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Diarrhea quiz: Do you know when it's serious?

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Diarrhea quiz: What common causes are behind your symptoms?

Frequent, watery, loose stools are the hallmark of diarrhea, a common but usually not serious condition. Although signs and symptoms are uncomfortable and may restrict some of your activities, diarrhea usually ends on its own after a few days. However, some cases of diarrhea may be serious enough to require medical attention.

This quiz can help you recognize and cope with diarrhea and know when to call your doctor.

1. Diarrhea usually clears up on its own, without the need for antibiotics or other medications.


True. Typically, signs and symptoms of diarrhea — frequent, watery stools sometimes accompanied by abdominal cramps — last for a short period of time and then go away. Sometimes, diarrhea is persistent. See your doctor if you're concerned about persistent diarrhea.

2. In acute cases, diarrhea lasts less than a few days and can be caused by:





All of these factors can cause or aggravate acute cases of diarrhea. Bacteria, viruses, parasites and some medications, such as antibiotics, can disrupt your intestine's ability to absorb fluid. And caffeine or spicy foods can aggravate diarrhea.

3. Not all digestive systems are created equally. Some people are unable to absorb certain compounds or nutrients, which can lead to diarrhea. Poor absorption of which of the following can cause diarrhea?





The poor absorption (malabsorption) of fats, carbohydrates or nutritional supplements can cause diarrhea. In addition, artificial sweeteners, such as sorbitol and mannitol, which are often found in chewing gum and other sugar-free products, can cause bloating and diarrhea in some people, especially when consumed in excessive amounts. If you suspect that your diarrhea is caused by poor absorption of a nutrient or compound, remove or cut back on that item in your diet.

4. Chronic diarrhea — diarrhea lasting more than four weeks — may be due to many diseases and conditions. Which of the following is usually NOT associated with diarrhea?





Diarrhea that persists or recurs frequently isn't usually related to appendicitis. Signs and symptoms of appendicitis include pain in the middle to lower right side of the abdomen, fever, nausea, vomiting, loss of appetite and the urge to have a bowel movement or pass gas.

Rather, persistent or recurrent diarrhea is usually related to a chronic intestinal disorder, such as irritable bowel syndrome or ulcerative colitis or a malabsorption condition such as lactose intolerance or celiac disease.

5. If you have acute diarrhea:





Caffeinated beverages can aggravate diarrhea. Alcohol, fatty foods, highly seasoned foods and milk products also may increase your symptoms. To prevent dehydration — a problem commonly associated with diarrhea:

  • Drink clear liquids throughout the day, including water, clear sodas, broths and decaffeinated tea. Avoid fruit juices.
  • Add semisolid and low-fiber foods gradually as your bowel movements return to normal. Try soda crackers, toast, eggs, rice or chicken.
  • Avoid dairy products, fatty foods and spicy foods for a few days.
  • Avoid caffeine and nicotine.
6. See your doctor if diarrhea persists more than five days, or sooner if you:





Contact a doctor if your bout with diarrhea involves severe abdominal or rectal pain, bloody stools, a temperature of more than 101 F, or if you become dehydrated. Signs and symptoms of dehydration include:

  • Excessive thirst
  • Dry mouth
  • Little or no urine
  • Severe weakness
  • Dizziness or lightheadedness
7. Traveling to foreign countries can lead to traveler's diarrhea, a condition that results from inadequate sanitation, contaminated food and water-borne bacteria. What's the greatest risk factor for getting traveler's diarrhea?





The greatest risk factor for traveler's diarrhea is your destination. It's more common in developing countries of Latin America, Africa, the Middle East and Asia. Up to half of all international travelers develop traveler's diarrhea each year.

To help avoid traveler's diarrhea, drink bottled water, only eat meat that's thoroughly cooked and fruit that you can peel, and avoid ice and raw vegetables, which are often washed in water.

8. If you have traveler's diarrhea, the best way to treat it is with medicines that stop diarrhea.


Medicines that stop diarrhea can help in some cases. However, if your diarrhea is caused by bacteria or parasites, those medicines can trap the bacteria or parasites in your intestine and prolong the problem. Your doctor may prescribe antibiotics or other medications to treat such infections.

Last Updated: 07/05/2007
© 1998-2008 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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