acute diarrhea

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Introduction

Diarrhea of 1-14 days duration.

Most episodes of acute diarrhea are mild & self-limited. <10% come to a physician's attention. Of those that do, the majority require only oral rehydration.

Etiology

* causes of bloody diarrhea or inflammatory diarrhea

Clinical manifestations

* Red flags

Laboratory

Diagnostic procedures

Differential diagnosis

Management

* toxic megacolon is complication

Prophylaxis:

More general terms

More specific terms

Additional terms

References

  1. Harrison's Principles of Internal Medicine, 13th ed. Companion Handbook, Isselbacher et al (eds), McGraw-Hill Inc. NY, 1995, pg 829-39
  2. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 302-304
  3. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 290-98
  4. 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 16, 17, 18, 19. American College of Physicians, Philadelphia 1998, 2006, 2012, 2015, 2018, 2021.
    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  5. 5.0 5.1 Journal Watch 24(19):153-54, 2004 Huang DB, Awasthi M, Le BM, Leve ME, DuPont MW, DuPont HL, Ericsson CD. The role of diet in the treatment of travelers' diarrhea: a pilot study. Clin Infect Dis. 2004 Aug 15;39(4):468-71. Epub 2004 Jul 30. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15356807
    Steffen R, Gyr K. Diet in the treatment of diarrhea: from tradition to evidence. Clin Infect Dis. 2004 Aug 15;39(4):472-3. Epub 2004 Jul 30. No abstract available. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15356808
  6. 6.0 6.1 Journal Watch 25(5):43, 2005 Cohen MB, Nataro JP, Bernstein DI, Hawkins J, Roberts N, Staat MA. Prevalence of diarrheagenic Escherichia coli in acute childhood enteritis: a prospective controlled study. J Pediatr. 2005 Jan;146(1):54-61. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15644823
  7. 7.0 7.1 The NNT: Co-Administration of Probiotics with Prescribed Antibiotics for Preventing C. Difficile Diarrhea. http://www.thennt.com/nnt/probiotics-for-preventing-c-difficile-diarrhea/
    McFarland LV. Meta-analysis of probiotics for the prevention of antibiotic associated diarrhea and the treatment of Clostridium difficile disease. Am J Gastroenterol 2006; 101:812 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16635227
    Johnston BC, Ma SS, Goldenberg JZ et al Probiotics for the prevention of Clostridium difficile-associated diarrhea: a systematic review and meta-analysis. Ann Intern Med. 2012 Dec 18;157(12):878-88. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23362517
  8. Prescriber's Letter 14(4): 2007 Oral rehydration therapy Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=230413&pb=PRL (subscription needed) http://www.prescribersletter.com
  9. Baldi F, Bianco MA, Nardone G, Pilotto A, Zamparo E. Focus on acute diarrhoeal disease. World J Gastroenterol. 2009 Jul 21;15(27):3341-8 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19610134
  10. 10.0 10.1 Hensgens MP et al. Diarrhoea in general practice: When should a Clostridium difficile infection be considered? Results of a nested case control study. Clin Microbiol Infect 2014 Jul 7 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25040463
  11. 11.0 11.1 The NNT: Probiotics for Acute Infectious Diarrhea. http://www.thennt.com/nnt/probiotics-for-acute-infectious-diarrhea/
    Allen SJ, Martinez EG, Gregorio GV, Dans LF. Probiotics for treating acute infectious diarrhoea. Cochrane Database Syst Rev. 2010 Nov 10;(11):CD003048 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21069673
  12. 12.0 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 Riddle MS, DuPont HL, Connor BA. ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults. Am J Gastroenterol. 2016 May;111(5):602-22. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27068718
  13. 13.0 13.1 NEJM Knowledge+ Gastroenterology