Gas and watery stools: Wet farts (watery flatulence): Causes and prevention
Wet farts (watery flatulence): Causes and prevention
Watery flatulence, or wet farts, is when liquid passes out alongside air during a fart. This liquid could be mucus or watery stool
Also known as wet farts, watery flatulence may be due to what a person has eaten or drunk. An underlying health condition may also be the cause of wet farts, for example, a digestive disorder.
Read on to learn more about the different causes of watery flatulence and how to prevent it.
Flatulence, or farting, happens when gas from the intestines passes out through the rectum.
Farting is a daily and normal function of the body. It may happen if bacteria in the gut are not able to digest food properly before it reaches the colon.
Flatulence also happens when people swallow excess air. This can occur when someone chews gum, eats quickly, or drinks carbonated drinks.
Watery flatulence is when a fart feels wet because mucus or some watery stool passes out alongside gas. There are a number of causes of watery flatulence.
Wet farts may occur due to something a person has consumed. Other times, wet farts may be a symptom of an underlying health condition.
Read on to discover the various causes of watery flatulence.
Some medicines may cause watery flatulence and loose stools. Medications that may increase flatulence and could lead to wet farts include:
- certain antibiotics
- cholestyramine (for high cholesterol)
- orlistat (Xenical)
- medicines that contain sorbitol
As well as being an ingredient in some drugs, manufacturers also use sorbitol to sweeten sugar-free sweets. Sorbitol may increase flatulence.
If a person has a lactose intolerance, eating dairy products may cause them to have watery flatulence.
Lactase is the enzyme in the body that breaks down the lactose found in dairy products. People who are lactose intolerant do not produce enough lactase to digest lactose properly.
Eating dairy products may cause a person with a lactose intolerance to have digestive issues and flatulence.
People who have celiac disease or an intolerance to gluten may experience stomach discomfort after eating gluten. This may lead to watery flatulence.
Other symptoms a person with a gluten intolerance may notice after eating gluten include:
- diarrhea or constipation
- numbness or tingling in the arms, legs, or fingers
- itchy skin rash
- joint pain
Learn more about the signs of gluten intolerance.
Irritable bowel syndrome and other digestive disorders
Irritable bowel syndrome (IBS) affects the digestive system. IBS may cause flatulence and mucus to pass out of the rectum.
Other IBS symptoms include:
- stomach pain and cramps
- aching back
- lack of control over bowel movements
- urgent or frequent need to urinate
- diarrhea or constipation
Learn how to cope with IBS.
Other conditions affecting the gastrointestinal system may also cause watery flatulence. These conditions include inflammatory bowel disease and Crohn’s disease.
Although rare, cancer of the rectum is another possible cause of watery flatulence.
Pelvic surgery or treatment
Pelvic surgery or treatment may lead to watery flatulence or accidental leakage from the bowels. This normally only affects a person while they are recovering from their treatment.
Radiation therapy around the pelvic area is one form of treatment that may cause this symptom.
Conditions that affect nerve function
Certain health conditions that interfere with nerve function around the rectum may lead to watery flatulence. Impaired nerve function in this area of the body may reduce feeling and control over bowel movements.
Conditions that may affect nerve function around the rectum include:
- multiple sclerosis
Some infections can cause people to have loose stools or diarrhea. If someone has gas while they have diarrhea, it may come out as a watery fart.
Share on PinterestBabies tend to pass a lot of gas when they feed.
Wet farts may be a sign that a toddler or child is experiencing one of the health conditions this article explores above. A parent or carer can make a note of any related symptoms and speak to a doctor about the possible cause.
Watery stools and wet farts are normal for newborn babies. This is because they are not yet eating solids and their digestive system is still developing.
It is difficult for a newborn baby’s digestive system to break down:
For this reason, when a newborn baby feeds, they may pass a lot of gas and mucus.
If a baby is on breastfed milk, their stools will be loose and runny. If a baby is on formula milk, their stools will be thicker with a consistency similar to peanut butter.
If a baby has wet farts alongside other symptoms, they may have diarrhea. Symptoms of diarrhea include:
- mucus in stool
- blood in stool
- bad or unusual smell
- sudden increase in stools
- stools become looser than usual for two or more stools
Wet farts or stools may be a sign of a lactose overload. Lactose overload may happen when an infant has long or over frequent feeds that cause too much lactose in the digestive system.
Babies who are 3 months or younger are most likely to experience lactose overload. However, lactose overload may affect babies up to 5–6 months old.
Symptoms of lactose overload include:
- frothy, sloppy, or explosive stools
- foul smell to stools
- excessive and foul smelling farts
- baby seems to be continuously hungry
- large weight gain or bloating
People may be able to prevent wet farts by supporting their digestive system in the following ways:
- avoiding lactose and gluten to see if symptoms improve
- avoiding carbonated drinks
- chewing food thoroughly
- avoiding chewing gum
- eating slowly and mindfully
- avoiding foods high in fructose, such as figs, dates, or prunes
- avoiding sugar-free sweets
- avoiding greasy, fatty, or overly spicy foods, which can be harder to absorb
If people have loose stools alongside watery farts, increasing fiber intake slowly may help to better manage bowel movements. Experts recommend a daily fiber intake of 20–35 grams.
Increasing fiber consumption suddenly may cause bloating or stomach pain. People can gradually increase their fiber intake over several days by eating more:
- whole grains
Share on PinterestA person should see a doctor if they are experiencing wet farts for no known reason.
If wet farts are happening regularly with no known reason, it is a good idea to see the doctor. The doctor can diagnose any underlying health condition that may be causing watery flatulence.
To reach a diagnosis, the doctor may carry out a physical examination and ask about:
- foods and drinks a person has recently consumed
- any history of digestive issues
The doctor may also carry out the following tests:
- ultrasound or CT scan of the abdomen
- blood tests to check for celiac disease
- breath tests
The doctor may ask a person to keep track of the food and drink they eat. This helps identify any link between certain foods and digestive issues.
The doctor may also ask a person to record the number of times they pass gas or experience a wet fart over the course of 3 days. This can help the doctor see if there is anything abnormal happening.
People should see a doctor straight away if they have wet farts alongside any of the following symptoms:
- blood in stools
- unexplained weight loss
- swelling or hard lump in the stomach
- feeling short of breath
- paler skin
Wet farts are normal in newborn babies as their digestive systems are still developing. In older children or adults, occasional wet farts can be a normal bodily function. Watery flatulence may be due to a stomach upset or something a person has eaten or drunk that day.
If a person experiences wet farts on a regular basis or has other symptoms alongside wet farts, they should see their doctor. Watery flatulence could indicate a digestive disorder or underlying health condition.
Causes, Prevention, Newborn, Baby, and More
What are wet farts?
Whether you call it gas, flatulence, or farts, passing gas is a normal part of a person’s daily bodily functioning. Typically, farts are caused by excess air that is swallowed. This can be from chewing gum, smoking, or taking in excess air while eating.
It can also be caused by eating foods like beans and broccoli. They can release extra gases that cause too much air to build up in the intestines.
Sometimes you may experience a fart that isn’t just air escaping. This is the case for a “wet” fart. The sound may have a bubbling or liquid quality to it or be accompanied by liquid stool. Wet farts can indicate an underlying medical condition.
Typically, the anus releases extra gas from the rectum without any stool releasing. However, when a person makes a wet fart, there is some kind of fluid or mucus present in the rectum that is either released with the gas or makes additional noise when the gas is passed.
There are several reasons why this could happen.
Sometimes when a person is sick from a bacteria or virus affecting their stomach, food may pass through the digestive system very quickly and come out as watery stool (diarrhea). When a person passes gas, the watery stool can cause a wet fart.
If a person eats a food that irritates their digestive tract or that can’t be absorbed by it, they may be more likely to experience a wet fart.
Examples include eating lactose-containing foods when they’re lactose intolerant. Drinking too much prune juice can also stimulate the bowels excessively.
If you’ve pooped recently and have a wet fart shortly after, this could indicate that you hadn’t fully emptied your bowels.
Sometimes a person may have a disorder that causes bowel irritation and chronic diarrhea. Examples include inflammatory bowel disease, Crohn’s disease, and ulcerative colitis.
Medication side effects
Taking a new medication can be irritating to the digestive tract and lead to diarrhea and wet farts. However, you shouldn’t stop taking a medication without your doctor’s okay unless it causes a severe allergic (anaphylactic) reaction.
Severe stress can cause abdominal cramping, and that, in turn, can make digested food pass more quickly through the digestive tract.
Babies and children can also have problems with wet farts.
As a parent or caretaker, you may notice the child’s diaper or underwear has stains on it even if a formed stool isn’t present. This can be especially common for babies because their stools don’t start becoming more solid until their diet changes to solid foods. As a result, they’re more likely to have wet farts.
While this isn’t usually harmful to your baby, you should check their diaper after each fart to ensure the stool won’t irritate baby’s bottom.
For an older child, wet farts can be less common and so are more likely to indicate one of the conditions listed above. This can include possible infection, problems digesting certain foods, or difficulty with a new medication.
Preventing wet farts often depends on the underlying cause. If you’re having diarrhea most days of the week or frequent stomach upset, you should see your doctor.
However, there are some ways to maintain bowel regularity and reduce the likelihood that stool will be liquid, including the following.
Increase fiber intake
Slowly introducing more fiber into your diet can help to solidify stool. Examples of fiber-containing foods include:
- whole grains
Increasing your water intake while you boost fiber intake can help promote better digestion. Ideally, you will take in 20 to 30 grams of fiber a day.
Avoid foods known to cause stomach irritation
Lactose- and gluten-containing foods are two examples of foods known to cause stomach irritation. However, there are many more foods, drinks, and spices that can lead to stomach upset and that might contribute to wet farts. Keep a food diary to figure out what foods cause you digestive issues.
Talk to your doctor about digestive enzymes
Sometimes you may be able to take digestive enzymes to promote the digestion of foods known to cause stomach problems, such as lactose.
Make sure you completely empty your bowels
Sitting on your toilet an extra two to five minutes could ensure you’ve completely gone to the bathroom, making a wet fart due to retained stool less likely.
Just as there are beneficial ways to prevent wet farts, there are potentially harmful ones. For example, don’t cut back on drinking water to try to reduce the wet or watery nature of the flatulence. This isn’t an effective approach and can also leave you dehydrated.
Occasional wet farts are to be expected. They usually indicate gastrointestinal upset. But if wet farts continue to occur on a chronic basis, you should talk to your doctor about potential treatments.
Flatulence with diarrhea | Motilegaz®
Date last updated: 05/01/2022
Average reading time: 6 minutes
Bloating, rumbling and increased gas can cause discomfort and distract from important matters. And if complaints are also accompanied by a violation of the stool, this is already a “double blow” to your well-being and your plans. Why flatulence occurs with diarrhea and how to cope with unpleasant symptoms – we will tell in the article.
Causes of flatulence in diarrhea
The intestines of a healthy person normally contain about 200 ml of various gases 2 . If the intensity of gas formation prevails over the ability of the gastrointestinal tract (GIT) to remove gases 3 , the volume of the latter may increase 3 times 2 . As a result, a condition develops, which in medicine is called flatulence.
Flatulence is a subjective sensation of fullness, fullness in the abdomen, which may be accompanied by0019 2. 4 :
- rumbling and transfusion feeling;
- increased gas from the rectum;
- measurable (objective) increase in abdominal circumference.
From time to time, bloating bothers many people, especially after heavy and hard to digest food. In this case, the bloating may be uncomfortable, but usually resolves after a few hours and does not pose a health risk 1 . But sometimes flatulence is a symptom of diseases of the intestines and other organs of the gastrointestinal tract, for example, the stomach, pancreas, liver and biliary tract 2 .
Next, consider those cases in which bloating is combined with diarrhea (diarrhea), that is, the release of liquid or semi-liquid stool more than 3 times a day 5 .
Dietary habits and alcohol
If flatulence and diarrhea bother you after eating, check the refrigerator first. The foods in your diet affect both the density of the stool and the amount of gas that is formed in the digestive tract 3 .
Bloating and loose stools may occur with frequent or excessive consumption of gas producing foods such as: 3.6
- apples and pears;
- onion and garlic;
- whole milk and fermented milk products;
- fresh bread, grapes, kvass;
- sweet drinks;
- dietary products based on sweeteners;
- coffee and energy drinks.
Diarrhea often occurs with alcohol abuse, which accelerates the transit (movement) of food through the intestines, reduces the activity of some enzymes in the small intestine and the function of the pancreas 6 . Because of all these changes after alcohol consumption, flatulence and diarrhea are possible.
Intestinal bacteria are by no means a passive part of the gastrointestinal tract. The microflora takes an active part in digestion, absorption of nutrients and the formation of feces. Bacteria work in close cooperation with the intestines and therefore are able to regulate the volume and density of feces, the speed of their movement, as well as the frequency of stools 6 .
The large intestine is mainly inhabited by fermentative and putrefactive bacteria, and the activity of this gas-producing flora depends on the food we eat. So, fibers from plant foods and all sweet things are processed by fermentation, and proteins – by decay 3 .
Normally, the intestinal microbiota is also involved in the utilization of excess gases. But if its composition is violated, the number of gas-forming bacteria and, accordingly, gases increases. At the same time, intestinal microorganisms do not have time to utilize gases, and the latter are excreted in one of two ways 13 :
- absorbed into the blood and excreted during respiration;
- move forward and are removed through the rectum.
In case of diarrhea, when the food bolus passes through the intestines faster than usual, gases do not have time to be absorbed into the blood – this is one of the reasons why bloating accompanies diarrhea 3 .
Even if you drastically reduce the amount of food consumed or arrange a fasting day, gas formation will still occur in the intestines. Left without food from the outside, bacteria begin to digest internal products in the intestine, releasing the so-called “hungry gases” 12 .
Irritable bowel syndrome
Irritable bowel syndrome (IBS) is popularly called “bear stool”, that is, diarrhea due to stress. Indeed, the psychological factor plays an important role in the development of this bowel disorder 8 .
IBS is quite often manifested by diarrhea accompanied by abdominal pain and flatulence. Characteristically, these complaints usually resolve after a bowel movement 6.7 .
Acute infectious enteritis (inflammation of the small intestine) may present with severe bloating and distension in the early stages of the disease, often before the onset of diarrhea 1 . The cause of unstable loose stools and flatulence can also be an acute infection with worms, Giardia or their chronic carriage 6 .
Loose stools in intestinal infections are the result of exposure to special bacterial toxins (enterotoxins), which increase the excretion of water in the intestines 5 .
Digestive enzyme deficiency
The pancreas is the main “supplier” of digestive enzymes to the small intestine, but when it is inflamed (in pancreatitis), its secretion of juice is impaired. Due to the lack of digestive enzymes after a meal, the intestines begin to “boil” – a lot of gases are formed and loosening of the stool is observed 6 .
Symptoms of excessive gas formation can also appear with a deficiency of the enzyme lactase, which is produced in the small intestine and in the pancreas. Without lactase, the breakdown of milk sugar (lactose), which is contained in large quantities in milk products, is disrupted. With lactase deficiency, intolerance to these products develops – they can cause not only bloating, but also abdominal pain with diarrhea 2 .
Celiac disease is a disease that occurs due to an increased sensitivity of the immune system to a special food protein – gluten. The disease develops in genetically predisposed people 6 . In this condition, the transit of food through the gastrointestinal tract is accelerated 9 .
Celiac disease in adults is often silent and can be limited for a long time by mild abdominal pain, flatulence and rare episodes of diarrhea 6 .
Intestinal dysfunction may accompany or be one of the manifestations of diseases of the thyroid gland, adrenal glands and pancreas, in which the hormonal balance in the body is disturbed. The causes of bloating and diarrhea in this case depend on the specific disease. For example, diarrhea associated with increased thyroid function is most often caused by too rapid motility (intestinal motility) 6 .
In healthy women, bloating and stool disorder often occur or become more pronounced during the premenstrual period 1 .
Gas symptoms can accompany most gastrointestinal disorders 3 . To find out the cause of the complaints, it is important to tell the doctor the following information:
- how long ago the symptoms started 10 ;
- whether they are associated with the consumption of any food 10 ;
- what time of day is bloating and diarrhea more common 10 ;
- how often bowels are emptied per day 6 ;
- whether the properties of the stool have changed – its consistency, color or smell 6 ;
- whether there is blood, mucus or particles of undigested food in the stool 6 ;
- Are you worried about false urges, a feeling of incomplete emptying of the bowels, or an increase in body temperature 6 .
Prevention and treatment
The first thing to do in case of flatulence and diarrhea is to consult a specialist. Self-medication can harm the body, since the right therapy is always aimed at eliminating the cause, and then at relieving unpleasant symptoms 2 .
If your doctor has determined that bloating and frequent stools are due to poor diet, get ready to change your diet.
In case of flatulence, it is recommended to limit or exclude foods that increase gas formation from the diet 3 :
- whole milk;
- vegetables and fruits with coarse fibres;
- fresh flour products;
- fatty meats and sausages, fried foods;
Fermented milk products are best consumed in small quantities, taking into account individual tolerance 2 .
When eliminating any foods from the diet, keep in mind that each person may react differently to the product. If it causes bloating in one person, it may not cause symptoms in another 3 .
The best solution is to discuss your diet with your doctor.
Depending on the causes of diarrhea and bloating, different groups of drugs can be used, for example 2 :
- probiotics – to eliminate dysbacteriosis;
- antibacterial agents – for intestinal infection;
- antidiarrheals – for severe diarrhea;
- preparations containing pancreatic enzymes, if flatulence is due to their deficiency;
- antiflatulents – to relieve bloating.
To reduce the unpleasant symptoms of flatulence, your doctor may recommend drugs based on simethicone 2 , such as Motilegaz® Forte. 11
After taking the active ingredient Motilegaz® spreads over the surface of the foam film, which contains gases. As a result, there is a rapid outflow of fluid and the destruction of this film, and the released gas bubbles are absorbed into the blood through the intestinal wall or excreted from the gastrointestinal tract through the rectum. 11
Simethicone in the composition of Motilegaz® Forte is not absorbed in the intestine and is excreted from the body unchanged 11 .
Intestinal disorders are often manifested by flatulence and diarrhea, significantly affecting well-being and the usual rhythm of life. If several symptoms are bothering you, you may need to take different medications, but for treatment to help, it is important to identify the cause of bloating and diarrhea. This can only be done by a specialist. He also prescribes medication, which is aimed at eliminating the cause, facilitating the removal of gases and restoring the regularity of the stool.
- Malagelada JR, Accarino A, Azpiroz F. Bloating and Abdominal Distension: Old Misconceptions and Current Knowledge. Am J Gastroenterol 2017.
- Nogaller A. Flatulence: causes and treatment // Vrach. – 2016. – no. 7 – p. 6-8. URL: https://cyberleninka.ru/article/n/meteorizm-prichiny-i-lechenie
- Pakhomovskaya N. L., Venediktova M.M. Flatulence: causes and ways of correction. Pediatrics (Appendix to the journal Consilium Medicum). 2017; 2:32–36.
- Lacy BE, Mearin F, Chang L, Chey WD, Lembo AJ, Simren M, Spiller R. Bowel Disorders. Gastroenterology 2016. 150(6), 1393–1407
- Martynov A.I., Kokorin V.A. Evidence-Based Internal Medicine 2018 [Electronic resource] // Author’s edition, 2018. – 1680 p. – ISBN 978-83-743-0566-2 – URL: https://empendium.com/ru/chapter/B33.I.1.2.
- Sarsenbaeva AS, Lazebnik LB Diarrhea in adults. Clinical guidelines. Project. Experimental and clinical gastroenterology. 2020;178(6): 4–41.
- Practical Guidelines of the World Gastroenterological Organization. Irritable Bowel Syndrome: A Global Perspective. 2015. URL: https://www.worldgastroenterology.org/UserFiles/file/guidelines/irritable-bowel-syndrome-russian-2015.pdf
- Abdominal pain and visceral hypersensitivity in patients with irritable bowel syndrome. Rome IV criteria and clinical practice / Ardatskaya M. D., Topchiy T.B. – M.: Prima-Print, 2017. – 63 p.
- Lacy BE, Cangemi D, Vazquez-Roque M. Management of Chronic Abdominal Distension and Bloating. Clinical Gastroenterology and Hepatology. 2020
- Abraczinskas D. Overview of intestinal gas and bloating. Official reprint from UpToDate. 2020
- Instructions for use of the drug Motilegaz Forte® capsules// Reg. number LP-005861-181019// GRLS RF. – URL: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=cf7fc018-ba1a-4021-bfb4-365907206922&t=
- Potupchik T., Veselova O., Evert L., Kovalskaya V., Svinko I. Preparation of patients for diagnostic studies of the gastrointestinal tract. Vrach. 2017. No. 9. URL: https://cyberleninka.ru/article/n/podgotovka-patsientov-k-diagnosticheskim-issledovaniyam-zheludochno-kishechnogo-trakta
- Tkach S. M. Flatulence and flatulence as causes of abdominal discomfort and reduced quality of life // Berezen . – 2013. – No. 6 (307). – S. 68-70. https://www.health-ua. com/pics/pdf/ZU_2013_06/68-70.pdf
Treatment of the gastrointestinal tract – Services
Digestive diseases are by far the most common of all diseases of the internal organs. The “field of responsibility” of gastroenterology is the treatment of diseases of the esophagus, stomach, pancreas, intestines, gallbladder and liver.
Digestion – the process of mechanical and chemical processing of food, as a result of which nutrients are absorbed and assimilated by the body, and decay products and undigested products are removed from it.
Digestion is the initial stage of metabolism. With food, a person receives energy and all the necessary substances for the renewal and growth of tissues. However, the proteins, fats and carbohydrates contained in food, as well as vitamins and mineral salts, are foreign substances for the body and cannot be absorbed by its cells. First, these substances must be converted into smaller molecules that are soluble in water and lack specificity. This process takes place in the digestive tract and is called digestion. The causes of indigestion are insufficient secretion of gastric juice or a violation of the evacuation of contents due to a pathological process in any organ of the digestive system.
Manifestations of indigestion: loss of appetite, feeling of heaviness, fullness in the epigastric region, nausea, sometimes vomiting, diarrhea or constipation, bloating.
Symptoms of gastrointestinal diseases:
- colicky or aching girdle pain, headaches, irritability;
- dyspeptic disorders:
- appetite disorder
- bad taste in the mouth
- stool retention
- frequent loose stools
Causes of diseases of the gastrointestinal tract
The modern rhythm of life, constant stress, unhealthy diet, unfavorable environmental conditions – all this has an extremely negative effect on the state of the human body, including the functioning of the gastrointestinal tract.
The number of patients with chronic gastroenterological diseases is growing every year. And often the cause of the flow of the disease into a chronic form is self-medication.
Do not self-medicate! This will only aggravate the course of the disease, bringing only a temporary improvement in the condition.
Dyspepsia is a collective term for digestive disorders of a functional nature arising from insufficient secretion of digestive enzymes or poor nutrition.
Dyspepsia is distinguished:
Fermentative dyspepsia is associated with excessive consumption of carbohydrates (sugar, honey, flour products, fruits, grapes, peas, beans, cabbage, etc.), as well as fermentation drinks (kvass). As a result, conditions are created in the intestine for the development of fermentative flora.
The cause of putrefactive dyspepsia is the consumption of predominantly protein foods, especially lamb, pork meat, which is digested more slowly in the intestines. Sometimes putrefactive dyspepsia occurs due to the use of stale meat products in food.
Fatty dyspepsia occurs as a result of excessive consumption of slowly digested, especially refractory, fats (pork, lamb). Dyspepsia may accompany gastritis, pancreatitis.
Symptoms of dyspepsia
- Fermentative dyspepsia – bloating, rumbling in the intestines, release of a large amount of gases; frequent, faintly colored loose, frothy, sour-smelling stools.
- Putrid dyspepsia – diarrhea with a rich dark color of feces and a putrid odor. Against the background of general intoxication with decay products, patients often complain of a deterioration in appetite, weakness, and a decrease in efficiency.
- With fatty dyspepsia, stools are light, plentiful, with a greasy sheen.
Treatment of dyspepsia
Drug therapy includes enzyme preparations.
As a symptomatic treatment of dyspepsia, the following drugs can be used: Almagel, Maalox and other acid-reducing agents; drugs that reduce gastric secretion – omeprazole, ranitidine, famotidine, etc. ; enzyme preparations – acidinpepsin, abomin, pancreatin, etc.; prokinetics – motilium, etc.; preparations for the restoration of microflora – bifikol, colibacterin and a number of other groups.
Normalization of nutrition plays a very important role in the treatment of dyspepsia.
Fasting is usually prescribed for 1–1.5 days, then:
It is necessary to identify and treat the underlying disease that caused dyspepsia! All kinds of folk remedies can relieve the symptoms, but the reason why they arose will not be removed! The disease will manifest itself again and again, and the disease that caused it will go into a chronic stage, in which the treatment will be much more difficult or not beneficial at all.