Professional Documents
Culture Documents
Dr.K.S.Sunil
MBBS, MD, PGDGM
• Increase in frequency, size or loosening of
bowel movements.
• Differentiate from fecal incontinence or
functional bowel disease- normal stool
weight
• With western diet- less than 200g/day
Pathophysiology
• Increased active anion secretion
• Decreased absorption of water and
electrolytes
Types
• Transmissible agents
• Noninfectious - abnormal mucosa
– Inflammatory Bowel disease
– Celiac disease, microscopic colitis, eosinophilic and
allergic gastroenteritis, radiation enteritis
• Noninfectious - normal mucosa
– Osmotic diarrhea
– Mal-absorption
– Rapid intestinal transit- IBS
Infectious diarrhea
• Mostly feco-oral route
• Bacterial
• Viral
• Parasitic
Bacterial
• Watery
– Enterotoxigenic-
• Vibrio cholera
• Enterotoxigenic E.coli
– Food borne toxins-
• Bacillus cereus
• Clostridium perfringens
– Mycobacterium avium-intracellular complex
Bacterial
• Bloody
– Invasive
• Campylobacter jejuni
– Destructive
• Shigella
• Enteropathogenic E.coli
• Clostridium difficile
Viral
• Rotavirus
– Children less than 2 years
– Most common cause of diarrhea in children all over the
world
• Norwalk
– Older children and adults
Thank You!