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According to the pathogenesis, diarrhea can be divided into three types: exudative, osmotic, and secretory. Exudative diarrhea: inflammation of the intestinal mucosa.
A large amount of mucus, pus, and blood is exuded, and the above inflammatory exudate increases, and the intestinal osmotic pressure increases.
Elevated, rapid intestinal peristalsis causes diarrhea, such as extensive damage to the intestinal mucosa, electrolytes.
Impaired absorption of water and solutes. Osmotic diarrhea: caused by incomplete digestion and decomposition of hyperosmolar drugs and food, such as congenital lactose intolerance, chronic pancreatitis, liver disease, biliary obstructive disease, pancreatic insufficiency, insufficient secretion of pancreatic juice, and decreased bile secretion, fat, protein, carbohydrates, etc.
It cannot be completely decomposed and absorbed. Secretory diarrhoea: The gastrointestinal tract secretes too much water and electrolytes and causes diarrhoea, and the small intestine and colon secrete salts and water beyond their absorption capacity.
Classification according to the ** element:
Infectious diarrhea – caused by viruses, bacteria, or parasites.
etc. Non-infectious diarrhea – caused by medications, foods, allergies, etc.
Classification according to pathogenesis:
Exudative diarrhea: caused by inflammation, ulcers.
and other lesions disrupt the integrity of the intestinal mucosa, resulting in a large amount of exudate.
Osmotic diarrhea: a large amount of non-absorbable solute increases the osmotic pressure in the intestinal lumen, and a large amount of fluid passively enters the intestinal lumen.
Secretory diarrhoea: excessive or inhibited absorption of water and electrolytes from the gastrointestinal tract.
Gastrointestinal motility dysfunction diarrhea – Factors such as medications lead to increased bowel motility and decreased absorption of water and sugar.
After the occurrence of diarrhea, it is necessary to determine the type of diarrhea in time, and take a targeted approach to diarrhea.
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Xiao Sun has always had a weak spleen and stomach, even with the digestive system is not very good, often have diarrhea, for this reason Xiao Sun has always paid more attention to the diet, but this time he got cold and began to have diarrhea, he also took the usual antidiarrheal drugs, but there was no effect. The doctor said that diarrhea is also classified, and there is no cure if there is no right medicine.
1. Acute diarrhea.
1. Common clinical manifestations of diarrhea.
1. Mild: often caused by dietary factors and extraintestinal infection. Onset may be abrupt or slow, with gastrointestinal symptoms predominantly with loss of appetite, occasional galactorrhea or vomiting, and increased stool frequency. There are no symptoms of dehydration and systemic poisoning, and most of them recover within a few days.
2. Severe: mostly caused by intestinal infection. In addition to severe gastrointestinal symptoms, there are also obvious dehydration, electrolyte and acid-base balance disorders such as hypokalemia, hypocalcemia and hypomagnesemia, metabolic acidosis, and systemic infection poisoning symptoms, such as fever, irritability or malaise, drowsiness, and even coma and shock.
Clinical features of diarrhea in a common type of enteritis.
1. Rotavirus diarrhea: It is the most common pathogen of children's diarrhea in autumn and winter in northern China, so it is also called autumn diarrhea. The disease is transmitted by fecal to oral transmission, with an incubation period of 1 to 3 days, mostly in infants and young children between 6 and 24 months, and rarely in people over 4 years old.
The onset is acute, often accompanied by fever and symptoms of upper respiratory tract infection, and there are no obvious symptoms of infection and poisoning. Vomiting often occurs in the first 1 to 2 days of illness, followed by diarrhea. The stool is frequent, large, and watery, and the yellow watery or egg-like stool has a small amount of mucus and no fishy odor.
It is often complicated by dehydration, acidosis, and electrolyte imbalances. The disease is self-limiting, vomiting gradually stops after a few days, diarrhea subsides, and children who do not feed milk recover more quickly, with a natural course of about 3 to 8 days. Occasionally, a small number of white blood cells may be found in the stool on microscopic examination, and a large amount of virus can be excreted from the stool 1 to 3 days after infection, up to 6 days after infection.
Serum antibodies are generally elevated 3 weeks after infection. The virus is difficult to isolate, and the virus can be detected directly by electron microscopy if conditions permit.
2. Enteritis caused by invasive bacteria including invasive Escherichia coli, Campylobacter jejuni, Yersinia bacteria, Typhimurium bacillus, etc.: it can occur all year round, mostly in summer. The incubation period varies in length.
Often causes Shigella malaria-like lesions. The onset is acute, and high fever can even cause febrile seizures. Diarrhea is frequent, the stool is mucus-like, pus-blooded, and has a fishy smell.
Nausea, vomiting, abdominal pain, and tenesmus are common, and severe symptoms of poisoning such as high fever, altered consciousness, and even septic shock may occur. Stool microscopy shows a large number of white blood cells and a variable number of red blood cells. Fecal bacterial culture can identify the appropriate pathogen.
For diarrhea, the general practice is to take some common antidiarrheal drugs, today I will introduce you to different types of diarrhea and its symptoms, I hope that the next time there is diarrhea, we can identify in advance, do not use drugs like Xiao Sun, not only has the best effect, but may also lead to the appearance of ***, delaying the condition.
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What are the main classifications of diarrhea? Compared with other diseases, diarrhea is more familiar to us, because diarrhea is very common, but when it comes to the causes of diarrhea, many people may be partially understood, in fact, there are many reasons for diarrhea, so what are the main classifications of diarrhea?
Causes. 1.Intestinal infections of acute diarrhea, including food poisoning, are the most common causes of acute diarrhea and can be divided into:
1) Bacterial infection:
Bacillary dysentery: acute onset, often chills, fever, abdominal pain, diarrhea and tenesmus, may be accompanied by nausea and vomiting. Diarrhoea is characterized by mucopus, bloody stools, varying in frequency per day.
Under the microscope, a large number of red blood cells and white blood cells were found in the stool, and dysentery bacilli could be found in the stool culture.
Salmonella infection: often with a history of unclean diet, often with abdominal distention, abdominal pain and diarrhea. The stool is mainly loose or watery, with little pus and blood, and the stool varies from 3 to 5 times a day. Stool culture may reveal pathogenic bacteria (e.g., Salmonella or Typhoid bacilli).
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Answer]: A Characteristics of Stove God Mausoleum of secretory pre-blind diarrhea: the amount of diarrhea is large, more than 1L per day; watery stool, no pus and blood; Persistent diarrhea after 48 hours of fasting; The stool is alkaline or neutral.
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1. Infectious diarrhea. The main causes of infectious diarrhea are:
1. Bacterial infection, taking food or drink contaminated with bacteria can cause bacterial diarrhea (common bacteria include Vibrio cholerae, bacillus dysentery, typhoid bacillus, salmonella, etc.);
2. Viral infection, which causes viral diarrhea after being infected with the virus through food or other means (common viruses are rotavirus, coxsackievirus, echovirus, etc.).
2. Non-infectious diarrhea. The main causes of non-infectious diarrhea are:
1. Acute toxic diarrhea caused by ingestion of undercooked or spoiled food;
2. Diarrhea caused by gastrointestinal indigestion caused by eating raw and cold food and beverages;
3. Diarrhea caused by accelerated intestinal peristalsis caused by cold;
4. Diarrhea caused by gastrointestinal tumors or diseases.
Can I take antidiarrheal medication for diarrhea?
No. The first step most people take when they have diarrhea is to take antidiarrheal medications, but this is not true. Because for infectious diarrhea, similar to coughing, diarrhea at this time is actually a protective mechanism for the body, which can discharge harmful bacteria, viruses and toxins produced in the intestines, which has certain benefits for the human body.
If you take antidiarrheal drugs just after diarrhea, the toxins may not be fully excreted and cause poisoning symptoms. It is easier to cover up the condition and affect the doctor's judgment.
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Hello, diarrhea can be divided into acute diarrhea and chronic diarrhea, and secondly, according to the condition, it can be divided into mild, moderate and severe. Reasonable diet, strengthen nutrition, supplement vitamins and trace elements, etc., make it clear that the condition is treated under the guidance of a physician, and avoid missing the period. Wishing you good health!
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Diarrhea can be short-term, prolonged, acute and chronic.
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What are the common causes of diarrhea in children? The doctor told the truth.
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