I have diarrhea and my stomach hurts from time to time

Diarrhea is probably the most common condition in daily life. When it occurs, people will feel that their bodies become very weak and they will feel intermittent pain in their stomachs. However, you must not take medicine indiscriminately without knowing the cause of your illness. Doing so will cause great harm to your body. In particular, you must pay attention to not using painkillers.

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Both etiological treatment and symptomatic treatment are important. Before the cause of the disease is determined, painkillers and antidiarrheal drugs should be used with caution to avoid masking symptoms and causing misdiagnosis and delaying the disease.

1. Treatment of the cause

(1) Anti-infection treatment: Choose appropriate antibiotics based on the different causes.

(2) For others, for example, people with lactose intolerance should not consume dairy products, and adults with celiac disease should avoid wheat products. Chronic pancreatitis can supplement with a variety of digestive enzymes. In case of drug-related diarrhea, the relevant drug should be discontinued immediately.

2. Symptomatic treatment

(1) General treatment corrects water, electrolyte, acid-base imbalance and nutritional imbalance. Replenish fluids, vitamins, amino acids, fat emulsions and other nutrients as appropriate.

(2) Mucosal protective agents: dioctahedral montmorillonite, sucralfate, etc.

(3) Probiotics such as Bifidobacterium can regulate intestinal flora.

(4) Antidiarrheal drugs should be selected according to the specific situation.

(5) Other drugs such as 654-2, propantheline bromide, and atropine have antispasmodic effects, but should be used with caution in patients with glaucoma, prostatic hypertrophy, and severe inflammatory bowel disease.

The key to diagnosing diarrhea is the diagnosis of the primary disease or cause, which must be based on the onset and course of the disease, the age of onset, the affected population, the frequency of diarrhea and the nature of the stool, accompanying symptoms and signs, and routine tests, especially stool tests.

Acute diarrhea should first be identified based on medical history, season of onset, and accompanying systemic symptoms, whether it is infectious diarrhea caused by viruses, bacteria, parasites, etc., or diarrhea caused by food poisoning, drugs, or other diseases. The identification of pathogenic bacteria depends on stool culture, and some parasites such as Giardia require intestinal mucosal biopsy.

Chronic diarrhea can be diagnosed through medical history, physical examination, digital rectal examination, routine stool culture and detection of ova and parasites, stool fat measurement, gastrointestinal endoscopy and biopsy, etc. First, it should be determined whether the diarrhea originates from the small intestine or the colon.

If it is small intestinal diarrhea, further barium meal examination, small intestine endoscopy and other laboratory tests should be performed to determine whether it is organic or functional. If it is colonic diarrhea, a colonoscopy should be performed to observe whether there is a tumor, ulcerative colitis, Crohn's disease, etc.