![]() ![]() Abdominal x-ray may be required to confirm. Exclude faecal impaction and intestinal obstruction: rectal examination, abdominal palpation.current and recent medications such as laxatives, broad spectrum antibiotics.nature of stools including consistency, colour, presence of mucous or blood.diet, for example bran, fruit, hot spices, alcohol.concurrent disease, for example diabetes mellitus, hyperthyroidism, pancreatic insufficiency, inflammatory bowel disease such as Crohn’s disease, ulcerative colitis, gastrointestinal infection.pancreatic carcinoma, pancreatic islet cell tumours, carcinoid tumours.obstruction: malignant faecal impaction, narcotic bowel syndrome (severe constipation caused by opioid analgesia).faecal impaction resulting in diarrhoea as overflow.radiotherapy, particularly when involving the abdomen or pelvis.drugs including laxatives, antacids, antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs), chemotherapy agents, disaccharide-containing (sugar-free) elixirs, iron.It is important to remember that it can be an embarrassing symptom and impact on dignity, mood and relationships. Patients may describe diarrhoea as a single loose stool, frequent stools of normal or even hard consistency, or faecal incontinence, so careful clarification of the term is always required.ĭiarrhoea can be a distressing and exhausting symptom for both the patient and their carers. It can be defined as the passage of more than three unformed stools within a 24 hour period. Diarrhoea is the passage of frequent loose stools with urgency. ![]()
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