What to do if you have diarrhea for half a month

What should I do if I have diarrhea for half a month? The main clinical manifestations are diarrhea, bowel movements ≥3 times, abnormal stools, loose stools, and watery stools, which may be accompanied by nausea, vomiting, loss of appetite, fever, and general discomfort. In severe cases, excessive water loss can lead to dehydration. , electrolyte imbalance and even shock. It is recommended to go to the hospital for treatment. Guidance: Children should not exceed adults in terms of water. If they are dehydrated, it will cause a series of secondary diseases, such as water and electrolyte disorders. Secondly, they should take preventive measures such as "washing hands, drinking boiled water, eating cooked food, ventilating frequently, and keeping clothes and quilts."

1. Gastrointestinal symptoms

Those who have frequent urge to defecate, but small amount of stool each time and feel tenesmus, often have lesions in the rectum or sigmoid colon. Those with small intestinal lesions do not have tenesmus, and have abdominal pain in the lower abdomen or left lower abdomen, which is relieved after defecation. These are often lesions in the sigmoid colon or rectum. Those with small intestinal lesions often have diarrhea with pain around the navel that does not usually ease after defecation. Secretory diarrhea often has no abdominal pain symptoms.

2. Diarrhea frequency and stool characteristics

Acute diarrhea can cause more than 10 bowel movements a day, and the stool is mostly thin. If it is a bacterial infection (bacillary dysentery), it often contains blood and pus. If the stool is syrupy or jam-like, it may indicate amoebic dysentery. Thin watery stools are common in food poisoning. Hemorrhagic necrotizing enteritis may cause bloody stools like meat washing water with a fishy odor.

3. Associated symptoms

(1) Fever may occur in acute bacillary dysentery, typhoid or paratyphoid, intestinal tuberculosis, colon cancer, malignant lymphoma of the small intestine, Crohn's disease, acute attack of nonspecific ulcerative colitis, sepsis, viral enteritis, thyroid crisis, etc.

(2) Obvious weight loss may be seen in gastrointestinal malignancies and malabsorption syndrome.

(3) Accompanied by rash or subcutaneous hemorrhage is seen in sepsis, typhoid or paratyphoid, measles, allergic purpura, pellagra, etc.

(4) Patients with joint pain or swelling may suffer from Crohn's disease, chronic nonspecific ulcerative colitis, lupus erythematosus, intestinal tuberculosis, Whipple's disease, etc.

(5) Abdominal masses are seen in gastrointestinal malignancies, intestinal tuberculosis, Crohn’s disease and schistosomiasis granuloma.

(6) Patients with severe water loss often suffer from secretory diarrhea such as cholera and bacterial food poisoning, and may also suffer from uremia.