Diarrhea-When you should see a Physician

This condition can be due to many things in both Chinese and Western medicine.  Acute diarrhea, unexplained, more than 3-5 loose stools daily over months to a year is a specific referral to see a western doctor.  We must rule out parasitic enteritis or any malabsorption syndromes. The cause of chronic diarrhea can be from entamoeba or worms like whipworms or also known as  trichuriasis. The absorption of nutrients produce when these conditions are present.  Long term conditions can result in the damage of the mucosal lining of the intestines causing persistent unexplained diarrhea. Diarrhea can mark illnesses that can result in chronic malnutrition and developmental stunting. Malabsorption produces gass, loose stools, floating stools (steatorrhea) and nutritional deficiencies of fat soluble.  Parasites can cause bloody diarrhea, debilitation from severe anemia, blindness and cognitive delays.

Roundworm, Ascarislumbricoids is the most common intestinal parasite int he world.  I can reach 16 inches and to the thickness of a pencil.  Roundworms affect more than 1.6 billion people a year.  People with amoeba infection may experience nausea, loose stools, weight loss, abdominal tenderness and occasional fever.

Some specific red flags are:

Acute bloody diarrhea more than 6-8 loose stools/day and a fever of 101.5 or more.  Condition assumed- Enteritis.  There two types, acute infectious from viruses, bacteria or parasites. The other, inflammatory autoimmune bowel disease such as ulcerative colitis or Crohn's disease.  Missing this condition can result in dehydration and electrolyte imbalance.

To stabilize the condition patients should drink small amounts of clear fluids and eat liquid foods until they see a doctor.  You should see a primary care physician a semi-urgent, same-day or next-day basis.