Recent Diarrhea: Causes and Concerns in Gastroenterology - Gastroenterology and Hepatology

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I have been experiencing frequent diarrhea lately?


Hello, I have been experiencing symptoms for about a week.
During this time, I had a fever once, and I have been having diarrhea, which usually occurs in the morning or at night.
When it happens, I need to go to the bathroom 2 to 3 times before it improves.
The stools are watery, and I don't have any other specific symptoms.
I would like to know what might be the cause.
Thank you.

Xiao P, 20~29 year old female. Ask Date: 2005/08/22

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, the possible causes could be enteritis, dietary factors, or irritable bowel syndrome.
It is recommended to maintain a light diet, drink plenty of water, and limit beverages, including milk and caffeinated drinks.
If symptoms persist, or if there is weight loss or ascites, it is advisable to seek outpatient evaluation.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2005/08/22

More Info


Hello! It sounds like you've been experiencing some distressing gastrointestinal symptoms for about a week, including diarrhea that tends to occur in the morning or at night, along with a previous episode of fever. Let's break down your symptoms and potential causes.

Diarrhea can be caused by a variety of factors, including infections (viral, bacterial, or parasitic), food intolerances, inflammatory bowel disease, or even stress. Given that you mentioned having a fever, it’s possible that your diarrhea could be related to an infectious process. Viral gastroenteritis, commonly known as the stomach flu, is a frequent cause of diarrhea and can present with fever, abdominal cramps, and watery stools. Bacterial infections, such as those caused by Salmonella or E. coli, can also lead to similar symptoms, often accompanied by fever and abdominal pain.

The timing of your symptoms—specifically, that they occur primarily in the morning or at night—could suggest a few things. If your diarrhea is predominantly occurring after meals, it might indicate a food intolerance or sensitivity, such as lactose intolerance or a reaction to certain foods. Additionally, if you have been under stress or have had changes in your routine, this could also contribute to gastrointestinal disturbances, potentially leading to conditions like irritable bowel syndrome (IBS).

Since you mentioned that your stools are watery and you have not experienced any other significant symptoms, it’s essential to monitor your hydration status. Diarrhea can lead to dehydration, especially if it persists. Ensure you are drinking plenty of fluids, and consider oral rehydration solutions if necessary.

If your symptoms persist beyond a week or worsen, it would be advisable to seek medical attention. A healthcare provider may recommend stool tests to check for infections, blood tests to assess for dehydration or other underlying issues, and possibly imaging studies if there are concerns about structural problems in the gastrointestinal tract.

In summary, your recent diarrhea could be due to a viral infection, food intolerance, or stress-related gastrointestinal issues. Keep an eye on your symptoms, stay hydrated, and don’t hesitate to reach out to a healthcare professional if your condition does not improve or if you develop additional symptoms. It’s always better to err on the side of caution when it comes to gastrointestinal health. Take care, and I hope you feel better soon!

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