An increase in frequency of defecation, urgency, or decrease in stool consistency (typically >3 loose stools per day) for >4 weeks (1,2)
Abnormal form is the most important de...
Detailed history of symptoms (1,2):
Onset, pattern, and frequency
Stool volume and quality (including presence of blood or mucus)
Presence of nocturnal symptoms
Travel history
Antibiotic...
Volume resuscitation if necessary
Electrolyte replacement if indicated
If stable, treatment is generally outpatient (2)[C].
Based on underlying cause:
Lacto...
Low FODMAP (fermentable oligosacc...
Camilleri M, Sellin JH, Barrett KE. Pathophysiology, evaluation, and management of chronic watery diarrhea. Gastroenterology. 2017;152(3)515–532.e2. [View Abstract on OvidMed...
A comprehensive medical history guides the appropriate workup and avoids unnecessary testing.
Consider IBS, IBD, malabsorption syndromes (e.g., lactose intolerance), celiac disease, ove...
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