Suggest treatment for persistent diarrhoea
Time for a work-up for diarrhea.
Hello and welcome,
Well that sounds miserable. Usually when a patient has had diarrhea for 4 or more weeks, we start a work up. So it is time for you to see your family practice or internal medicine doctor to get this started.
Work up for chronic diarrhea would include a thorough history, and a physical exam including palpation of the abdomen and percussion of liver size. You'll be asked to give stool samples (in special containers) and have some initial blood work done. The blood tests will likely include a CBC, albumin (protein) level, ESR (a test for inflammation), liver function tests, TSH (a thyroid test), and electrolyte levels (sodium, potassium, chloride).
There are many different causes for chronic diarrhea - everything from irritable bowel to infections, malabsorption, and inflammatory bowel disease. A detailed history will help the doctor narrow down the possible causes.
Here is a good article summarizing the standard work-up and what the various possibilities are that might be going wrong:
I hope this helps. Please let me know if I can provide further information or clarification.
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