines the work-up and management plan and leads to improved patient outcomes. Chronic diarrhea is a common patient complaint, with an estimated prevalence of 5 %. Diarrhea is defined as >200 g/day of stool with decreased consistency, and chronic diarrhea is defined as lasting more than 4 weeks. The purpose of this review is to guide the clinician’s diagnostic evaluation and management of chronic diarrhea, rather than providing a textbook comprehensive review of the subject, focusing on the patient in developed countries and excluding the immune suppressed patient. While the investigation and treatment of chronic diarrhea can be challenging due to its myriad causes, when the clinician employs a practical approach, dividing chronic diarrhea into bloody, fatty, and watery causes, it simplifies and streamlines the work-up and management plan and leads to improved patient outcomes. |
Author | Sandhu, Davinder K. Surawicz, Christina |
Author_xml | – sequence: 1 givenname: Davinder K. surname: Sandhu fullname: Sandhu, Davinder K. organization: University of Washington – sequence: 2 givenname: Christina surname: Surawicz fullname: Surawicz, Christina email: surawicz@u.washington.edu organization: Division of Gastroenterology, Harborview Medical Center, University of Washington School of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22903799$$D View this record in MEDLINE/PubMed |
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Keywords | Inflammatory bowel disease Celiac disease Chronic diarrhea Management diarrhea Diagnosis diarrhea Irritable bowel syndrome Small intestinal bacterial overgrowth Infectious diarrhea Pancreatic insufficiency Bile acid malabsorption |
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SubjectTerms | Abdomen Anemia Antibiotics Biopsy Blood tests Celiac disease Chronic Disease Colonoscopy Crohn's disease Diabetes Diagnosis, Differential Diagnostic Techniques, Digestive System Diarrhea Diarrhea - diagnosis Diarrhea - etiology Diarrhea - therapy Digestive System Diseases - diagnosis Digestive System Diseases - pathology Digestive System Diseases - physiopathology Endoscopy Fecal incontinence Feces Gastroenterology Humans Inflammation Inflammatory bowel disease Irritable bowel syndrome Irritable Bowel Syndrome - diagnosis Lactose Large Intestine (B Cash Laxatives Leukocytes Lymphoma Medicine Medicine & Public Health Patients Radiation Section Editor Tropical diseases Vitamin deficiency |
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Title | Update on Chronic Diarrhea: A Run-Through for the Clinician |
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