Go Back   SuggestADoctor.com > Rakesh GUPTA MD
 


Diarrhea

Rakesh GUPTA
Rakesh GUPTA MD
New York, Brooklyn
Gastroenterology
Registered Site MemberHas 11 suggestionsAddress AvailablePhone Numbers AvailableCan be contacted by site visitorsHas 19 ArticlesHas Professional VideosPersonal Photo AvailableCV AvailableHas special expertise in certain sicknessHas published Books & ArticlesHas TagsPersonal Info AvailableHas Personal Website
Article Details
* Date : 08-20-2009 - 11:04 PM (4059 days ago),

* Characters : 9176, Words : 1387, Size : 8.96 Kb.
Testimonials For Rakesh GUPTA MD by our Site Visitors:
Dr. Rakesh Gupta is a wonderful doctor! He is knowledgeable and caring which are two very difficult traits to find in a doctor now a days. His offices are beautiful and the staff are professional and polite. Would definitely recommend him to anyone looking for a great GI doctor.
(Karen, Patient, 03-15-2012)

I would recommend this center to anyone...the doctors and staff are very good, they take time with you. They really care about their patients. All I can say is keep up the good work
(Marie, Patient, 02-13-2010)

I highly recommend Dr. Gupta. He is an exceptional and caring doctor. I believe that he is very passionate about his work because he listens and is very cautious. I am 29 and have been living with stomach pain for several years. My first visit we talked for a while and gave me all of his attention. He told me it could possibly be IBS. however he wanted to be sure that it wasn't something else based on my other complaints. He suggsted an endoscopy and colonoscopy. I do not have insurance and was worried about how much everything was going to be, and it ended up being less than if iI wer... [More..]
(Coury C, Patient, 09-10-2009)

the most competent physician i have ever met. you immediately recognize his expertise. Well managed office and friendly employees
(jen, Patient, 06-15-2009)

All Suggestions For Rakesh GUPTA MD
Diarrhea

What is diarrhea?

Diarrhea—loose, watery stools occurring more than three times in one day—is a common problem that usually lasts a day or two and goes away on its own without any special treatment. However, prolonged diarrhea can be a sign of other problems. People with diarrhea may pass more than a quart of stool a day.

Diarrhea can cause dehydration, which means the body lacks enough fluid to function properly. Dehydration is particularly dangerous in children and the elderly, and it must be treated promptly to avoid serious health problems.

People of all ages can get diarrhea. The average adult has a bout of diarrhea about four times a year.

What causes diarrhea?
Diarrhea may be caused by a temporary problem, like an infection, or a chronic problem, like an intestinal disease. A few of the more common causes of diarrhea are

Bacterial infections. Several types of bacteria, consumed through contaminated food or water, can cause diarrhea. Common culprits include Campylobacter, Salmonella, Shigella, and Escherichia coli.


Viral infections. Many viruses cause diarrhea, including rotavirus, Norwalk virus, cytomegalovirus, herpes simplex virus, and viral hepatitis.


Food intolerances. Some people are unable to digest some component of food, such as lactose, the sugar found in milk.


Parasites. Parasites can enter the body through food or water and settle in the digestive system. Parasites that cause diarrhea include Giardia lamblia, Entamoeba histolytica, and Cryptosporidium.


Reaction to medicines, such as antibiotics, blood pressure medications, and antacids containing magnesium.


Intestinal diseases, like inflammatory bowel disease or celiac disease.


Functional bowel disorders, such as irritable bowel syndrome, in which the intestines do not work normally.


Some people develop diarrhea after stomach surgery or removal of the gallbladder. The reason may be a change in how quickly food moves through the digestive system after stomach surgery or an increase in bile in the colon that can occur after gallbladder surgery.

In many cases, the cause of diarrhea cannot be found. As long as diarrhea goes away on its own, an extensive search for the cause is not usually necessary.

People who visit foreign countries are at risk for traveler's diarrhea, which is caused by eating food or drinking water contaminated with bacteria, viruses, or, sometimes, parasites. Traveler's diarrhea is a particular problem for people visiting developing countries. Visitors to the United States, Canada, most European countries, Japan, Australia, and New Zealand do not face much risk for traveler's diarrhea.

What are the symptoms?
Diarrhea may be accompanied by cramping abdominal pain, bloating, nausea, or an urgent need to use the bathroom. Depending on the cause, a person may have a fever or bloody stools.

Diarrhea can be either acute (short-term) or chronic (long-term). The acute form, which lasts less than 4 weeks, is usually related to a bacterial, viral, or parasitic infection. Chronic diarrhea lasts more than 4 weeks and is usually related to functional disorders like irritable bowel syndrome or inflammatory bowel diseases like celiac disease.

Diarrhea in Children
Children can have acute or chronic forms of diarrhea. Causes include bacteria, viruses, parasites, medications, functional disorders, and food sensitivities. Infection with the rotavirus is the most common cause of acute childhood diarrhea. Rotavirus diarrhea usually resolves in 3 to 9 days.

Medications to treat diarrhea in adults can be dangerous to children and should be given only under a doctor's guidance.

Diarrhea can be dangerous in newborns and infants. In small children, severe diarrhea lasting just a day or two can lead to dehydration. Because a child can die from dehydration within a few days, the main treatment for diarrhea in children is rehydration.

Take your child to the doctor if any of the following symptoms appear:

stools containing blood or pus, or black stools
temperature above 101.4 degrees Fahrenheit
no improvement after 24 hours
signs of dehydration (see below)
What is dehydration?
General signs of dehydration include

thirst
less frequent urination
dry skin
fatigue
light-headedness
dark colored urine
Signs of dehydration in children include

dry mouth and tongue
no tears when crying
no wet diapers for 3 hours or more
sunken abdomen, eyes, or cheeks
high fever
listlessness or irritability
skin that does not flatten when pinched and released
If you suspect that you or your child is dehydrated, call the doctor immediately. Severe dehydration may require hospitalization.


When should a doctor be consulted?
Although usually not harmful, diarrhea can become dangerous or signal a more serious problem. You should see the doctor if any of the following is true:

You have diarrhea for more than 3 days.
You have severe pain in the abdomen or rectum.
You have a fever of 102 degrees Fahrenheit or higher.
You see blood in your stool or have black, tarry stools.
You have signs of dehydration.
If your child has diarrhea, do not hesitate to call the doctor for advice. Diarrhea can be dangerous in children if too much fluid is lost and not replaced quickly.

What tests might the doctor do?
Diagnostic tests to find the cause of diarrhea include the following:

Medical history and physical examination. The doctor will need to know about your eating habits and medication use and will examine you for signs of illness.


Stool culture. Lab technicians analyze a sample of stool to check for bacteria, parasites, or other signs of disease or infection.


Blood tests. Blood tests can be helpful in ruling out certain diseases.


Fasting tests. To find out if a food intolerance or allergy is causing the diarrhea, the doctor may ask you to avoid lactose (found in milk products), carbohydrates, wheat, or other foods to see whether the diarrhea responds to a change in diet.


Sigmoidoscopy. For this test, the doctor uses a special instrument to look at the inside of the rectum and lower part of the colon.


Colonoscopy. This test is similar to sigmoidoscopy, but the doctor looks at the entire colon.

What is the treatment?
In most cases, replacing lost fluid to prevent dehydration is the only treatment necessary. (See "Preventing Dehydration" below.) Medicines that stop diarrhea may be helpful in some cases, but they are not recommended for people whose diarrhea is caused by a bacterial infection or parasite—stopping the diarrhea traps the organism in the intestines, prolonging the problem. Instead, doctors usually prescribe antibiotics. Viral causes are either treated with medication or left to run their course, depending on the severity and type of the virus.

Preventing Dehydration

Dehydration occurs when the body has lost too much fluid and electrolytes (the salts potassium and sodium). The fluid and electrolytes lost during diarrhea need to be replaced promptly—the body cannot function properly without them. Dehydration is particularly dangerous for children, who can die from it within a matter of days.

Although water is extremely important in preventing dehydration, it does not contain electrolytes. To maintain electrolyte levels, you could have broth or soups, which contain sodium, and fruit juices, soft fruits, or vegetables, which contain potassium.

For children, doctors often recommend a special rehydration solution that contains the nutrients they need. You can buy this solution in the grocery store without a prescription. Examples include Pedialyte, Ceralyte, and Infalyte.

Tips About Food

Until diarrhea subsides, try to avoid milk products and foods that are greasy, high-fiber, or very sweet. These foods tend to aggravate diarrhea.

As you improve, you can add soft, bland foods to your diet, including bananas, plain rice, boiled potatoes, toast, crackers, cooked carrots, and baked chicken without the skin or fat. For children, the pediatrician may recommend what is called the BRAT diet: bananas, rice, applesauce, and toast.

Preventing Traveler's Diarrhea
Traveler's diarrhea happens when you consume food or water contaminated with bacteria, viruses, or parasites. You can take the following precautions to prevent traveler's diarrhea when you go abroad:

Do not drink any tap water, not even when brushing your teeth.
Do not drink unpasteurized milk or dairy products.
Do not use ice made from tap water.
Avoid all raw fruits and vegetables (including lettuce and fruit salad) unless they can be peeled and you peel them yourself.
Do not eat raw or rare meat and fish.
Do not eat meat or shellfish that is not hot when served to you.
Do not eat food from street vendors.
You can safely drink bottled water (if you are the one to break the seal), carbonated soft drinks, and hot drinks like coffee or tea.

Depending on where you are going and how long you are staying, your doctor may recommend that you take antibiotics before leaving to protect you from possible infection.

Return to Doctor's Page
Email This Doctor

To Quote this article, you should add: :

All rights of Article "Diarrhea" belongs to Rakesh GUPTA MD and it is published at SuggestADoctor.com (http://www.suggestadoctor.com) Health Articles Library.

With this notice, you can quote reasonable amount of text from this article but you have to get permission from its author to republish or redistribute it fully.

Some other Health Articles from our Library:
  • Facial Plastic Surgery Earns İts Place On ‘most Popular’ Holiday Gift List , Rich CASTELLANO MD
  • Brotox A Phenomenon Popular İn Tampa Bay , Rich CASTELLANO MD
  • Proof Positive, Facial Lifting Procedures Work , Rich CASTELLANO MD
  • Liposuction Is A Treatment For Obesity , Thomas LOCKE MD
  • Weight Loss After Pregnancy , Michele CAVENEE MD
  • Lymphedema — An Overview , Margarita CORREA MD
  • Identification Of A Novel Compound Heterozygous Mutation Of The 5 Alpha-Reductase Type 2 (Srd5a2) Gene İn An Extreme Premature 46, Xy Male İnfant , Cayce JEHAIMI MD
  • "Positron Emission Tomography İn The Management Of Papillary Thyroid Carcinoma İn Children: İs There A Role?" , Cayce JEHAIMI MD
  • "Primary Pigmented Nodular Adrenocortical Disease İn A Patient With Carney Complex: A Case Report" , Cayce JEHAIMI MD
  • "Novel Intervening Sequence Mutation At The 5 , Cayce JEHAIMI MD
  • "Polycystic Ovaries And Adrenal Insufficiency İn A Young Pubescent Female With Lipoid Congenital Adrenal Hyperplasia Due To Splice Mutation Of The Star Gene: A Case Report & Review Of The Literature" , Cayce JEHAIMI MD
  • "Sexual Precocity İn A 2-Year-Old Boy Caused By Indirect Exposure To Testosterone Cream" , Cayce JEHAIMI MD
  • Chemical Addictions , Minh Anh HAN MD
  • Muscle Knot? It Might Be A Trigger Point , Minh Anh HAN MD
  • Cancer Rehabilitation Experience Over Twelve Years. Abstract- Amsterdam, Netherlands 2009 , Susan E CARTER MD
  • Cancer And Exercise. Abstract Brisbane, Australia 2009 , Susan E CARTER MD
  • Roger Rabbit Medical Mishaps , Mark SARACINO MD
  • Dangerous Herb And Drug Combinations , Mark SARACINO MD
  • Back To School Suggestions Of Monica Pierson, Md , Monica PIERSON MD
  • Treatment Of Depression , Farkhanda KHAN MD
  • All articles published in SuggestADoctor.com is written by Medical Doctors who are also our site members. So although they are considered as depandable resources they should never be used by site visitors without consulting with their own medical doctors, nor should be taken for granted about their being updated or accurate.These articles are for information purposes only and every information they contain must be checked with your own Medical professional.