[Edit this paragraph] Diarrhea type Acute diarrhea course is less than 3 weeks:
1. food poisoning;
2. Intestinal infection;
(1) virus infection;
(2) bacterial feeling;
(3) parasitic infection;
(4) Traveler's diarrhea;
(5) Diarrhea caused by drugs.
Chronic diarrhea lasts more than 2 months, and the cause is more complicated than acute diarrhea:
1. Intestinal infectious diseases;
2. Non-infectious intestinal inflammation;
3. Tumors;
4. Small intestinal malabsorption;
5. Sports diarrhea;
6. Diarrhea caused by drugs. [Edit this paragraph] Family therapy measures
● Drink plenty of water
Diarrhea patients due to a large number of defecation, serious water shortage, electrolyte disorder, at this time must be a lot of water. The rehydration salts containing sodium chloride, potassium chloride, glucose and sodium citrate are ideal choices, because they can replenish glucose and minerals lost in the body and adjust the acid-base balance of potassium-sodium electrolyte and water. Carrot juice, apple juice and watermelon juice can not only supplement water, but also supplement essential vitamins, and are also good supplements. It is a good way to prevent the body from dehydration and collapse due to diarrhea.
● Don't rush to take medicine.
Unless it is diarrhea caused by virus or bacterial infection, or severe diarrhea produces complications, ordinary diarrhea does not need medication, and its symptoms generally do not exceed 48 hours. So don't stop diarrhea with drugs for at least two days, because diarrhea is the way to eliminate toxins in the body. In today's patients with acute diarrhea, doctors often don't encourage the use of antidiarrheal drugs unless there are other situations that need to be controlled urgently. Otherwise, it may be good to release it and speed up recovery.
● Check the drugs used.
Diarrhea may sometimes be related to the drugs you take, such as taking antacids to relieve heartburn. Acid is the most common drug that causes diarrhea. In order to avoid diarrhea associated with heartburn, it is recommended to use an acid generator containing only aluminum hydroxide. In addition to antacids, antibiotics, quinidine and colchicine (anti-gout drugs) may also cause diarrhea. If you suspect that these or other drugs make you diarrhea, you should ask your doctor.
● Let nature take its course
Many people like to treat diarrhea with pectin, acidophilic bacteria, carob powder, barley, bananas, Swiss cheese and various strange foods. These things can inhibit the intestinal tract and delay intestinal peristalsis. But in fact, this is only to prolong the time when the source of the problem stays in the body. What you really need is to excrete the substance that causes diarrhea. The best way is to let nature take its course.
● Stay away from the kitchen.
It is not advisable to cook for your family during diarrhea until the symptoms are eliminated. Remember to wash your hands after going to the toilet to avoid infecting others with germs.
Diet and nutrition therapy
● Drink 3 bowls of rice soup every day.
Rice soup is beneficial to treat diarrhea. Boil with 3 cups of water and half a cup of brown rice for 45 minutes, filter and drink 3 bowls a day. At the same time, eating rice can also help the formation of feces and provide vitamin B.
● Take charcoal tablets.
Take 4 charcoal tablets with water every hour until the situation improves. Use it at night. Do not use with other vitamins or drugs.
Low diet.
During diarrhea, you should eat light liquid food, such as chicken soup or other transparent liquid. Because during diarrhea, your intestines need to have a full rest. When there is no problem with the chicken soup, you can gradually add easily digestible foods such as rice, yogurt (including beneficial bacteria) and lettuce to the drink when the symptoms improve.
● Avoid the following foods
When you have diarrhea, the foods you need to avoid most are beans and cabbage. Other foods that contain a lot of carbohydrates that are not easily absorbed will also aggravate diarrhea. These foods include fat, wheat and gluten-containing foods, such as bread, noodles and other flour products, apples, pears, plums, corn, oats and potatoes. Avoid carbonated drinks, because the gas contained in these drinks may contribute to your diarrhea.
● Supplement minerals.
Take kelp powder capsules, 5 capsules a day, or eat seaweed soup to supplement minerals. Take 100 mg potassium every day to supplement the lost potassium.
● Disinfect with garlic
You can eat a few grains of garlic for three meals, which can prevent bacterial diarrhea. If you can't or don't want to eat raw garlic, you can take garlic capsules, two capsules each time and three times a day, which also plays a role in sterilization (bacteria and parasites).
● Supplement basic nutrition.
① calcium plus vitamin d
1500mg per day. Replenish the lost calcium and help the formation of feces. 400iu vitamin D every day, to help the absorption of calcium.
② digestive enzymes
Take it with meals. It is rich in pancreatin and helps digestion.
③ Magnesium
1000 mg per day. Help calcium absorption and promote ph acid-base balance.
④ Plantain seeds or oat bran.
4 capsules before going to bed. Helps to form feces.
⑤ Unsaturated fatty acids
Dosage according to the product instructions, help to form feces.
⑥ Vitamin B plus vitamin B 1, nicotine and folic acid.
Vitamin d group was added with vitamin d: 200 mg per day for 2 weeks. Nicotine and folic acid 50 milligrams a day. Because of malabsorption, you may need to ask a doctor to inject vitamin D.
7 vitamin e
400 iu- 1000i3 per day. Protect the colon from damaging the cell membrane.
Use milk as crystals.
Lactose intolerance is one of the important causes of diarrhea. Lactose intolerance may occur in infancy or suddenly appear in adulthood. If you drink milk, then you experience flatulence and abdominal pain, followed by diarrhea, then you may be allergic to lactose. Of course, the best treatment is to avoid foods containing lactose, that is, to stay away from most dairy products, except yogurt and some aged cheese. When you avoid these foods, diarrhea will stop naturally.
● Test method
Because lactose intolerance is dose-related and has the characteristics of sudden onset, how to judge that your diarrhea is related to milk crystals? One way is to make the patient quit dairy products completely 1 to 2 weeks to see if it helps. If stopping drinking milk is really effective, patients will gradually add milk crystals back to their diet. At the same time, when the amount of dairy products reaches a certain level, lactose intolerance will recur. Therefore, if you take no more than this dose of dairy products, you will avoid diarrhea.
● Natural herbs
If you have diarrhea occasionally, try blackberry roots, chamomile tea and raspberry leaves. Medicinal plants can also be added into applesauce, banana, pineapple or wooden dish juice. Take pepper capsules or pepper leaf tea two or three times a day. Ginger tea is good for spasm and abdominal pain. Sliding elm bark is also good, 6 capsules or 3 teaspoons of sliding elm bark powder per 8 ounces of water.
The role of commonly used antidiarrheal drugs
Smecta absorptive antidiarrheal agent
It can adsorb bacteria, viruses, toxins and other substances that cause diarrhea, and has the functions of convergence and protection of intestinal mucosa. It is suitable for any type of diarrhea, especially the common food poisoning diarrhea in summer, but it will affect the absorption of other drugs and minerals, so it cannot be taken for a long time.
Peifeikang whole intestine raw Mamiai microbial preparation
It can regulate intestinal flora, improve intestinal immunity, protect the growth of beneficial bacteria, promote gastric juice secretion and enhance digestive function. It is beneficial for the elderly, children and patients with weak constitution to improve diarrhea and recover as soon as possible.
Yimeng nerve-stopping antidiarrheal drug
By enhancing the tension of intestinal smooth muscle, inhibiting intestinal propulsion and peristalsis, prolonging the retention time of its contents, it plays an antidiarrheal role and is suitable for diarrhea or chronic diarrhea caused by sympathetic nerve excitation. Because of its definite curative effect, many people take this medicine as soon as they have diarrhea. In fact, if Yimengting is used only, it is not conducive to the regression of inflammation. When watery diarrhea is accompanied by symptoms of bacterial infection such as abdominal distension and fever, the etiology caused by [edit this paragraph] should not be used.
(1) The course of acute diarrhea generally does not exceed 3 weeks, and the most common cause is infection.
1. Food poisoning is caused by Staphylococcus aureus, Bacillus cereus, Clostridium perfringens, Botox, etc.
Vegetable pollution is mostly manifested as non-inflammatory watery diarrhea.
2. Intestinal infection
(1) virus infection: when rotavirus, norwalk virus and intestinal adenovirus are infected, the small intestine may be non-inflammatory and non-diarrheal.
(2) Bacterial infection: Vibrio cholerae and toxic Escherichia coli can cause non-inflammatory watery diarrhea in small intestine. Salmonella, Shigella, Campylobacter
Genus, Yersinia coli, invasive Escherichia coli, Staphylococcus aureus, parahemolysis.
Vibrio sexually and Clostridium difficile can cause colitis and produce purulent diarrhea.
(3) Parasitic infection: Giardia pyriformis and Cryptosporidium infection can cause non-inflammatory watery diarrhea of small intestine. When entamoeba histolytica invades the colon.
Inflammation, ulcer and purulent diarrhea.
(4) Traveler's diarrhea: it is diarrhea that occurs during or after travel. Most of them are caused by infection, and the pathogens are often toxic Escherichia coli and sand.
Meniere's disease, Giardia pyriformis, Entamoeba histolytica, etc.
(5) Diarrhea caused by drugs: laxatives, hypertonic drugs, cholinergic drugs, antibacterial drugs and some antihypertensive or antiarrhythmic drugs.
No diarrhea.
(2) Chronic diarrhea The course of chronic diarrhea is more than 2 months, the cause is more complicated than acute diarrhea, and the diagnosis and treatment are sometimes difficult.
Is the focus of this chapter.
1. Intestinal infectious diseases ① Chronic amebic dysentery; ② Chronic bacterial diseases; ③ Intestinal tuberculosis; ④ pyriform flagelliasis and schistosomiasis.
; ⑤ Intestinal candidiasis.
2. Intestinal non-infectious inflammation ① Inflammatory bowel disease (Crohn's disease and ulcerative colitis); ② Radiation enteritis; ③ Ischemic colitis;
④ diverticulitis; ⑤ Uremic enteritis.
3. Tumor ① Colorectal cancer; ② Colonic adenoma (polyp); ③ Malignant lymphoma of small intestine; ④ Amine precursor uptake decarboxylation cell tumor (APU-
DOMA)； Gastrinoma, carcinoid tumor, intestinal vasoactive intestinal peptide tumor (VIPoma), etc.
4. Small intestinal malabsorption
(1) Primary intestinal malabsorption.
(2) Secondary intestinal malabsorption. 1) Dyspepsia: ① Lack of digestive enzymes in pancreas, such as chronic pancreatitis, pancreatic cancer and pancreatic fistula. ② disaccharidase deficiency, such as lactose intolerance.
; (3) Obstruction of bile discharge, combined with insufficient bile salts, such as extrahepatic biliary obstruction, intrahepatic cholestasis, and overlong intestinal bacteria (blind loop syndrome). 2) Decreased absorption surface of small intestine: ① Excessive small intestine resection (short bowel syndrome); ② Proximal small intestine and colon anastomosis or fistula. 3) Infiltrative diseases of small intestine: Whipple's disease, α-heavy chain disease, systemic sclerosis, etc.
5. Exercise-induced diarrhea is caused by intestinal peristalsis disorder (mostly acceleration), such as irritable bowel syndrome and vagotomy after subtotal gastrectomy.
Posterior partial intestinal obstruction, hyperthyroidism, adrenocortical hypofunction, etc.
6. Drug-induced diarrhea ① cathartics such as phenolphthalein and senna; ② Antibiotics such as lincomycin, clindamycin and neomycin. ③ Antihypertensive drugs
Such as reserpine and guanethidine; ④ Drugs for treating hepatic encephalopathy, such as lactulose and Rushan sorbitol.