How to get rid of watery diarrhea. Effective Treatment Options for Watery Diarrhea: Comprehensive Guide
How can you effectively treat watery diarrhea at home. What are the best methods to prevent dehydration during diarrhea. Which dietary changes can help alleviate diarrhea symptoms. When should you seek medical attention for persistent diarrhea.
Understanding Watery Diarrhea: Causes and Symptoms
Watery diarrhea is a common gastrointestinal issue characterized by frequent, loose, and watery stools. It can be caused by various factors, including viral or bacterial infections, food intolerances, medications, or underlying health conditions. Recognizing the symptoms is crucial for effective treatment.
Common symptoms of watery diarrhea include:
- Frequent, loose, watery stools
- Abdominal cramps or pain
- Nausea
- Fever (in some cases)
- Bloating
- Urgency to have a bowel movement
Hydration: The First Line of Defense Against Diarrhea
Dehydration is a significant concern when dealing with watery diarrhea. Replacing lost fluids and electrolytes is crucial for recovery and preventing complications. But how can you effectively rehydrate during a bout of diarrhea?
Here are some hydration strategies:
- Drink plenty of water throughout the day
- Consume clear broths or soups to replenish electrolytes
- Opt for fruit juices or sports drinks in moderation (be mindful of sugar content)
- Consider oral rehydration solutions like Pedialyte, especially for children
Is water alone sufficient for rehydration during diarrhea? While water is essential, it may not be enough on its own. Your body also needs electrolytes and minerals like sodium and potassium to recover fully. This is why incorporating electrolyte-rich fluids into your hydration plan is crucial.
The BRAT Diet: A Gentle Approach to Digestive Recovery
When dealing with watery diarrhea, adopting a bland diet can help ease symptoms and support digestive recovery. The BRAT diet is a popular approach, but what does it entail?
The BRAT diet consists of:
- Bananas
- Rice (white)
- Applesauce
- Toast (white bread)
These foods are easy to digest and can help firm up stools. However, the BRAT diet should not be followed for an extended period as it lacks essential nutrients. As you start to feel better, gradually reintroduce other bland foods to your diet.
Probiotics: Balancing Gut Health for Diarrhea Relief
Probiotics have gained attention as a potential treatment for diarrhea. These beneficial microorganisms can help restore balance to the intestinal tract. But how effective are probiotics in treating diarrhea?
Research suggests that probiotics may be beneficial in certain cases of diarrhea. A 2010 Cochrane review analyzing 63 studies with approximately 8,000 participants found that probiotics appeared to help resolve diarrhea faster in 21 out of 100 people.
Probiotic options include:
- Capsules or liquid supplements available at pharmacies and health food stores
- Probiotic-enriched yogurts
- Fermented foods like kefir, sauerkraut, and kimchi
While promising, more research is needed to determine the most effective strains and dosages for treating diarrhea. It’s always best to consult with a healthcare provider before starting any new supplement regimen.
Over-the-Counter Medications: When and How to Use Them
Over-the-counter (OTC) medications can provide relief from diarrhea symptoms, but it’s essential to use them appropriately. Which OTC medications are commonly used for diarrhea, and when should you consider using them?
Common OTC medications for diarrhea include:
- Loperamide (Imodium)
- Bismuth subsalicylate (Pepto-Bismol, Kaopectate)
These medications can help reduce diarrhea frequency and improve stool consistency. However, they should not be used in cases of bloody diarrhea or if you suspect a bacterial infection. It’s crucial to follow the dosage instructions carefully and not exceed the recommended amount.
Are OTC medications safe for everyone? Children under 12, pregnant women, and individuals with certain medical conditions should consult a healthcare provider before using OTC diarrhea medications. These medications may not be suitable for everyone and could potentially mask more serious underlying conditions.
Natural Remedies: Complementary Approaches to Diarrhea Relief
In addition to conventional treatments, some natural remedies may help alleviate diarrhea symptoms. While scientific evidence varies, many people find relief from these complementary approaches. Which natural remedies are commonly used for diarrhea?
Popular natural remedies for diarrhea include:
- Chamomile tea: Known for its anti-inflammatory properties
- Peppermint: May help soothe digestive discomfort
- Ginger: Can help reduce nausea and inflammation
- Psyllium husk: A source of soluble fiber that can help firm up stools
It’s important to note that while these remedies may provide relief for some individuals, they are not substitutes for proper medical care. Always consult with a healthcare provider before trying new treatments, especially if symptoms persist or worsen.
When to Seek Medical Attention: Recognizing Severe Symptoms
While most cases of watery diarrhea resolve on their own within a few days, some situations require prompt medical attention. How can you determine if your diarrhea warrants a visit to the doctor?
Seek medical care if you experience:
- Diarrhea lasting more than 3 days
- Signs of severe dehydration (extreme thirst, dark urine, dizziness)
- Bloody or black stools
- Severe abdominal pain
- Fever above 102°F (39°C)
For infants and young children, consult a pediatrician if diarrhea lasts more than 24 hours or is accompanied by signs of dehydration, such as dry mouth, lack of tears, or decreased urination.
Diagnostic Procedures for Persistent Diarrhea
If you seek medical attention for persistent diarrhea, your healthcare provider may recommend certain diagnostic procedures to determine the underlying cause. These may include:
- Stool sample analysis
- Blood tests
- Colonoscopy or endoscopy in some cases
These tests can help identify bacterial or parasitic infections, inflammatory bowel diseases, or other gastrointestinal disorders that may be causing your symptoms.
Prevention Strategies: Minimizing the Risk of Watery Diarrhea
While it’s not always possible to prevent diarrhea, certain strategies can help reduce your risk. What are some effective ways to minimize the chances of developing watery diarrhea?
- Practice good hand hygiene: Wash hands thoroughly with soap and water, especially before handling food and after using the bathroom
- Ensure food safety: Cook foods thoroughly, avoid raw or undercooked meats, and be cautious with dairy products
- Use clean water: When traveling, stick to bottled water and avoid ice cubes made from tap water
- Be mindful of medications: Some antibiotics and other medications can cause diarrhea as a side effect
- Manage stress: High stress levels can impact digestive health
By incorporating these preventive measures into your daily routine, you can significantly reduce your risk of experiencing watery diarrhea.
Traveler’s Diarrhea: Special Considerations
Traveler’s diarrhea is a common concern for those visiting countries with different sanitation standards. How can you protect yourself when traveling?
- Be cautious with local water sources, including ice and raw vegetables washed in tap water
- Stick to bottled or boiled water
- Avoid street food and unpasteurized dairy products
- Consider probiotics or preventive medications as recommended by your healthcare provider
These precautions can significantly reduce your risk of developing traveler’s diarrhea and ensure a more enjoyable trip.
Long-Term Management: Dealing with Chronic Diarrhea
For some individuals, watery diarrhea may be a recurring or chronic issue. In these cases, long-term management strategies are essential. How can you effectively manage chronic diarrhea?
Long-term management approaches may include:
- Identifying and avoiding trigger foods
- Working with a dietitian to develop a personalized nutrition plan
- Stress management techniques, such as meditation or yoga
- Regular exercise to support overall digestive health
- Ongoing communication with your healthcare provider to monitor and adjust treatment as needed
Chronic diarrhea can significantly impact quality of life, but with proper management and support, many individuals can find relief and maintain their overall well-being.
The Role of Dietary Fiber in Diarrhea Management
Dietary fiber plays a crucial role in digestive health, but its impact on diarrhea can be complex. How does fiber affect diarrhea, and should you adjust your fiber intake when experiencing symptoms?
The relationship between fiber and diarrhea:
- Soluble fiber can help absorb excess water in the intestines, potentially firming up stools
- Insoluble fiber may exacerbate diarrhea symptoms in some cases
- During acute diarrhea, it’s generally recommended to reduce fiber intake temporarily
- As symptoms improve, gradually reintroduce fiber-rich foods to support overall digestive health
Working with a healthcare provider or registered dietitian can help you determine the appropriate fiber intake for your specific situation.
The Impact of Diarrhea on Overall Health: Beyond Digestive Symptoms
While diarrhea primarily affects the digestive system, its impact can extend to other aspects of health. What are some potential consequences of prolonged or severe diarrhea?
Potential health impacts of diarrhea include:
- Nutrient deficiencies due to malabsorption
- Electrolyte imbalances
- Weakened immune system
- Fatigue and decreased energy levels
- Weight loss in severe cases
Understanding these potential impacts emphasizes the importance of prompt and effective treatment for diarrhea, as well as the need for comprehensive care that addresses overall health and well-being.
Psychological Effects of Chronic Diarrhea
The psychological impact of chronic diarrhea should not be overlooked. How can persistent digestive issues affect mental health and quality of life?
Psychological effects may include:
- Anxiety about social situations or travel
- Depression related to chronic symptoms
- Reduced self-esteem
- Stress from managing symptoms and treatment
Addressing these psychological aspects is crucial for comprehensive care. Mental health support, such as counseling or support groups, can be beneficial for individuals dealing with chronic diarrhea.
Emerging Research: New Frontiers in Diarrhea Treatment
The field of gastroenterology continues to evolve, with ongoing research into new treatments and management strategies for diarrhea. What are some promising areas of research in diarrhea treatment?
Emerging research areas include:
- Microbiome-based therapies, including advanced probiotics and fecal microbiota transplantation
- Targeted antibodies for specific forms of inflammatory diarrhea
- Novel drug delivery systems for more effective medication absorption
- Personalized treatment approaches based on genetic and microbiome profiles
While many of these approaches are still in the research phase, they offer hope for more effective and tailored treatments in the future. Staying informed about these developments can help patients and healthcare providers make informed decisions about treatment options.
The Role of Artificial Intelligence in Diarrhea Diagnosis and Management
Artificial intelligence (AI) is increasingly being applied to various areas of healthcare, including gastroenterology. How might AI contribute to the diagnosis and management of diarrhea?
Potential applications of AI in diarrhea care include:
- Analysis of stool samples for faster and more accurate pathogen identification
- Predictive models for identifying patients at risk of chronic diarrhea
- AI-powered apps for symptom tracking and personalized management recommendations
- Machine learning algorithms to optimize treatment protocols based on patient data
While these technologies are still developing, they have the potential to revolutionize how we approach diarrhea diagnosis and treatment, leading to more efficient and effective care.
Treatment Options for Diarrhea
Make Sure You Replace Fluids
Since diarrhea can lead to dehydration, it’s important to replace the fluids your body is losing. Drink plenty of water when you’re suffering from diarrhea. However, many times water will not be enough as it does not contain the salts, electrolytes, and minerals (such as sodium and potassium) that your body also needs to recover.
You can help replenish electrolytes by drinking fruit juices or sports drinks and eating soups with clear broth. However, pay attention to the amount of sugar in these drinks, as too much sugar can worsen diarrhea symptoms.
For children, talk to your pediatrician about oral rehydration solutions, such as Pedialyte, as a way to treat diarrhea and prevent dehydration.
If the diarrhea is severe, your doctor may determine that you need to be treated with fluid via intravenous therapy (IV). (1)
Eat a Bland Diet
A bland diet will be easy on your digestive system and can help ease diarrhea symptoms. A bland diet consists of foods that are soft, not spicy, and low in fiber. You should also avoid raw foods, fried foods, and drinks with alcohol or caffeine in them.
Some foods that are good to eat on a bland diet include bread, crackers, and pasta made with refined white flour; soup, especially broth; cooked, canned, or frozen vegetables; eggs; tofu; and lean, tender protein, such as poultry or whitefish, that is steamed, baked, or grilled with no added fat.
While you’re on a bland diet, foods that you may want to avoid include fatty or fried foods; raw vegetables; sugary foods; dried fruits or seedy fruits like berries or figs; whole-grain bread, crackers, or pasta; strong cheeses; spicy or strongly flavored items like hot peppers and garlic; and highly seasoned, cured, or smoked meats and fish. (2)
Talk to your doctor about when you should go back to eating other foods again.
Consider Taking Probiotics
Probiotics are microorganisms that can help restore balance to the intestinal tract by boosting the level of what doctors refer to as “good” bacteria. Probiotics are sold in pharmacies and health-food stores and can be taken in capsule or liquid form. They are also sometimes added to foods, such as certain brands of yogurt.
Studies show that taking probiotics might be helpful in treating certain cases of diarrhea.
More in Digestive Health
Can Probiotics Aid Digestive Health?
For example, in 2010 researchers from the Cochrane Collaboration analyzed 63 studies with about 8,000 total participants that looked at the effectiveness of probiotics for acute diarrhea.
The results showed that about 34 out of 100 people who didn’t take probiotics no longer had diarrhea after three days. Of the people who did take probiotics, 55 out of 100 were diarrhea free after three days. Another way to look at it is probiotics appeared to help diarrhea go away faster in 21 out of 100 people. (3)
However, more research is needed to better understand which strains of bacteria and what doses are most helpful.
RELATED: 3 Ways to Treat Diarrhea
What Is Diarrhea? Symptoms, Causes, Diagnosis, Treatment, and Prevention
Everyone suffers from diarrhea from time to time. Get the facts on the signs of diarrhea, what could be causing it, and what to do to feel better.
By Ashley Welch
Can Your Period Cause Diarrhea?
Though diarrhea is caused by the same bodily changes that cause period cramping, many women find it can be managed and prevented with medication.
By Diana Rodriguez
4 Tips to Prevent Traveler’s Diarrhea
Traveler’s diarrhea is the most common travel-related illness. It occurs most often in Asian countries, minus Japan, and can be treated with a number …
By Brian Mastroianni
Dehydration: A Complication That May Arise From Diarrhea
If diarrhea persists beyond a few days, it may lead to severe dehydration, which can cause serious health problems. Find out what to do and when to seek…
By Ashley Welch
3 Ways to Treat Diarrhea
Diarrhea usually clears up on its own in a few days, but more long-term cases may need extra care. Here’s how to stop and cure diarrhea.
By Beth W. Orenstein
Dos and Don’ts for Quick Relief of Diarrhea
If you’re suffering from diarrhea, a condition that can be caused by bacteria, viruses, medication, foods, or a digestive disorder, there are things to…
By Sheryl Kraft
Know the Symptoms of Diarrhea and When to See a Doctor
Occasional bouts of diarrhea are common and perfectly normal. But it’s important to know what to do when diarrhea is severe and when to seek medical attention…
By Ashley Welch
Diarrhea Prevention Strategies You Need to Know
Diarrhea, the passing of loose, watery stool accompanied by abdominal pain and cramping is never fun and can leave you feeling tired and drained of energy…
By Ashley Welch
FDA Urges Makers of Diarrhea Drug to Help Stop Abuse
In an effort to curb access to opioids, the FDA is requesting that makers of anti-diarrheal medication reduce the amount of pills sold in packages. Opioid…
By Linda Thrasybule
How to Keep Antibiotics From Causing Diarrhea
Antibiotics can upset the normal bacteria balance in the gut, causing diarrhea. Learn how to avoid or treat diarrhea as an antibiotics side effect.
By Beth W. Orenstein
What to Eat and What to Avoid When You Have Diarrhea
Occasional diarrhea is nothing to worry about. The causes of diarrhea can range from a stomach flu to a specific meal or ingredient you ate that didn’t sit well. Because certain foods can worsen symptoms, it’s good to know the foods you should eat when you have diarrhea — and what you should avoid. (1)
You want to eat plain, simple foods, especially in the first 24 hours, says Peter Higgins, MD, PhD, the director of the inflammatory bowel disease program at the University of Michigan in Ann Arbor.
“It is best to eat thicker, bland foods, including oatmeal, bananas, plain rice, and applesauce,” he says.
Avoid These Foods When You Have Diarrhea
As important as it is to know what to eat when you have diarrhea, you should also know which foods to avoid. Certain foods can travel through your intestines very quickly and aggravate your digestion, or worsen diarrhea in other ways.
Avoid the following for diarrhea relief:
- Fatty Foods These include foods that are fried, greasy, or covered in gravy, which can make diarrhea worse.
- Milk, Butter, Ice Cream, and Cheese Even if the diarrhea isn’t caused by lactose intolerance — a difficulty processing lactose, a sugar found in dairy products — stay away from these foods when you have diarrhea. You may be temporarily sensitive to dairy products, even if you usually have no problem with them. Probiotic-rich yogurt may be the one exception to this rule, as some studies have shown probiotics help rebalance intestinal flora and could shorten the duration of a bout of diarrhea.
- Alcohol and Sodas When you have diarrhea, you want to steer clear of foods and beverages that cause you to lose fluids. Alcohol can act as a diuretic, meaning it’s dehydrating, and should be avoided, Dr. Higgins says. Sodas with high-fructose corn syrup can also pose a problem if you have diarrhea. Large quantities of fructose can overwhelm your digestive system and lead to gas, bloating, or diarrhea. (4)
- Sorbitol and Other Artificial Sweeteners Some people find that artificial sweeteners have a laxative effect on their digestive system. If you have diarrhea, it’s best to pass on sugarless candy and gum, diet soft drinks, and sugar substitutes. Consuming sugars, including artificial ones, causes your intestines to produce more water and electrolytes, which can then loosen bowel movements and lead to diarrhea. (5)
- Foods That Cause Excess Gas It’s important to eat generous amounts of fruits and vegetables every day. But when diarrhea strikes, you want to avoid choices that are likely to increase intestinal gas, such as cabbage, beans, broccoli, and cauliflower, until you’re feeling better.
- Foods That May Be Spoiled Stay away from foods that may have been mishandled, including foods that have been out of the refrigerator for too long or improperly stored. Raw meat or fish can be problematic, too. Follow the old maxim, “When in doubt, throw it out,” and you may save yourself some stomach upset.
Other Strategies for Tackling Your Diarrhea
One of the more serious complications of diarrhea is dehydration. When you have diarrhea for any length of time, take steps to avoid becoming dehydrated by consuming enough liquids, Higgins says.
More in Digestive Health
3 Ways to Treat Diarrhea
“Look for liquids with sugar and salt — Pedialyte or full-salt soups work well,” he says. “If your urine is not clear, or you are not making much urine, you are not drinking enough.”
In terms of diarrhea treatment, Higgins says, if you don’t have an infection and are not seeing blood, you can take over-the-counter loperamide (Imodium) to slow your bowel movements. But this kind of medication should only be taken for a day or two.
If diet and simple remedies aren’t working, and if symptoms persist for more than a few days and include bleeding, gas, and bloating, you should see a doctor. Your doctor can determine whether the diarrhea is caused by a more serious condition, and can recommend treatment.
RELATED: When Diarrhea Is More Serious Than You Think
Additional reporting by María Villaseñor.
9 Signs of an Unhealthy Gut — and What You Can Do About It
An unhealthy gut is tied to a range of symptoms, from acne to unintentional weight changes. Follow these steps to restore balance to your gut health.
By Erica Patino
9 Foods That Help Relieve Nausea
Eating may be the last thing on your mind when your stomach is queasy, but some foods actually ease the symptoms and help stop nausea.
By Melissa Johnson
5 Ways to Incorporate More Fermented Foods Into Your Diet
Fermented foods act as a natural probiotic supplement, helping to populate your gut with good microbes. Here are 5 easy, dietitian-approved ways to add…
By Rachel Dyckman, RDN
The Link Between Your Gut Microbiome and Your Health
Your gut microbiome, or the bacteria in your gut, can have a surprising impact on your health. Find out what steps you can take to promote your gut health…
By Erica Patino
Water diarrhea – causes and treatment of watery diarrhea
Co-author, editor and medical expert – Klimovich Elina Valerievna.
Editor and medical expert – Harutyunyan Mariam Harutyunovna.
Number of views: 1,308,183
Date last updated: 2 Contents:
How water is absorbed in the intestines
Causes of secretory diarrhea
What to do if the diarrhea is watery?
Diarrhea can have different causes, but is always accompanied by changes in intestinal absorption of water and electrolytes. And with secretory diarrhea, this process is not only disrupted, but is replaced by active transport of electrolytes into the intestinal lumen and, after them, water. The osmolar pressure of the intestinal contents becomes lower than the osmolar pressure of the blood plasma. This supports the diffusion of water into the intestinal lumen and is fraught with rapid dehydration due to the development of diarrhea with water. At the same time, the stool is liquid, plentiful (more than 1 liter), defecation is painless, and fasting practically does not change the nature and quantity of bowel movements. If secretory diarrhea is accompanied by malabsorption of bile acids or a decrease in the contractile function of the gallbladder, the watery stool becomes bright yellow or greenish in color. This is called hologenic diarrhea.
How water is absorbed in the intestines
Every day a person consumes about 2 liters of water. It is found not only in drinks, but also in all the foods eaten. In addition, fluid enters the lumen of the digestive tract as part of the digestive secrets. And about 7 liters are released per day! This includes 1.5 liters of saliva and pancreatic juice, 2.5 liters of gastric juice, half a liter of bile and a liter of intestinal secretions. Total enters the intestinal lumen daily up to 9liters of water, and only 100-200 ml (that is, about 2%) of this volume is excreted with feces. The walls of the small intestine absorb up to 80% of all liquid, and 90% of the remaining amount is absorbed in the large intestine.
In this case, water is absorbed secondarily and passively, following the active transport of electrolytes through the walls of the digestive tract. Sodium ions play the most important role in this process, but potassium and chlorine also take an active part. All these electrolytes enter the intestine with food and digestive juices and are actively absorbed. At the same time, the final absorption of water and absorption up to 90% sodium occurs in the large intestine. As a result, rather dense fecal masses are normally formed here.
Causes of secretory diarrhea
Exogenous
- Drugs. Some medications cause watery diarrhea. They increase the osmotic pressure inside the intestine or change the transport of ions in the intestinal wall. Watery diarrhea often occurs when taking laxatives, diuretics, drugs for the treatment of bronchial asthma and thyroid diseases. Cholinergic drugs have a great influence. These include certain myasthenic, cardiotonic, and antihypertensive agents, as well as antidepressants and agents for the treatment of dementia.
- Toxins. Secretory diarrhea can occur against the background of poisoning with fungi, arsenic, organophosphorus compounds, insecticides, alcohol and a number of other drugs.
- Viral and bacterial infections . A number of infections cause watery diarrhea due to exposure to the pathogens themselves and their toxins. These are cholera, yersiniosis, some strains of Escherichia coli and staphylococci that produce enterotoxins.
Endogenous
- Hereditary diseases. There is a congenital secretory pathology (chloridorrhoea, sodium diarrhea), the cause of which lies in the mutation of the genes of intestinal wall transport proteins. The disease manifests itself in a child from birth.
- Hormone-producing tumors. Pathological secretion of ions and water in the intestine can be promoted by some tumors – medullary thyroid carcinoma, VIPoma, gastrinoma, mastocytoma and others.
- Bile salts. Ingestion of non-adsorbed bile acids and free long-chain fatty acids into the large intestine leads to the secretion of water into the intestinal lumen. The reason for this is a violation of the absorption of bile acids in diseases (for example, in Crohn’s disease) or due to a decrease in the absorption area. This happens after resection of more than 100 cm of the ileum.
What if the diarrhea is watery?
Loperamide (active ingredient IMODIUM ® Express) binds to opiate receptors in the intestinal wall, inhibits the local production of acetylcholine, calmodulin and prostaglandins. Calcium channels are also blocked, the permeability of plasma membranes decreases and the activity of intestinal motility decreases. As a result, the secretion of water into the intestinal lumen is significantly reduced, and its absorption is enhanced. Therefore, IMODIUM ® Express can be used in the complex treatment of secretory diarrhea (water diarrhea).
The information in this article is for reference only and does not replace professional medical advice. For diagnosis and treatment, contact a qualified specialist.
“Imodium is contraindicated for use in children under 6 years of age.”
See also:
- Bear disease
causes, symptoms and use of IMODIUM® in combination for treatment
Author, editor and medical expert – Ekaterina Aleksandrovna Zavgorodnyaya.
Editor and medical expert – Harutyunyan Mariam Harutyunovna.
Number of views: 200 136
Date of last update: 06/25/2023
Contents:
Features of “bear disease”
Causes of “bear disease”
Other causes
Can bear disease be cured?
Have you ever wondered why bear disease is called that? This folk expression, meaning “diarrhea from fear”, came into our everyday life a long time ago – with the beginning of the bear hunt. To make the beast an easy prey, the hunters sneaked up to the lair while the ferocious predator was still in hibernation, and with the help of various metal objects created as much noise as possible. The loud sound frightened and disoriented the beast, forcing it to “run wherever its eyes look.” At the same time, almost always, the awakened bear began severe diarrhea 1 .
Sudden onset of diarrhea caused by a strong nervous shock is still popularly called “bear disease” 1 . But it has a more scientific name – irritable bowel syndrome (IBS) 1.10 . And although such a disorder is not a disease in full measure, its manifestations can disrupt the usual rhythm of life 2 .
This article will tell you about the causes of “bear sickness” and ways to relieve diarrhea.
Features of “bear disease”
IBS can occur with both constipation and diarrhea. The diarrheal form is characterized by the passage of mushy or watery feces on average 3-5 times a day. The stool does not contain any impurities, blood or pus 3 .
Please note!
In “bear disease” the urge to defecate is often difficult to contain. Diarrhea usually appears in the morning, after breakfast, accompanied by pain and bloating. This typical manifestation of IBS is called “morning rush syndrome” or “morning storm” 3 . If diarrhea forces you to wake up at night and run to the toilet, then it is unlikely that you have irritable bowel syndrome 3 .
Causes of “bear’s disease”
In case of diarrheal form of IBS, the intestine reacts to various provoking factors with increased contraction. As a result, the transit (movement) of the intestinal masses is accelerated – the stool becomes frequent 2 . “Bear disease” can occur due to stress, and not only emotional. What factors become stressful for our intestines – we will talk further.
Stressed intestines
As before, so today, “bear disease” is primarily associated with a strong nervous shock. This situation is familiar to students taking exams, artists before performing in public 12 . Even the lack of support during emotional experiences and the inability to properly navigate life’s difficulties 3 can lead to diarrhea.
Reaction to stress, susceptibility to it and the skill of coping with it are formed in childhood under the influence of environment and traditions. That’s when a “failure” may occur.0089 2 . Strong emotional reaction and stress can lead to impaired intestinal motility (motor function) through the brain-gut axis 11 . In turn, the “bear disease” itself becomes a cause of stress – there may be a fear that diarrhea will “catch up” outside the home, for example, at work or in transport. This is how a vicious circle arises: “stress-diarrhea-stress” 2 .
Reaction to food
“Bear disease” is often associated with a reaction to food 10 . For example, raw vegetables, fruits, cereals, which contain coarse vegetable fibers, mechanically irritate the intestinal wall and accelerate the passage of its contents 5. 11 . In people with IBS, the reaction to fiber is often more pronounced 11 .
Sweet apples, pears, grapes, honey or nuts rich in fructose can also cause diarrhea 5 . Fructose, or “fruit sugar”, as well as sweeteners, are rather poorly absorbed 5 . Remaining in the intestinal lumen, they retain water around them and stimulate intestinal motility 5.6 .
Diarrhea can be experienced by diabetics who consume diet foods, lovers of confectionery and chewing gum. These products usually contain poorly absorbed sweeteners – mannitol and sorbitol 5 .
Changes in the microbiota
The microbiota, or microbial community, actively regulates colon function. But the correct signals from the microbiota come only with its normal composition. If the number of “harmful” microorganisms increases, and “useful” decreases, then there is a well-known dysbacteriosis 4 . Then representatives of the “harmful” part of the microbiota penetrate the intestinal wall, trigger immune reactions in it and maintain sluggish inflammation. This sluggish inflammation is enough to make the intestine more sensitive to various irritants and to change the permeability of the intestinal wall 4.11 . Sluggish inflammation can even increase bowel contractions and impair the transport of water and salts across the gut wall, all of which contribute to the “bear sickness” response to stress 11 .
What can disturb the composition of the microbiota? Firstly, it is food that some bacteria love and “do not digest” others 11 . Secondly, it is the transferred infections. Due to dysbacteriosis, “bear disease” often occurs after a bacterial or viral intestinal infection, as well as after taking antibacterial drugs 4 .
Back to top
Other causes
There are a number of factors that further increase the risk of IBS symptoms, including bear sickness 2 :
- living in major cities;
- “office” work;
- tobacco smoking.
Sometimes the cause of “bear disease” is found in excessive sports training. The repeated pushes and bumps during intense and long running can injure the intestinal mucosa, which is why runners often develop diarrhea 7 .
Can bear disease be cured?
Before starting treatment, doctors prescribe tests, carefully examine a person to rule out diseases of the internal organs that are manifested by diarrhea. And only if no other causes of diarrhea are identified, specialists diagnose irritable bowel syndrome 2 .
Therapy for the disorder usually includes various drugs to reduce anxiety, relieve spasm, and relieve symptoms 11 . To combat the actual “neurogenic stool”, that is, diarrhea, doctors may recommend antidiarrheal drugs. Loperamide is recommended as the drug of first choice 11 .
Loperamide – active ingredient of the drug Imodium® Express . It reduces peristalsis (intestinal contractions), thereby slowing down the movement of feces. Imodium® Express also facilitates stool retention and reduces the urge to defecate by increasing the tone of the anal sphincter 8 .
Imodium® Express :
- can start working as early as 1 hour after ingestion, relieving diarrhea from the first application in 80% of cases 9;
- is indicated for acute and chronic diarrhea caused by allergic reactions, emotional stress, errors in diet or drugs 8 ;
- is easy to take anywhere – lyophilisate tablet with special technology Zydis® ( Zaydis) dissolves on the tongue in a few seconds and does not require drinking water 8 .
Before using Imodium® Express, read the instructions and consult your doctor. Do not take the drug if you have a high temperature and blood in your stool 8 .
After alleviating the symptoms of “bear disease”, one more question arises before a person – is it possible to prevent such an intestinal reaction? Knowing what factor provokes your diarrhea, it is quite possible to reduce the chances of diarrhea.
To keep IBS from getting worse, follow these tips:
- Rest – Get at least 7-8 hours of sleep a night 2 .
- Manage stress – use various techniques to overcome anxiety and nervous tension, if necessary – seek help from a psychotherapist 2 .
- Watch your diet. Limit foods high in fiber or sugar 11 . These substances can increase gas production and bowel contraction, causing diarrhea 11 . Also try temporarily cutting out coffee, honey, milk and nuts 11 . Keeping a food diary can help to calculate food provocateurs 12 .
- Do your exercise . Physical activity helps improve bowel function 2 , but it is better to refuse from excessive loads in case of “bear disease” 12 .
- See your doctor regularly to adjust your treatment, get new advice, and make sure you’re doing the right thing.