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February 3, 2012
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Diarrhea

Medical Author:
Medical Editor:
Diarrhea: Food Poisoning or Infection?

Medical Author: Jay W. Marks, MD
Medical Editor: William C. Shiel, Jr, FACP, FACR

Food poisoning is a general term that refers to gastrointestinal illnesses (usually diarrhea and/or vomiting) caused by food that is contaminated with bacteria, parasites, viruses, or toxic substances. The actual cause of most individual episodes of food poisoning, however, never is pursued (for example, a culture is not done) since most episodes are mild or moderate in severity and are over in a few hours to a few days. In fact, the diagnosis of food poisoning usually is made only presumptively, based on the individual's symptoms and the circumstances. Even in outbreaks of suspected food poisoning that involve many people, when careful studies are done, a specific cause is found no more than half of the time.

Diarrhea Overview

Diarrhea is the frequent passage of loose, watery, soft stools with or without abdominal bloating, pressure, and cramps commonly referred to as gas. Diarrhea can come on suddenly, run its course, and be helped with home care to prevent complications such as dehydration.

  • Diarrhea is one of the most common illnesses in all age groups and is second only to the common cold as a cause of lost days of work or school.

    • In the United States, each child will have experienced seven to 15 episodes of diarrhea by age 5.

    • People of all ages can suffer from diarrhea, and the average adult has approximately four episodes of acute diarrhea per year.

  • Diarrhea and related complications can cause severe illness. The most significant cause of severe illness is loss of water and electrolytes. In diarrhea, fluid passes out of the body before it can be absorbed by the intestines. When the ability to drink fluids fast enough to compensate for the water loss because of diarrhea is impaired, dehydration can result. Most deaths from diarrhea occur in the very young and the elderly whose health may be put at risk from a moderate amount of dehydration.

  • Diarrhea can be further defined in the following ways:

    • chronic diarrhea is the presence of loose or liquid stools for over two weeks;

    • acute enteritis is inflammation of the intestine;

    • gastroenteritis (stomach flu) is diarrhea associated with nausea and vomiting; or

    • dysentery is diarrhea that contains blood, pus, or mucus.
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Encopresis Overview

Encopresis is the soiling of the underwear with stool by children who are past the age of toilet training. Because each child achieves bowel control at his or her own rate, medical professionals do not consider stool soiling to be a medical condition unless the child is at least 4 years old. This stool or fecal soiling usually has a physical origin and is involuntary—the child does not soil on purpose. A large amount of hard stool is in the intestine, and stool leaks around this mass and out through the anus.

In the United States, it is estimated that 1-2% of children younger than 10 years are affected by encopresis. Many more boys than girls experience encopresis; approximately 80% of affected children are boys.

Encopresis Causes

Rarely, encopresis is caused by an anatomic abnormality or disease that the child is born with. In the great majority of cases, encopresis develops as a result of chronic (long-standing) co...

Read the Encopresis article »


Read What Your Physician is Reading on Medscape

Diarrhea »

Acute diarrhea is defined as the abrupt onset of abnormally high fluid content in the stool (more than the normal value of approximately 10 mL/kg/d).

Read More on Medscape Reference »

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