Loose motion, stool in Hindi. Chronic Diarrhea (Diarrhoea). Causes & treatment, By Dr Vikas Singla.
Channel: Dr Vikas Singla, Gastroenterologist, Gastron, DGOC
Date: 2021-05-19

Dr Vikas Singla  
Director and Head, Gastroenterology   
Center for Gastroenterology Hepatology and Endoscopy   
Max Superspeciality Hospital Saket New Delhi India  
For Appointment  9968407407 9999507480

Diarrhoea or loose stool is a common clinical symptom. Acute and chronic diarrhoea are different and needs specialised care. 

Acute diarrhoea: Less than 2 weeks. Mostly infections

Chronic diarrhea: More than 2 weeks

Causes
Poor digestion of  food. Related to small bowel, liver and pancreas
 
Excessive bowel movements. 

Any issue in digestion, will lead to chronic diarrhea.
1. Celiac disease : Allergy to gluten found in wheat. Villi are destroyed. 

2. Parasitic infections
a. HIV
b. Post transplant
c. Low level antibodies

3. Lactose intolerance : Milk sugar. Not digested

4. Small bowel intestinal bacterial overgrowth: Glucose breath test



Excessive motility

1. IBS

2. Diabetes

Low enzyme : Chronic pancreatitis, 
Low bile : Bile duct obstruction


Large bowel causes

Inflammatory bowel disease : Ulcerative colitis and Crohn’s disease
UC: Ulcers in large bowel
Blood in stool
Sigmoidoscopy
Medicine

Crohn’s
Usually no blood
Both large and small bowel
Pain abdomen
CT scan and colonoscopy, capsule enodoscopy

Colon cancer: More secretion above the cancer
Villous adenoma : More secretions from the tumor
Diverticulitis
Microscopic colitis : Colonoscopy and biopsy
Radiation colitis
CMV colitis




Irritable bowel syndrome diarrhea
Food intolerance
Post infectious IBS
SIBO
Bile acid malabsorption
Microscopic colitis
Celiac disease
Pancreatic exocrine insufficiency
Rapid transit


Hormonal imbalance
1. Hyperthyroidism
2. Addison disease
3. Carcinoid syndrome
4. Medullary thyroid carcinoma


Medications can also cause diarrhoea 

Antihypertensive
Anidiabetic
PPI
Magnesium
Antibiotics
Anti cancer 

#chronicdiarrhoea #chronicdiarrhea #loosestoolsinhindi #diarrhoeainhindi # Diarrheainhindi, #celiacdisease #ulcerativecolitis #crohn'sdisease #wheatallergy #glutenfreediet #loosemotioninhindi



Picture credit: https://pixabay.com/Villi picture

https://upload.wikimedia.org/wikipedia/commons/7/74/Inflammed_mucous_layer_of_the_intestinal_villi_depicting_Celiac_disease.jpg
www.scientificanimations.com, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, via Wikimedia Commons

Diarrhea picture
https://upload.wikimedia.org/wikipedia/commons/5/57/Depiction_of_a_person_suffering_from_Diarrhea.png
https://www.myupchar.com/en, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, via Wikimedia Commons

Giardia

Ajpolino, CC BY 4.0 https://creativecommons.org/licenses/by/4.0, via Wikimedia Commons
https://upload.wikimedia.org/wikipedia/commons/e/ee/CE_Simon_Giardia_Drawings_1921.jpg

Lactose 
Daria-Yakovleva, CC0, via Wikimedia Commons
https://upload.wikimedia.org/wikipedia/commons/5/5f/Milk_2.jpg

UC image
https://upload.wikimedia.org/wikipedia/commons/7/72/Ulcerative_colitis.jpg
Samir at English Wikipedia, CC BY-SA 3.0 http://creativecommons.org/licenses/by-sa/3.0/, via Wikimedia Commons

Diverticulum
melvil, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, via Wikimedia Commons
https://upload.wikimedia.org/wikipedia/commons/9/9d/Colon_diverticulum.jpg

# Best treatment of  is available at 
       #DGOC, West Patel Nagar, New Delhi and 
       #Max Superspeciality Hospital, Saket, New #Delhi, #India
         For more information or appointment Please call us +91-9968407407 
        Visit us at: http://www.drvikassingla.com
         mail us at : singlavikas1979@gmail.com

Our other videos

Ulcerative colitis: Symptoms and treatment https://youtu.be/c0-kWBddHgY

What is endoscopy : https://youtu.be/TtCoQThfIi8

Treatment of bloating, gas and constipation. https://youtu.be/wFPsL_XSrsQ

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Best wishes

Vikas Singla