Diarrhea | Wikipedia audio article
Channel: wikipedia tts
Date: 2018-12-07

This is an audio version of the Wikipedia Article:
Diarrhea


00:03:17 1 Definition
00:03:47 1.1 Secretory
00:04:30 1.2 Osmotic
00:05:54 1.3 Exudative
00:06:19 1.4 Inflammatory
00:06:58 1.5 Dysentery
00:07:21 2 Health effects
00:08:47 3 Differential diagnosis
00:09:31 3.1 Infections
00:11:22 3.2 Malabsorption
00:12:26 3.3 Inflammatory bowel disease
00:12:55 3.4 Irritable bowel syndrome
00:13:39 3.5 Other diseases
00:14:50 4 Causes
00:14:59 4.1 Sanitation
00:16:06 4.2 Water
00:16:36 4.3 Nutrition
00:17:56 4.4 Medications
00:18:25 5 Pathophysiology
00:18:34 5.1 Evolution
00:19:17 6 Diagnostic approach
00:20:03 7 Prevention
00:20:12 7.1 Sanitation
00:21:01 7.1.1 Hand washing
00:21:57 7.1.2 Water
00:22:52 7.2 Vaccination
00:24:11 7.3 Nutrition
00:24:58 7.3.1 Breastfeeding
00:25:43 7.4 Others
00:25:56 8 Management
00:26:55 8.1 Fluids
00:29:37 8.2 Eating
00:30:31 8.3 Medications
00:32:01 8.4 Alternative therapies
00:32:49 9 Epidemiology
00:34:09 10 Terminology



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SUMMARY
=======
Diarrhea, also spelled diarrhoea, is the condition of having at least three loose or liquid bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin with loss of the normal stretchiness of the skin and irritable behaviour. This can progress to decreased urination, loss of skin color, a fast heart rate, and a decrease in responsiveness as it becomes more severe. Loose but non-watery stools in babies who are exclusively breastfed, however, are normal.The most common cause is an infection of the intestines due to either a virus, bacteria, or parasite – a condition also known as gastroenteritis. These infections are often acquired from food or water that has been contaminated by feces, or directly from another person who is infected. The three types of diarrhea are: short duration watery diarrhea, short duration bloody diarrhea, and persistent diarrhea (lasting more than two weeks). The short duration watery diarrhea may be due to an infection by cholera, although this is rare in the developed world. If blood is present it is also known as dysentery. A number of non-infectious causes can result in diarrhea. These include lactose intolerance, irritable bowel syndrome, non-celiac gluten sensitivity, celiac disease, inflammatory bowel disease, hyperthyroidism, bile acid diarrhea, and a number of medications. In most cases, stool cultures to confirm the exact cause are not required.Diarrhea can be prevented by improved sanitation, clean drinking water, and hand washing with soap. Breastfeeding for at least six months and vaccination against rotavirus is also recommended. Oral rehydration solution (ORS)--clean water with modest amounts of salts and sugar—is the treatment of choice. Zinc tablets are also recommended. These treatments have been estimated to have saved 50 million children in the past 25 years. When people have diarrhea it is recommended that they continue to eat healthy food and babies continue to be breastfed. If commercial ORS are not available, homemade solutions may be used. In those with severe dehydration, intravenous fluids may be required. Most cases; however, can be managed well with fluids by mouth. Antibiotics, while rarely used, may be recommended in a few cases such as those who have bloody diarrhea and a high fever, those with severe diarrhea following travelling, and those who grow specific bacteria or parasites in their stool. Loperamide may help decrease the number of bowel movements but is not recommended in those with severe disease.About 1.7 to 5 billion cases of diarrhea occur per year. It is most common in developing countries, where young children get diarrhea on average three times a year. Total deaths from diarrhea are estimated at 1.26 million in 2013 – down from 2.58 million in 1990. In 2012, it was the second most common cause of deaths in children younger than five (0.76 million or 11%). Frequent episodes of diarrhea are also a common cause of malnutrition ...