Diarrhea  
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This Care Guide Covers:

  • Diarrhea is the sudden increase in the frequency and looseness of bowel movements (BMs)
  • Mild diarrhea is the passage of a few loose or mushy BMs
  • Severe diarrhea is the passage of many watery BMs

If not, see these topics
When to Call Your Doctor

Call 911 Now (you may need an ambulance) If
  • Very weak (can't stand)
  • You think you have a life-threatening emergency
Call Your Doctor Now (night or day) If
  • You feel weak or very sick
  • You are dehydrated (dizzy, dry mouth, very thirsty)
  • Fever of 103°F (39.4°C) or higher
  • Severe stomach pain
  • Constant stomach pain lasts more than 2 hours
  • Bloody or black stools
  • More than 10 loose bowel movements (BMs) in the past 24 hours
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think you need to be seen
  • Fever of 101°F (38.3°C) or higher
  • Stomach pain that does not get better after each diarrhea BM
  • Mucus or pus in BM for more than 2 days
  • Small amount of blood in BM
  • Recent use of antibiotics
  • Have diabetes
  • Have a weak immune system (HIV positive, cancer chemo, long-term steroid use, splenectomy)
  • Traveled abroad in the past month
  • Getting tube feedings (nasogastric, g-tube, j-tube)
  • Over 70 years old
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Diarrhea lasts more than 7 days
  • You have diarrhea off and on for weeks or months
Self Care at Home If
  • Mild diarrhea
Causes & Health Information

Some Basics...

What Are Signs of Dehydration?

Signs of dehydration include:

CARE ADVICE FOR MILD DIARRHEA

  1. What You Should Know:
    • Diarrhea lasting for less than 2 weeks is often from an infection in the intestines. Most often it is a virus. Diarrhea is the body’s way of getting rid of the infection. Other causes of new onset diarrhea are food poisoning and drugs.
    • Staying hydrated is very important if you have with diarrhea.
    • Wash your hands after each bowel movement.
    • You can treat mild diarrhea at home.
    • Here is some care advice that should help.
  2. Fluids:
    • Drink more fluids, at least 8-10 glasses (8 oz.) a day.
    • Fluids include sports drinks, fruit juices mixed with water, and soft drinks.
    • Also eat saltine crackers or soups. This helps your body get more fluids and salt.
    • Avoid drinks with caffeine. These can dehydrate you.
  3. Diet:
    • You should try to eat some food when you have diarrhea. The latest research shows it helps you and your intestines get better.
    • Ideal foods are boiled starches/cereals. These include potatoes, rice, noodles, wheat, and oats. You can add a small amount of salt to them.
    • Other good foods are bananas, yogurt, crackers, and soup.
    • As your stools return to normal, go back to your normal diet.
    • Avoid greasy or spicy foods if you have diarrhea.
  4. Bismuth Subsalicylate (Kaopectate, PeptoBismol):
    • Helps with diarrhea, vomiting, and stomach cramping.
    • Adult dose: 2 tablets or 2 tablespoons by mouth each hour. If you keep having diarrhea, you can take up to 8 doses in 24 hours. Do not take more than 8 doses in 24 hours.
    • Do not use for more than 2 days.
  5. Imodium AD:
    • Adult dose: 2 caplets or 4 teaspoons (40 ml) with your first loose BM. With each loose BM that follows, take 1 more caplet or 2 more teaspoons (10ml). Do not take more than 4 caplets or 8 teaspoons each day.
    • Do not use if you have a fever greater than 100°F (37.8°C). Do not use if there is blood or mucus in your stools.
    • Do not use for more than 2 days.
    • Read all package instructions.
  6. What to Expect: Viral diarrhea lasts 4-7 days. It is always worse on days 1 and 2.
  7. Call Your Doctor If:
    • You are dehydrated (dizzy, dry mouth, very thirsty)
    • Diarrhea lasts more than 7 days
    • You get worse

Remember! Call your doctor if any of the "When to Call" symptoms occur.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 9/1/2012

Last Revised: 11/14/2012

Content Set: Adult Symptom Checker

Copyright 2000-2012. Self Care Decisions LLC; LMS, Inc.